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<br />CONDITIONS OF PERMIT AFI!'IDAVIT
<br />A. NO'l'ICE OF DEED RESTRICTIONS
<br />The undersigned u~~.t.nd. that this pe~t ma~ be subject to ndeed restrictions" which
<br />may be more re.t~i~ti~ than City .regulations. The undersigned assumes re.ponlibi1ity for
<br />compliance with allY applicable deed restrictions.
<br />B. UNLICENSiOO C01lTRACTORB AND COIl'lIlAC'l'OR RESPONSIBILI'UBS
<br />If the owner has hired a contractor or contractor. to undertake work, they my be required
<br />to be licenstt<t in aocordance with st.t. ;md local requlations. If the contractor 18 not
<br />licensed .. nquired by law, both tJ:le OWll.er and contractor may be cited tor a IlI1sc:lemeanor
<br />violation under state law. If the owner or intended contrOlctor are uncerta1n a. to what
<br />licensing reqtdr~ts may apply for the int4Dded WOrk, they are advi8ed to contact the
<br />City ot Zaphyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, ha is advised to have the
<br />contractor(8) sign portions of the "Contractor Sections" of tM" application for which they
<br />Will be responsible, If you, a8 the owner signs as the contractor, you are indicating that
<br />you, rather than the contraotor, are responsible for the work. If the oontr.ctor wishes
<br />you to sign .a contractor that may be an indication that he is not properly licensed ~ 1.
<br />not entitled to permitting privileges in the ctty or Zephyrhills.
<br />C. TJWiSl'OM'A'l'IOII IMPACT FEI!lS AND UTILITY CONNECTION FEES
<br />D, CONSTRUCTUIOH LIEN LAW (CHAPTEk 713, I!'LORIIlA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been proV1ded with a copy of nFlorida'.. ConstrQcti.on
<br />l:l.en Law - HCDIlIlowner'1S Protect:i.on Guide" prepared by thoR Plorida Department ot Agriculture
<br />and ConsUlMr Af:fairs. If the appl.:i.Cllnt is someone other that tM "'om'l.r", I cerify that I
<br />have obtained a copy of the above deac.ribed QOCW1leElt and prom1.8e in good faith to deliver
<br />it to the "owner" prior to commencement,
<br />B. CON'l'RAC'l'OR' S/OIDf&R' S Al!TIDAVIT
<br />r certify that all the intotmation in thi.. application .is accurate and that all work will
<br />be done in compliance with all applicable law.. regulating co~truotion, zoning, and land
<br />deve1op1Jlent.
<br />J\ppliqltion i8 hereby made to obtain a permit to do work and inatallation it.. indicated. I
<br />c<artlfr .at no work 0"" inlltallat10n ha. cODmOnced prior to i..UiUlce of a pe~t and that
<br />all work Will be performed to _et 8tanclards of all laws regulating construotion, City
<br />code., zoning regulations, and land development regulations in tM jurisdiction, I also
<br />certify that'1 understand that the regulations of other governmental agenaie. may apply to
<br />the intended work, and that it is my responsibility to ident.i.fy wbilt actions I JIBlst t;ake to
<br />be in COIIIp1iance, Such aoencies include but are not 11m1ted tOI .Department of
<br />BnV1.roramenta1 ~tion-Cypre"s Bayh..ad$, Wetland Areaa and Enviro~ntally Sensitive
<br />Lands, Wat.r/Wastewater ~reatment
<br />*Southwest Florida Water Management D1striQt-Wel1", Cypress Bayheads, Wetland Areas,
<br />Altering Watercour...
<br />*Army CO.J:p1; o~ Engineers-Seawalls, Docks, HavigBl:ll. Waterways
<br />.n.l>arbnent of Health & Rehabilitative Se~ce., EnVirollDlental Health Unit-Wells,
<br />Ws..tewater Treatment, Sept.i.c Tank.
<br />"u.S. Bnv;j.~tal l'rotection Agency-Asbestos abat_t
<br />I also oertity that, if fill material is to be used in Flood Zone uAN or "A,etc.N, it 1s
<br />understood that a drainage plan addressing a ~compen&atinq vo1ume- will be s~tt.d whioh
<br />is prepared by a prof...ional engineer registered in the State of Florida prior to permit
<br />i..BullIlce.
<br />A permit issued shal.l b. construecl to I'''.. a lieen.e to proceed with the work and not aa
<br />authorj,ty to violate, cancel, alter, or "et aaide any provisions of the teohnical code..,
<br />nor ahall issuance of a permit prevent the Building Offioia1 fram thereafter requiring a
<br />oorrection of errors in plaJUl, construction, or violations of any code. Everf permit
<br />issued shall become invalid unle.. the work authorized by such permit 1s oommenced within
<br />six months of issuance, or if work authorized by the pe~t i8 suspended or abandoned for a
<br />period of six montru. after the time the work is commenced, One 90 dey extension of ti1lle
<br />may be allowed for the permi1: with fee charqe of .$15.00. The ext:eJ),U.on shiLll be requested
<br />in writing to the Building Official. An approved inspection lIlU.t be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR PAILURE TO RECORD A NOTIC!: OF COMKiarCEHIi:Il'l' MP.Y RESULT IN YOUR
<br />PAYING 'l'WICE FOR IHPROVEHl!:HTS '1'0 YOUR PIlOPERTY. IF yOtf IN'l'END TO OBTAIll' FINANCING, CONSULT
<br />"ITa: OR }\If RMlSY BEFOn RECORDING YO'OR lIOTICl!: OF COMIIBKC8NI!:NT. .]OB$ UNtIIU'\ .
<br />$2, DO TO RECORD AND POST A "'NOTICE OF ~CEMENT.,
<br />
<br />
<br />SIGNATURE: COHTRAC'l'OP.
<br />
<br />acknowledc1ed
<br />. tit.-
<br />
<br />STATE OF FLORIDA
<br />COUN'l'Y OJ!'
<br />The foregoing instrument was aoknowledged
<br />Betore _ this ---Jiay ot , _ ~
<br />by
<br />(name of person acknowledged)
<br />OIho i.. personally known to _, 0'1:
<br />
<br />(name of person acknowledged)
<br />Dwho i.. personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoD did Ddid not take an oath.
<br />
<br />D who has produced
<br />(type of identification)
<br />and who Ddid O:ti.d not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of per..on taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Kame typed, printed or sta!ll'ed
<br />
<br />r 'd
<br />
<br />699r'ON
<br />
<br />SlllHMAHd3Z jO AIIJ
<br />
<br />~d9l:ll rODe '9 'H~
<br />
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