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<br />~ONDITIONSOF PERMIT AFFIDAVIT
<br />
<br />A".
<br />
<br />,.
<br />NOTICE OF DEED RESTRICTIONS:, ,
<br />
<br />Tht undtrsigned undtrstinds that this perlit lay bl sub3ect to "deed restricti~ns' which ~ay b~ ftor~ res~rictive than City
<br />rl!gulations. The UndQTsigned,nsulu respons1bHi\Y,,f~,r; cOllpHance lI\th any applicilbl~ deed restrictions,
<br />.:. ,:."... '.. ." '. . ~
<br />
<br />E. UNLICENSED CONTRACTORS AND tONTRACT8R RESPONSIBILITIES
<br />
<br />, '..".~
<br />
<br />If the Olfn~r has hired a contractor Dr contractors to undertake lIork, they ~ilY b&'r~quired to be licensed in accordance lfith
<br />statt and local regulations, If the contractor Is not ilcensed as requirQd by law, both the ollner and contract~r ~ay be
<br />cited for a .isdunnor violation under state lall.', If the towner tor intended ce,r,traclc,r ar~ unce-rtain as to what licensing
<br />requiruents uy apply fc.r the intended work, theY are advised teo ce,ntact the City e,f Z~phyr-hills ~uilding tlepisrteH,t, (813)
<br />788-bbll.'"
<br />
<br />Furtheraore, If the Ollner has hired a contractor ~~ contractors, he ~ advised to hav~ the contrilctor!s) sign portions of the
<br />'Contractor Sedions' of this application for lIhlch they lIill be responsible. If ?c,u, as the C'\'tnC'T sign ;as the contractor,
<br />you are indicating that you, rather than the contractor, are resptonsibie for the work. If the contractor wishes you to sign
<br />as c~ntractor thilt aay be an indication that he is not properly licensed and is not entitled to per&itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORIDA STATUT[~S, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provid~d lith a c~py of "Florida's Construction Lien Lall - Hooeowner's Protection
<br />Guide' prepared by the Florida Departllent of Agriculture and ConsUler Affairs. If the appliCilnt is SOIEone olher than the
<br />'ollner', I certify that I have obtained a copy of.the abov~ describ~d document and proli~~ in good filith to deliver it to the
<br />"ollner' prior to cOI~encement,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all Mork nill be done in cD~pliance with all
<br />applicable laws regulating construction, zoning, and land developDent.
<br />
<br />Application is hereby ~ade to obtain a ,erait to"do Mork and installation as indicated. I certify that no work or
<br />installation has co&~enced prior to issuance of a per.it and that all work Hill be perfDrmed to &eet stilndards Df all laws
<br />regulating ce,nstrudie,n, City ([.des, zoning re'gulatitlns, and land developl!\ent regulatie.ns in lhe jurisdictie,n. I also
<br />certify that I understand that th~ regulations of other governmental agencies lay apply to the intended work, and that it is
<br />/lY responsihility to identify IIhat actions IlDust'tal:e to be in Ctlmpliance. Such agencies include bllt ~le m,t li.lited to:
<br />
<br />I Department of Environoental ReQulatitln - Cypress Bayheads, Hetland ~reas and EnvirDnmentally Sensjljv~ L3nds,
<br />Hater/Wastewater Treatment
<br />I Southwest Florida ~ater ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses
<br />I ArDY CorDs of Enoineers - Seallalls, Docks, Navigable ~aterways
<br />I Departaent of Health L Rehabilitative Services, Environmental Health Unit - W~115, Wastewater Treat~en~. Septic Tanks
<br />I US Environ~entill Protection AQency - Asbestos abatement
<br />
<br />I also certify thilt, if fill /Iaterial is to'be used in Fle,od Ze,ne "A' or 'A,elc.', it is underste.c,d tl.,l il drainage plan
<br />addressing a 'coapensating volume" will be sublitted IIhich is prepared by a professiDnal enqineer reqisl~l~d in the State of
<br />Florida prieor to perlli t issu,ance,
<br />
<br />A permit issued shall be construed to be a license to proceed with the wor\: and not as authority to yioI~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ therfafter
<br />rfquiring a correction e.f ernrs in plans, ce.nstrudic,n, Of violations e.f any ceod~. Every perili t iSSIIl!d ~hall bece,1e in'lal id
<br />unlfss the work authorized by such permit is comnenced lIithin six months of issuance, or if "01.\: authoflied by lhe perlil is
<br />susperded or ilbandeoned fe'f a period of six lonths after the time the Ilor\: is ce'Menced. Ore 9(; day e~\i:i.sie"l e,f tile, Ilay be
<br />allowed for the per~it lIilh fee charge of $15,00, The extensioD snaIl be requested in Mriting to the Building Official. An
<br />ilpproved inspedie,n f1ust be le,ggedduring each six llIonth period, [or the prc,ject \1ill be ceoflsiderE-d dbaiiGe,j.ed.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOT I CE OF COMMENCEi"'IE~lT".
<br />
<br />SIGNATURE
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<br />
<br />CONTRACTOR
<br />
<br />SIGNATURE
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<br />----------------------------------
<br />
<br />OWNER OR AGENT
<br />
<br />DATE
<br />
<br />-----------------------------------
<br />
<br />DATE
<br />
<br />---------------------------------------
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT
<br />
<br />NOTARY AS TO
<br />CONTRACTOR
<br />
<br />-----------------------------
<br />
<br />-----------------------------
<br />
<br />MY COMMISSION EXPIRES
<br />
<br />MY C6MMISSION EXPIRES
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<br />
<br />----------------------
<br />
<br />......,
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