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<br />CONDIT.IONS OF PERMIT AFFIDAVIT
<br />A": NOTICE OF DEED RESTRICTIONS:. .
<br />
<br />The undersignvd understands that this perlit lay bl subject to "deed restricti[,ns" which. may b~ 5or~ res~rictive than City
<br />regulations, The undvrsigned assumes responsibill~r.fo~ compliance with any applicable deed restrictions.
<br />." . .\ '" .'\,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor Dr contractors to undertake work, they may b& required to be licensed in accordance with
<br />stlh and local regulations. If the contractor is not licensvd as requirtld by law, b[,th the oltner and contract[,r nay be
<br />cited for a aisdeaeanor violation under state law, . If the owntlr or intended contractor are uncertain as to what licensing
<br />requireaeots aay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departeent, (B13l
<br />711B-bbll.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractortsl sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the worr.. If the contractor wishes you to sign
<br />as contractor that 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 STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provid~d with a copy of 'Florida's Construction Lien Law - Ho~eowner's Protection
<br />Guide' prepared by the Florida Departaent of Agriculture and Consumer Affairs. If the applicant is soeEone other than the
<br />.owner', I certify that I have obtained a copy of. the above described document and pro~i~e in good faith to deliver it to the
<br />'owner" 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 work will be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land develop~ent.
<br />
<br />Application is hereby aade to obtain a pertit tD do work and installation as indicated. I certify that no wor~ or
<br />installation has commenced prior to issuance of a perlit and that all wor\: will br. performed to meet standards of all laws
<br />regulating construction, City codes, 20ning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended wor!:, and that it is
<br />my responsibility to identify what actions I lust take to be in cc,mpliance. Such agencies include bill ,,1 e m,t li~ited to:
<br />
<br />I Department of Envi~onmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
<br />Hater/Wastewater Treatment
<br />. Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />I Ar~y Coros of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent of Health L Rehabilitative Services. Environmental Health Unit - W~lls, Waste"ater TrEal~en~. Septic Tan!:s
<br />I US Envifonoental Protection AQenct - Asbestos abatement
<br />
<br />I also certify that, if fillllaterial is to be used in Flc.od Zc.ne "A" Of "A,etc.', it is underste,c,d t1"t a drainage plan
<br />addressing a .colpensating volule. will be sublitted which is prepared by a professic,nal engineer rEgist~jed in the State of
<br />Florida prior to permit issu.ance,
<br />
<br />A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />requiring a correction c,f ern<fS in plans, cc'nstructic,n, or violatic,ns c,f any cc,de. Every pefilli t issued :hall bece,.e in"al id
<br />unless the Hork authorized by such permit is coamenced within six months of issuance, or if \lor\: authofliEd by the perlit is
<br />suspended or abandoned for a period of six lonths after the time the Horr. is co~menced. One 90 day 0:IE~5ioll of tia~, aay be
<br />allowed for the per~it with fee charge of $15,00. The extension shall be requested in "riting to thQ Building Official. An
<br />approved i nsped i [,n r..us t be I eoggedduri ng each si x Mnth peri od, c,r the pre' jed Ii ill be ((,ns i dereo dbalidc'f,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 "NOTICE OF COMMENCEMENT".
<br />
<br />SI GNATUREl::Jfj.~~:! d./f!.. d~iaJr~_
<br />~~tt(JR ~""'''''-~.Y_
<br />DATE___~_;?-_:_~~-----------------
<br />~~~~~YO~SA~~NT~~~~~~~~~~~~C~~R~~---_-----------------------
<br />MY COMMISSION EXPIRES__~~;?~~Z:~L__--- MY COMMISSION EXPIRES__________________
<br />
<br />SIGNATURE
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<br />
<br />CONTRACTOR
<br />
<br />DATE___________________________________
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