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<br />II
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A; NOTICE OF DEED RESTRICTIONS.
<br />
<br />The undersigned understands that this perlit lay be subject to "deed restrictions' which' ~ay be I~re res~rictive than City
<br />regulations. The undersigned assules responsibility,for co.pliance with any applicable deed re~trictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake wor~, they may be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor ftay be
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (B131
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised,to have the contractorlsl sign portions ~f 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 wor~. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled tc, 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 provided with a copy of "Florida's CClnstruction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sO.rone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />'owner' prior to cOlmencement.
<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 development.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has com~enced prior to issuance of a permit and that all wor~ will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning 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 work, and that it is
<br />IIY responsibility to identify what acticlns I must ta~e to be in compliance. Such agencies include bllt ~j e nc,t liilited to:
<br />
<br />I Depart.ent of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treat~ent. Septic Tanks
<br />t US Environ~ental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill laterial is to be used in Flc10d Zone "A" or "A,etc.', it is understc1c.d th~t a drainage plan
<br />addressing a "colpensating volu~e" will be sub.itted which is prepared by a professional engineer regist~red in the state of
<br />Florida prior to permit issuance.
<br />
<br />A periit issued shall be construed to be a license to proceed with the wor~ and not as authority to viol3te, 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 of errors in plans, construction, or violations of any code. Every permit issued =hall becole invalid
<br />unless the work authorized by such permit is coamenced within six months of issuance, or if work authorIzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the Hor~ is commenced. One 90 day e:le~5ioll of tile, may be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspectic1n must be lc,ggedduring each six Mnth period, or the proj!?ct Ilill be considered ilbalidoned.
<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 />SIGNA TURE.:.:~_jjfdJ- ti'J1J____
<br />" OWNER OR AG~T /rv--
<br />
<br />_~~--J~-~J-------------- DATE___________________________________
<br />
<br />_~- -L-I---~ ~~lDA~g~~~~C~~R~~---------------------------
<br />
<br />NOTA&.t~!~
<br />My commission expires Jan, 28, 1995 ~'
<br />MY COMMISSION EXPIRES~~ili~e~~n~~~~i~BencYMY COMMISSION EXPIRES__________________
<br />
<br />SIGNATURE______________________________
<br />CONTRACTOR
<br />
<br />DATE
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