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<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A; NOTICE OF DEED RESTRICTIONS.
<br />
<br />The und~rsigned und~rstands that this perlit lay b! subj~ct to "de~d restrictions. which may be lore restrictive than City
<br />r~gulations. Th~ undersigned assules r!5ponsibility,fof co.plianc~ with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If th~ 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 thl! contractor is not licensed as re,quired by law, be.th the Dlmer and contractor illY bl!
<br />cited for a aisdeleanor 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 Departeent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 work. 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 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 provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is SOleone 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 />1 certify that all the information in this application is accurate and that all wor~ 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 commenced prior to issuance of a permit and that all work 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 1 understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />flY responsibility tel identify what actions I must ta~e to be in ct1lllpliance. Such agencies include bllt ~l e )wt lillited to:
<br />
<br />I Department of Environllental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Coros of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wflls, Hastewater Treatment. Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
<br />
<br />1 also certify that, if filllaterial is to be used in Fle,od Zone .A. Of .A,etc.', it is understc,c,d th~t a drainage plan
<br />addressing a .colpensating volume" will be sublitted which is prepared by a professional engineer regist~red in the State of
<br />Florida prior to permit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wor~ and not as auth~rity to violjte, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Oificial 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 COllenced within six months of issuance, or if work authorlzed by the perlit is
<br />suspended or abandoned fOf a period of six lonths after the time the uor~ is commenced. One 90 day e~te~siDII of tile, Jay be
<br />allowed for the permit with fee charge of ~15.00. The extension shall be requested in writing t~ the Building Official, An
<br />approved inspection ~ust be logged during each six month period, or the project will be considered ~bil~oned,
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAVING 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 />
<br />SIGNATUREi'7__: "-~~~-~-----
<br />~OWNER OR AGENT
<br />DATE_____________~_~~~[_~_~j_____________
<br />
<br />SIGNATURE~-~~~----
<br />CONTRACTOR
<br />
<br />DATE_______~~~_~:_~~----------------
<br />
<br />NOTARY AS TO I /J (' /
<br />OWNER OR AGE~~--~~-~----
<br />
<br />MY COMMISSION EXPIRES____~:i~:~~_______
<br />
<br />~~~~~~C~;R~-a.~-
<br />L-/
<br />MY COMMISSION EXPIRES___~Ljf-:...?-C--
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