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<br />CONDIT.IONS OF PERMIT AFFIDAVIT
<br />A:: NOT I CE OF DEED RESTR I CT IONS:. ,
<br />
<br />The undersign~d understinds that this perlit lay be subject to "deed restricti~ns' which may b~ m~re restrictive than City
<br />regulations, The undorsigned ailUles respon5ibill~Y"f~,~ co.p1iance with any applicable deed restrictions.
<br />.:. ':., , '. . . ~
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake worr., they lay be required to be licensed in accordance with
<br />state and local regulations. 1f the contractor is not licensed as required by law, both the ouner and contractor nay be
<br />cited for a lisdeaeanor violation under state laM, . 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 ~uilding Departeent, (8131
<br />78\3-6611.
<br />
<br />Furthersore, if the owner has hired a contractor Dr contractors, he is advised to have the ce,ntractorls) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the c~ntractor,
<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 say be an indication that he is not properly licensed and is not entitled te, 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 'Mith a copy of "Florida's Construction Lien Law - Homeowner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is SOlE one other than the
<br />"owner', I certify that I have obtained a copy of the above described document and promise in good faith tD deliver it to the
<br />'oMner' 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 development.
<br />
<br />Application is hereby aade to obtain a perlit to do Mork and installation as indicated. I certify that no work or
<br />installation has com~enced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning re'gulations, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended Mork, and that it is
<br />/lY responsibility to identify lihat actions I lDusttar.e to be in cc,mpliance. Such agencies include but ~1 E nc,t liilited to:
<br />
<br />I Depart.ent of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi live Lands,
<br />Hater/WasteMater Treatment
<br />I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Halercourses
<br />I Arav CorDs of Enoineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health L Rehabilitative Services. Environmental Health Unit '" W~llsl Wastewater TrEal~En~, Septic Tanks
<br />I US Environoental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in Fle,od Zone "A" Dr 'A,ete.', it is understo(,d th,t a drainage plan
<br />addressing a 'co.pensating volu~e" Mill be subtitted which is prepared by a professional engineer regist~ied in the State of
<br />Florida prior to perllit issu~nce,
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate) cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Official fro~ thereafter
<br />requiring a correction c.f erTrors in plans, cc,nstructic.n, or violations 'c.f a'hy'co~e'.' 'Every poeni t issu~d ;hall bece,.e inval id
<br />unless the work authorized by such perait is commenced within six months of issuance, Dr if \lDrk authorIzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tillle the work is commenced. One 90 day e:IE~5io" of tile, /lay 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 inspectie.n r..ust be le.ggedduring each six 1II0nth period, Clr the prc.jecl Hill be ([,nsidered i:lbalidC>f1ed.
<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 OETAIN 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 />SIGNATURE~_ __~_~:_}-
<br />.~R
<br />
<br />
<br />SI GNATUf1E____~~-Q.--~
<br />. CONTRACTOR
<br />
<br />:::::~_~_,lor_fL'~~_----------
<br />
<br />CONTRACTOR.L..~~~
<br />
<br />DAIE____~~--~-r-2~~~---------
<br />NOTARY AS TO ~) ~
<br />OWNEF~ OR i-)GENT _..{Cd:L~;..._~-L.La..L6--
<br />
<br />MY COMMISSION EXPIRES______________________
<br />
<br />~ KARLA L BAER
<br />f", State of Florida '
<br />My Comm. Exp. JU1l$19. 1994
<br />
<br />MY C6MMISSION EXPIRES
<br />
<br />------------------
<br />
<br />f~O~llrlJ Pllblic, SiDte of Floridll
<br />My Commission Expires Jon, 13, 1<<195
<br />80nded Thru Troy Fain -In.urCln~e In;.
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