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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this perlit lay be subject to "deed restrictiDns" whicR may b~ IDre restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictiDns.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a cDntractDr Dr contractors to undertake work, they lay be required tD be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, bDth the owner and contractDr lay be
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractDr are uncertain as to what licensing
<br />requirelents lay apply fDr the intended work, they are advised to cDntact the City Df Zephyrhills Building Department, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s} sign portions of the
<br />.Contractor Sections" of this application for which they will be responsible. If you, as the Dwner sign as the cDntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the cDntractor wishes YDU to sign
<br />as contractor that lay be an indication that he is not prDperly licensed and is not entitled tD periitting 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 CDnstructiDn Lien Law - Ho.eowner's PrDtection
<br />Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is SOleDne other than the
<br />"owner", I certify that I have obtained a copy of the above described document and prDmise in good faith to deliver it to the
<br />"owner" prior to cOlmencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the information in this application is accurate and that all wDrk will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work Dr
<br />installation has co..enced prior to issuance of a perlit and that all work will be perfDrmed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulatiDns 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 />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ile not limited to:
<br />
<br />I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treatment. Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abatement
<br />
<br />1 also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan
<br />addressing a "cotpensating volule" will be subtitted which is prepared by a prDfessional engineer registered in the State of
<br />Florida prior to perlit iss~ance.
<br />
<br />A perlit issued shall be construed to be a license tD proceed with the wDrk and nDt as authority to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued 3hall becole invalid
<br />unless the work authorized by such perlit is cO'lenced within six months of issuance, Dr if wDrk authorJzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the time the work is commenced. One 90 day e~tfnsioll of tile, lay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing tD the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be cDnsidered aballdoned.
<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 />c.f) -kj} I fU1_ f) J ~~// L# ~ (l.. ~ r=
<br />SIGNATURrt;X~.JLQ:n..~.J/~ SIGNATUR~__,", '/ --_'::~~--~~;L-~--~.:..
<br />OWNER OR AGENT- , ONTRACTOR .
<br />
<br />DATE__~_~_~_r_lq_~j________________
<br />
<br />NOT ARY AS TO r\ ./'\
<br />OWNER OR AGENT_~~~
<br />
<br />~An'l P"~' rr ('""G~E ",... FLORID'
<br />MY COMM I 55 I ON EX PI, VrY'~~~~;:.::....E.!~~-f~~.-H;-H~--
<br />BC1:~ED "i::'.U 'cE ;5:i,:' L::. U:,Q.
<br />
<br />DATE
<br />
<br />
<br />~~-~t--~-~~-t---------
<br />9__Q:-~-
<br />
<br />flOTJl.RY PUSUC STP,TE (; FLO::iIDI\
<br />~~..,,".:.- ",', (,..., lTP ')1 1095
<br />EX ' l'l.:.,'c,,:"l:"",', L.'\!"" I":-:..."~ "..:J
<br />hLt. --ft~ij-"'€e;€-R~..:-+'~-tH,:e'i"-
<br />
<br />
<br />NOTARY AS T
<br />CONTRACTOR
<br />
<br />MY COMMISSION
<br />
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