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<br />iii
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A; NOTICE OF DEED RESTRICTIONS.
<br />
<br />The undersigned understands that this per.it lay be subject to "deed restricti~ns' which may be more restrictive than City
<br />regulations. The undersigned assules responsibilitY,fo~ cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations. If the contractor il not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdemeanor violation under state law. , If the owner or intended contract~r are uncertain as to what licensing
<br />requirements lay apply for the intended work, they are advised to c~ntact the City of Zephyrhills Building Depart.ent, (B13l
<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 ye,u, as the ~wner 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 te, permitting 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 Deparhent of Agriculture and Consumer Affairs. If the applicant is se,aEe,ne other than the
<br />'owner', I certify that I have obtained a copy of the above described document and proIDise 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 cOIDmenced prior to issuance of a perlit and that all work will be p~rformed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br />certify that 1 und~rstand that the regulations of other governmental agencies IDay apply to the intended work, and that it is
<br />ay responsibility te. identify what actions I JIIust take to be in compliance. Such agencies include bllt ~i e IiC,t liilited to:
<br />
<br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~I]s, Wastewater Treat~e~t, Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abatement
<br />
<br />1 also certify that, if fill lIaterial is to be used in Flc.od Zc,ne "A" or 'A,etc.', it is understc,[,d tlt,t a drainage plan
<br />addressing a 'colpensating volume' 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 permit issued shall be construed to be a license to proceed with the work 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 fro~ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issu~d ihall become invalid
<br />unless the work authorized by such permit is COlllenced within six months of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six months after the time the work is commenced. One 90 day e:tE~5iDII of tile, lay be
<br />allowed for the per~it with fee charge of $15.00. The extensiDn shall be requested in writing to the Building Official. An
<br />approved inspection roust be logged during each six month period, or the project will be considered dbalidoned.
<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 />SIGNATURE~~~
<br />. c~m~ ~T~
<br />DATE_________~;LJI~~-~~------------
<br />--------~~-----
<br />
<br />SIGNATURE~~~~~_----
<br />OWN~ ~/~LT
<br />DATE______________~-lI~~~-------------
<br />~~~~:yO~SA~~N~-~~~-_--
<br />
<br />MY COMMISSION~~:~~____~~_~~~:f_~_______
<br />
<br />NOTARY AS
<br />CONTRACTO
<br />
<br />MY COMMI
<br />
<br />
<br />ExrIRES____~!~=~t:____
<br />
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