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<br />CONDITIONS OF,PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />Tht,undtrsigned understands that this per.it .ay bl subject to "deed restrictions" which .ay be lore restr.ictive than City
<br />regulations. The undersigned a55UI~S relpDnsibl1it~!Dr"co.pllance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIEILITI~S
<br />
<br />If the owner has hired a contractor or contractors t~ undertake work, 'they lay be required to be Jicensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by Jaw, both the owner and contractor ftay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of ZephyrhilJs Building Depart.ent, (813)
<br />788-6611.
<br />
<br />Furthersore, if the owner has hired a contracior or 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 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 say be an indication that he is not properly licensed and is not entitJed 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 - HOleowne~'s Protection
<br />Guide' prepared by the FJorida Depart.ent of Agriculture and Consuler Affairs. If the applicant is SOlec.ne other than the
<br />'owner', I certify that I have obtained a, copy of the above described document and promise in good faith to deJiver it to the
<br />'owner' prior to co.mencelent.
<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 wiJJ be done in coapliance Kith aJJ
<br />appJicabJe laws regulating construction, zoning, and land developaent. '
<br />
<br />Application is hereby lade to obtain a pertit to'do Mork and install~tion as indicated. I certify that no work or
<br />installation has co..enced prior to issuance of a per.it and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regu1ati~ns, and land development regulations in the jurisdiction. I als~
<br />certify that I understand that the regulations of other g~verntental agencies fiay apply'to the intended work, and that it is
<br />IY responsibil: ty to identify what adions I :Aust take to be in compliance. Such agencies include bill ~l e JiC,t Jili ted to:
<br />
<br />#-
<br />. J.
<br />I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water'ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - ~ells, Wastewater Treat~en~, Septic Tanks
<br />I US Environaental Protection AQenct - Asbestos abatement
<br />
<br />1 also certify that, if fiJl .aterial is to be used in Flood Zone "A' Dr "A,etc,', it is understood \1.31 a drainage plan
<br />addressing a 'colpensating volu.e' will be sub.itted which is prepared by a professional engineer re~isl~ied in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A per.it issued shaJl 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 frol thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every permit issll~d ~ha)l becole invalid
<br />unless the work authorized by such permit is cOI.enced within six sonths of issuance, or if wOI'k authol Ized by the per.it is
<br />suspended or abandoned fH a period ,(.f six .onths after the tile the llork is [(.mmenced'. One 90 day edfi,sioll of tile, aay be
<br />allowed f~r the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six month period, or the project will be considered abdlldoned.
<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 />?
<br />
<br />SIGNATU
<br />
<br />ER OR AGENT
<br />
<br />DATE ____~____________~:.i-q--:. '-1--.--,-------
<br />
<br />NOTARY AS TO ~Jj-;' / n ./1. ^A
<br />OwNER OR AGEN~~Jf~~~--~-"-
<br />
<br />MY COMMISSION ~'~U~~A~~~-----
<br />MY COMMISitON EXPIRiil NOV. 20, l~Ot,
<br />.ONI)8D THRU NOTARY PUBL..IC lIIKO.RwfU.,...RI'I
<br />
<br />
<br />SIGNATURELJI~~_jl---!.?-~J-----
<br />}1 CONTRACTOR
<br />
<br />DATE____~~_~~~~\--------------------
<br />
<br />NOTARY AS TO '\".. . '\. ,~\ ~ \
<br />CONTRACTOR__~~-.~-
<br />
<br />MY COMMISSION EXPIR~-"JJ5Uc...JUATE OF FLORIDA,!.
<br />I~;' C"'Mll1ISSl0N EXpm1::S":?m:;:-ZZ;1"99 Sa
<br />"OMDID TH"U NOTARY PUSL.IC UNDltRWRIT&R J
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