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<br />c,
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which &ay be lore res~rictive than City
<br />regulations. The undersigned assules responsibili'y for 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 lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<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 Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor 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 aay be an indication that he is not properly licensed and is not entitled to perlitting 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 Departlent 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 cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the inforlation in this application is accurate and that all work 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 or
<br />installation has cOltenced prior to issuance of a perait and that all work Hill be performed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions! lust take to be in compliance. Such agencies include bllt ~le not li~ited to:
<br />
<br />I Department of Environ_ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f 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, Environ_ental Health Unit - Wells, Wastewater Treatlent. Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood th~t a drainage plan
<br />addressing a "colpensating volute" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issu,ancf.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the work and not as authority to viol~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 ~haJI becole invalid
<br />unless the work authorized by such perait is co..enced within six tonths of issuance, or if work authDflzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the time the Kork is commenced. One 90 day e~tEnsioB of tile, may be
<br />allowed for the permit with fee charge of $15.00, The extension shall be requested in Hriting to the Building Official. An
<br />approved inspection must be logged during each six month period, or the project Hill be considered abandoned.
<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 "NOT I CE OF C~NCEME~T'"
<br />
<br />
<br />SIGNATURE.fi)~__Q_~~~ SIGNATURE__ -~ 1:/;!," \)
<br />OWNE~OR~ENT CONTRACTO ;r~
<br />
<br />DATE________~:~__~_~_~~______ _______ DATE_______~--~_-~~--------~--~--
<br />/ / ,/ /
<br />NOTARY AS T~ 11 t,. / / / /
<br />CONTRACT~R_~~~T~~~~~
<br />
<br />MY COMMISSION EXPI/~s~tafY PU~it._St~e_qf.flDtida_
<br />~'I.:Comm. EXp. Mar. 17. 1995
<br />
<br />NOTARY AS TO ~~ )1
<br />O~'NER OR AGENT --/LL4!!1./,L;
<br />_ _ / '14otary Public:
<br />MY COMMISSION EXPIRE~::"-,-_~~~'E.1!!,.kll-":I';~~~--
<br />
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