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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A:: NOTTCE OF OEEO RESTFUCTIONS:."
<br />
<br />The undersigned understands that this perllt lay bl subject to "deed restrlcti~ns' .,hich' &ay b~ m~r~ restrictive than City
<br />regulatlOM. The undl!Tslgned USUIl!!1 responslbiHh',,for, cOlpliance Hlth any applicabl~ deed restridion~.
<br />':. .;,\"." . '.
<br />
<br />E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />; ',. .,:~
<br />
<br />If the OHner has hired a contractor Dr contractors to undl!rtakl! work, thl!Y may hi r~quired t~ be licensed in accordance with
<br />slale and local regulations. If the contractor II not licensed as requirl!d by laH, b~th the ollner and contract~r ftay be
<br />cited for a lisdeaeanor violation under state laH,', If the OHnl!r or intended contractor arc uncertain as to what licensing
<br />requirelents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills ~uilding Departeent, (813)
<br />7BB-bbll. ',','
<br />
<br />Furthermore, If the owner has hired a contractor or contractors, hI! is advis!!d to hav!! the conlractorts) sign portions of the
<br />'Contractor Sections' of this application for which thl!Y will be responsible. If you, as the ~Hner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Hork. If the conlractor wishes you to sign
<br />as contractor that Day be an indication that he is not properly licensed and is not entitled to p~r&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 provid~d .ith a c~py of "Florida's Construction Lien Law - Hoceowner's Protection
<br />Guide" prepared by the Fi~rlda Oepart~ent of Agrltulture and Consum~r Affairs. If th~ applicant is SDeeone other than the
<br />"OHner" , I certify that I have obtained a copy of "the above described document and prD~i~e in good faith to deliver it to the
<br />'oHner' 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 ~ork ~ill be done in co~pliance with all
<br />applicable laws regulating construction, 20ning, and land developDent.
<br />
<br />Application is hereby aade to obtain a ,erait to'do Hork and installation as indicated. I certify that no Hork or
<br />Installation has cO&!~nc~d prior to issuance of a perlit and that all work will be perf~rmed to ~eet standards of all laws
<br />regulating construction, City codes, 20ning regulations, and land development rcqulations in the jurisdiction. I als~
<br />certify that I understand that the regulations of other governmental agencies may apply to th~ intended work, and that it is
<br />ay responsibility to identify l1hat actions I lUst 'take to be in cc,mpliance. Such aqeflcies include but ~l e Ii"t li~ited to:
<br />
<br />I Depart.cnt of Envi,onmental RCQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive L~nds,
<br />Water/Wastel1ater Treatment
<br />I Southwest Florida ~later ManaQeDent District - Wells, Cypress ~ayheads, Hetland ~reas, Altering Haterc~urses
<br />I Are, CorDS of Enoineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health L Rehabilitative Services. Environmental Health Unit - W~lls, WasteHater Trcat~en~. Septic Tanks
<br />I US Environ~ental Protection AnencI - Asbestos abatement
<br />
<br />I also certify that, if fill IUteria1 is to'be used in Flood Ze,ne "1\" or 'I\,etc.', it is underste,c,d tl,~t a drainage plan
<br />addressing a 'colpensating voluae" will be submitted which is prepared by a professional engineer rcqist~jed in lhe State of
<br />Florida prior to permit iss~ance,
<br />
<br />II perDit issued shall be construed to be a license to proceed with the Hort 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 />",.,,,,, ' "m" ,,, ,r "'"" ;, p ;"'. ",,''"' "'" or ,I, """, ,f "Y "do. ,," Y pO" it j "",,' d" II boo'" j '" lid
<br />unless the work authorized by such permit is cO.lenced Hithin six .~nths of issuance, or if Hork authoflicd by the perli! is
<br />,"'p"d,d " ""dmd ror , por;,d " ,Ix "nth' ,nor th, "" th, ""l j, ",,,,,,d. 0,,, q(, d., "'or,;"" or Ii". "Y b.
<br />allol1ed f~r the per~it Hith fee charge of $15.00. The extension shall be requested in Mriting to the Building Official. An
<br />approved inspectic.n i!lust be l(,gged'during each six lIIonth period, (,r the prc,jl:ct Hill be c('Tisidned db.;iiGe,nfd.
<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 />SlGNATURE__~__~--~-----
<br />OWNER OR AGENT
<br />
<br />SlGNATURE__~_L~--
<br />CONTRACTOR
<br />
<br />DATE_____Q~lJJ3)---------------------~-----
<br />NOTARY AS TO ~~
<br />OWNER OR AGENT ~-~~~~
<br />-- N;ta; Public. Stat;~;;;~;--
<br />MY COMMISSION EXPIRES___~-~~~~-~~~~~~--
<br />
<br />DATE______Q2LllL21---------------------
<br />
<br />NOTARY AS TO ~M~A~
<br />CO.NTRACTOR__~:::.- -- ----'--
<br />Notary Public, Stat. of Florida
<br />MY COM!'1 I SS I ON E xr I RES __~-~!,!,-~~-S!l'!,-~.-~9~
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