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<br />CONDITIONS of,PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The,undersigned understands that this perlit lay bl subject to 'deed restrictions' ~hich ~ay b~ ~ore restr,ictive than City
<br />regulations. The undersigned assumes responslbllitf;for, compliance with any applicabl~ decd restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the own~r 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 la~l both thc OHner and contractor ~ay be
<br />cited for a Disdeaeanor violation under state law., If the owner or intended contractor are uncertain as to what licensing
<br />requirelents may apply for the intended work, they are advised to contact the City of Zcphyrhills ~uilding Departlent, (813)
<br />788-b611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractortsl sign portions of the
<br />'Contractor Sections' of this application for which they will be rcsponsible. If you, as the e,wncr sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the ce'ntractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed ~nd is not entitled 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 - Ho~eowner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is sOleCne other than the
<br />'owner', I certify that I have e,btained a, copy of the above described de,cument ilnd promise in ge,od faith to deliver it to the
<br />'owner' prior to cOlmencement.
<br />
<br />~ 1 ': '_: 7, '. . . .'
<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 coapliance with all
<br />applicable laws regulating construction, zoning, and land developDent.
<br />
<br />Application is hereby Dade to obtain a pertit to'do Mork and install~tion as indicated. I certify that no work or
<br />installation has commenced prior to issuance of a per.it and that all work will be perfor~ed to meet standards of all laMS
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies milY apply'to the intended work, and that it is
<br />ay responsibility te, identify Hhat actions I lust take to be in compliance. Such agencies include bllt ~le n(,tli~ited to:
<br />
<br />...
<br />
<br />I Departle~t of Envir~nmental ReQul:tion - Cypress Bayheadsr Hetland Areas and Environmentally Sensi tive lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water ManaQeDent District - Wells; Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />I Arty Corps ~f EnQineers - Sea~alls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - ~ells, Hastewater Treatr.e~~. Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill lIaterial is to be used in Fli:,od Z(,ne "A" e,r "I'l,etc,', it is underste,e,d ll,~l a drainage plan
<br />addressing a 'colpensating volume' will be submitted which is prepared by a professional engineer regist2red 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 p~rmit prevent the Building Officii1 fro~ thereafter
<br />requiring a c(,rrection e,f errors in plans; c(,nstructie,n, e,r violations of any c(,de. [yery per~it iS511t'd =~Jall bece'le invalid
<br />unless the work authorized by such permit is ce.uenced within six l!Ionths of issuance, (,r if lie'l f; aull,C'il,ed bi the perlit is
<br />suspended or abandoned for a period of six lonths after the tiJe the HDrt is commenced. Onc 90 day e:tensiOl\ Df tile, ~ay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requ~5ted in "riling to the Building Official. An
<br />approved inspection oust be logged during each six month period, or the project will be considered dbdl,dDned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1"Y. 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 />OWNER OR AGENT
<br />
<br />SIGNATURE
<br />
<br />------------------------------
<br />
<br />CONTRACTOR
<br />
<br />DATE ___JQ:-1s.:-9-~-----~-------.-------
<br />
<br />NOTARY AS TO ~~.. ~
<br />OWNER OR AGENT__~-_- - - -~-
<br />C AT OF FLORIDA.
<br />MY COMMISSION Ex~~i~~~~--~~~~~~~~~~~--
<br />.,oNO'lD THRU NOTARY pUBLIC
<br />
<br />DATE
<br />
<br />-----------------------------------
<br />
<br />NOTARY AS TO
<br />CoNTRACToR_____________________________
<br />
<br />MY COMMISSION EXPIRES__________________
<br />
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