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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A.', NOT I CE: OF DEED RESTR I CT IONS:. .
<br />
<br />Th~ und~rsign~d und~rstands that this p~r.lt lay be subject to "deed r~5tricti~n5' which ~ay b~ &~r~ res~rictive than City
<br />r~gulations. Th~ unde~5ign~d assules responslbi~l\r.f~t compliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hir~d a contractor or contractors to undertake work, they may b~ required to be licensed in accordance with
<br />state and local regulations. If the contractor Is not licensed as required by law, both the ouner and contractor nay b~
<br />cit~d for a lisdemeanor violation under state law. , If the [,wner [,r intended ce,ntracteor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Z~phyrhills Building Departeent, (B131
<br />7BIHbll.
<br />
<br />Further.or~, If the own~r has hired a contractor Dr contractors, he is advised to have the contractor{s) sign portions of the
<br />'Contractor S~ctions' 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 worr.. 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 t~ perlitting privil~ges 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 copy of 'Florida's Construction Lien Law - Hoaeowner's Protection
<br />Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is SOle~ne other than the
<br />'oHner', I certify that I have obtained a copy of-the above described document and pr~mi5e in g~od faith to deliver it to the
<br />'owner' prior to cOI~ence~ent.
<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 Hill 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 per.it to do Mor\: and installation as indicated. I certify that no work or
<br />installation has com~enced prior to issuance of a pertit and that all worr. will be performed t~ meet 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 may apply to the intended Hork, and that it is
<br />IY responsibility to identify l'Ihat actions I llIust take to be in ce'llIpliance. Such agencies include bllt ~le ne,t li.lited to:
<br />
<br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland nreas and Environmentally Sensi live Lands,
<br />Water/Wastewater Treatlllent
<br />I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />I Army CorDs of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services, Environmental Health Unit - H~lls, HastEHater Treal~en:. Septic Tanks
<br />I US Environaental Pfotection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill aaterial is to be used in Fle,od Zone 'A' Of 'A,elc.', it is understc,e,d t:.~t a drainage plan
<br />addressing a 'colpensating volu~e' will be subaitted which is prepared by a professional engineer reqisteied in the State of
<br />Florida prior to permit issuftnce.
<br />
<br />A pereit issued shall be construed to be a license to proceed with the HOfr. and not as authority to violate, cancel alter, or
<br />set aside any provisie,ns of the technical ([',des, nor shall issuance of a perll\i t prevent the Fui lding Official ff(o~ thereafter
<br />requiring a correction of errors in plans, (onstruction, Dr violations of any code. Every per~it issued ;haII bec~.e invalid
<br />unless the work authorized by such permit is (ommenced Hithin six months of issuance, or if llork authorIzed by the perlit is
<br />susp~nded or abandoned for a period of six lonths after the time the "orr. is commenced. One 90 day 0:te~5io\\ of tile, aay be
<br />allowed for the per~it with fee charge of $15.00. The ,xtension shall be requested in "riting to the Building Official. An
<br />approved inspecti[,n !!lust be lc,ggedduring each six 1II0nth period, e,r the pre.jeet \-Ii 11 be (C,nsidered dbaiiGe,r,ed.
<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 YOU.R LEf\IDER 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 />GIGNATURE__~-~-----
<br />OWNER OR AGENT
<br />
<br />SIGNATURE
<br />
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<br />
<br />cmnRACTOR
<br />
<br />DATE __._./f:~J..:--2L----------------------
<br />
<br />DATE
<br />
<br />-----------------------------------
<br />
<br />~~~~~yO~SA~~NT~~~~~
<br />
<br />
<br />MY COMMISSION EXPIRES______________________
<br />
<br />NOTARY PUBLIC. ST'~.~T SF
<br />Vy ~(lmm's"'.)' ",
<br />:" r,,' ::JU -:-.i
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
<br />
<br />MY COMMISSION EXPIRES
<br />
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