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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A.': NOT I CE OF' DEED RESTR I CT IONS:. .
<br />
<br />The undersign~d understands that this perlit lay be subject to "de~d restricti~ns' which' may b~ &~r~ restrictive than City
<br />regulations. The undersigned assumes responsiblli~y for compliance with any applicable deed restriction~,
<br />. \ .' ,'. .. . ,~
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake wor~, they may be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not Ilcen5~d as required by law, both th~ o>>n~r and contract~r nay be
<br />cited for a lisdeleanor 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 ~uilding Departeent, (8131
<br />788-6611.
<br />
<br />Furtherlore, If the OWner has hired a contractor or contractors, he is advised to have the contractor!sl 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 c~ntractor wishes y~u to sign
<br />as contrachr that aay be an indi'cation that he is not properly licensed and is not entitled to pmr.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 ConstructiDn Lien Law - Ho~eowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is SOIEc'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 deliver it to the
<br />"~wner" pri~r to cOlmencement,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the inf~rmation 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 .ade t~ ~btain a perait to do work and installation as indicated. I certify that no work ~r
<br />installation has com!enced prior to issuance of a perlit and that all work Hill be perf~rmed to meet standards of all laws
<br />regulating cc.nstructic.n, City ([,des, zc.ning regulations, and land development, regulatie,ns in the jurisdictie.n. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended Hork, and that it is
<br />flY responsibility to identify what actions I lDusttah to be in compliance, Such agencies include bllt ~le liCIt Ij'lited to:
<br />
<br />I Department ~f Envi(onmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi tive L~nds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Hater HanaQelent District - Hells, Cypress Bayheads, Hetland Areas, Altering WatercDurses
<br />I ArDY CorDs of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services, Environmental Health Unit - Neils, Wastewater Treal~en~. Septic Tanks
<br />I US Environoental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill laterial is to be used in Flc,od Zc,ne "A" or "A,etc.', 'i t is underste,e,d th,t a drainage plan
<br />addressing a 'c~lpensating volume" will be sub.itted which is prepared by a professional engineer regisl~iod in the State of
<br />Florida prior to permit iss~ance,
<br />
<br />A perlit 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 fr~~ thereafter
<br />requiring a correction c,f ernrs in plans, constructie,n, or violations of any cc.de, Every permi t isslled "ha] I becc'le in'!al id
<br />unless the work authori2ed by such permit is cO/lmenced within six months of issuance, or if work authorIzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the time the work is commenced. One 90 day e:te~5iDII of tile, aay be
<br />allowed for the permit with fee charge of ~15.00. The extension shall be requested in writing to the Building Officjal. An
<br />approved inspedic.n /:lust be le,ggedduring each six month period, Cor the proj!!ct lii]1 be ce,r,sider!;d dboiide,ned.
<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 />~O ~IOT NEED, T~ RECORD AND POST ~ "NOTICE OF CoMME~~C~/)/. / ./
<br />
<br />
<br />SIGN'~TUREj)g~ 0.~lGNATURE__( ~_-Z;--:/~L_-
<br />, OWNER OR ~~. - -~~ONTRACTci~~---
<br />(.
<br />DATE _ _ _ _ __ _ _ _ .12.:-_2:... ~ v- _ _ --.. _ - -- - - - - ---
<br />'J
<br />NOTARY AS TO k ~ L% ' ./:" /)
<br />CONTRACTOn _iLlkriL.'"L- Jg:L~~k~ - ----
<br />Notary Public
<br />MY COMMISSION EXPIRES . Stale.ofFlori~aall.arge
<br />-,-.lAlo'llllll65lO!t &lIIresilec;2O;199I-
<br />
<br />DATE __ ..____ ___________!<?~~91__------------
<br />
<br />NOTARY AS TO T fi'~f),ijJ' /)1'
<br />OWNER OR AGEN _~~-----~-----------
<br />Nolary Public
<br />MY COMMISSION EXPIRES SlaleolFloridaatLargt
<br />-~~m~~ntXpmi~c.zr~----
<br />
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