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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this per.it lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations, The undersigned assules responsibility for cOlpliance with any appticable 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 ftay be
<br />cited for a .isdeleanor violation under state law, If the owner Dr 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 Depart~ent, (813l
<br />788-b611.
<br />
<br />Furthermore, if the owner has hired a contractor Dr 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 contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting 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 Consumer 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 information in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developtent,
<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 cO.lenced prior to issuance of a per.it and that all work will be performed to meet standards of all laws
<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 lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance, Such agencies include bllt ~le not lilited to:
<br />
<br />. Department of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensjtiv~ Ldnds,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Arty Corps, of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />. US Environ.ental Protection AQency - Asbestos abatelent
<br />
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc,', it is understood th~t a d~ainage plan
<br />addressing a "colpensating volule" will be sublitted which is prepared by a professional engin~er feqist~i~d in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to vioi3te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Officidl from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every periit issued :hall beco.e invalid
<br />unless the work authorized by such perlit is cOllenced within six months of issuance, or if work authol Jzed by the per~it is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~tf~slulI of tile, may be
<br />allowed for the permit with fee charge of $15.00, The extension shall be requested in writing to the Building Official. An
<br />approved inspection must be logged during each six month period, or the project will be considered dbd~duned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
<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 />SIGNATURE-------OWNER-OR-AGENT------------- SIGNATURE-~CT1~~~~~
<br />
<br />i J 9 } FL-- p(.2. P3lPo- .(oS-
<br />DATE _____L?-:. l3_L_-l--~':I.-= _'2?.L~~_ 92)
<br />
<br />
<br />~g~~:~C~;R~~~~~~-_--_
<br />
<br />NOTARY PU~L1C, STATE OF FLORIDA
<br />MY COMMISSION E-HYI~'sslon expires bUJ 28 l.ng
<br />~onded m--p------ - ,....... 5
<br />ru atterson. Becht Agency
<br />
<br />DATE
<br />
<br />---------------------------------------
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT_____________________________
<br />
<br />MY COMMISSION EXPIRES
<br />
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