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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 'lay be subject to "deed restrictions" Nhich lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance Nith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner 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 lay 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 Building Departlent, 18131
<br />788-6611.
<br />
<br />Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractor 15) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the ONner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor Nishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<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 Consuler Affairs. If the applicant is sOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner' prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all Nork will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laNs
<br />regulating construction, City codes, zoning regulations, and land developlent 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 Nhat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers .. Seawalls, Docks, Navigable WateTltays
<br />I Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection Aqency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit 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 perlit prevent the Building Offici_l frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the Nork authorized by such perlit is cOlllnced Nithin six lonths of issuance, or if Nork authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the Nork is cOllenced. One 90 day extension of ti.e, lay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'.
<br />
<br />
<br />d~ti:z!.!c~~------
<br />SIGNATURE: CONTRACTOR AUTHORIZED AGENT
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />(Signature)
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF _____1::~_~~_______________________
<br />The foregoing instrument was acknowledged
<br />before me this __j:~_~___, 19_9_~ by
<br />
<br />___~_~~~~!:~~_li:..__~~_~~~~e~___
<br />who is persona 11 y known to me or whc. has
<br />pr oduced ___12.I3-~Y~~~?___,=j.s:.~_~_?::~_____
<br />as iden . 'cation and who did/did not
<br />
<br />
<br />take~~~~~~~~~~
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />
<br />,NOTARY PUBl..IC,NOTARYPUBLlC, ~TATE OF FLORID,;
<br />My commlsalon expires Oct. 2, 19 ~.~
<br />Bonded tt1ru Patterson - BelIht As!entv
<br />
<br />STATE OF FLORIDA
<br />
<br />COUNTY OF ____________________________________
<br />The foregoing instrument was acknowledged
<br />before me this __________, 19____ by
<br />
<br />who is personally known to me or who has
<br />
<br />produced _______________________________
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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