<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlay be subject to 'deed restrictions' which lay be lore restrictive than City
<br />regulations, The undersigned assules responsibility for cOlpliance with any applicable deed restrictions,
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake Mork, they may 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 lisdeaeanor violation under state laM. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Departlent, (BI3)
<br />7BB-bbll,
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s! 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 perlitting privileges in the
<br />City of Zephyrhills,
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES.
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<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 LaN - HOleONner'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 pro.ise in good faith to deliver it to the
<br />'owner" prior to cOlaencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all Nork Nill be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent,
<br />
<br />Application is hereby aade to obtain a perait to do work and installation as indicated, I certify that no work or
<br />installation has cOltenced prior to issuance of a perlit and that all work will be perfBrled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. 1 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 aust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departaent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, WasteNater Treatlent, Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill aaterial 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 subaitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to perait issuance.
<br />
<br />A perait 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 per.it prevent the Building Official 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 work authorized by such perait is cOlaenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six aonths after the tile the work is coatenced, One 90 day extension of tile, lay be
<br />allowed for the perait 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 COMMENCEMENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR 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'.
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />(;1~ /! 1f)~
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FlORIDf\-.., . _
<br />COUNTY OF rcc5 C 0
<br />The foregoing instrument
<br />before me th i s reb 5
<br />
<br />fr~rJte 5
<br />
<br />who is personally
<br />produce
<br />as identification and
<br />take an ath.
<br />
<br />
<br />was acknowledged
<br />, 19 ~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befclj-e me th is
<br />
<br />PrL5 C 0
<br />
<br />o
<br />
<br />
<br />-
<br />was acknowledged
<br />, 19~ by
<br />
<br />(
<br />(Name yped, Printed
<br />NOT ARY PUBLI C
<br />
<br />(Name ,ped, Printed
<br />NOTARY PUBLIC
<br />
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />MY COMMISSION EXPIRES: Marcb 6 1;95
<br />BONDED THIlU NOTARY PUBLIC UNDEllwRrmaS.
<br />
<br />NOTARY PUBLIC. STATE OF FLORIDA,
<br />MY COMMISSION EXPIRES: Marcb 6, 19115,
<br />BONDED THIlU NOTAJlY PUBLIC UNDUwarraRS.
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