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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' which lay be lore restrrctive than City
<br />regulations. The undersigned assuaes responsibility for'colpliance Mith any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractor. to undertake MOrk, they aay be required to be licensed in accordance Mith
<br />state and local regulations. If the contractor ili~lIoLlitensed as required by laM, both the OMner and contractor.uy' be
<br />cited for a aisdeleanor violation under state laM.~ If'the oMner Dr intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended Mork, they' are advised to contact the City' ofZephyrhills Building Departlent, (BI3)
<br />788-6611.
<br />
<br />Furtheraore, if the OMner has hired a contractor or contractors, he is advised to have thecontractor(s) sign portions of the
<br />'Contractor Sections. of this application for .hich they .ill 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 ZephyrhilIs.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECT ON 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 Mith a copy of .Florida's Construction Lien LaM - HOleowner's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the
<br />.0Mner", 1 certify that 1 have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the
<br />.o.ner. prior to cOllencetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />1 certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land deveIopaent.
<br />
<br />Application is hereby lade to obtain a perlit to do Mork and installation as indicated. I certify that no Mork or
<br />installation has cOllenced prior to issuance of a perlit and that all Mork Mill be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is
<br />ay responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/WasteMater Treatlent
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaMalls, Docks, Navigable Waterways
<br />f Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />I US Environaental 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 voluae. Mill be sublitted Mhich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed Mith the Mork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of -any code. Every pertit issued shall becole invalid
<br />unless the Mork authorized by such perlit is cotlenced Mithin six .onths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned fot a period of six tonths after the tile the Mork is cOllenced. One qQ day extension of tile, lay be
<br />allowed for the perlit 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 COMKENCEMENT KAY 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 />COMMENCEMENT. 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
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<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befcre me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA H
<br />COUNTY OF ~
<br />The foregoing instrume~t
<br />. befor me his ~
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />
<br />-
<br />was ackno\f/ledged
<br />, 19:12=- by ,
<br />
<br />(Signature)
<br />
<br />01- stamped)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />, .
<br />.....'
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