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<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" whicfi lay be lore res~rictive than City
<br />regulations. The undersigned assules responsibili\Y"fof cOlpliance with any applicable 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 lay be
<br />cited for a misdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, !813}
<br />788-6611.
<br />
<br />Further.ore, 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 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 Department of Agriculture and Consuler Affairs. If the applicant is SOIEone 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 cOllencement.
<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 cOipliance with all
<br />applicable laws regulating construction, zoning, and land developeent.
<br />
<br />Application is hereby lade to obtain a perlit to do Mork and installation as indicated. I certify that no work or
<br />installation has cO'lenced prior to issuance of a perlit 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 governmental agencies may 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 ~ie liO~ liRi~ed to:
<br />
<br />I Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi~ive lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~ent. Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatelent
<br />
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood th~t 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 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 yiola~e, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issllud 5hall bee ole invalid
<br />unless the work authori2ed by such per.it is cOllenced within six months of issuance, or if Mork authorIzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~tEnsioll of tile, lay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in wri~ing ~o the Building Official. An
<br />approved inspection must be logged during each six month period, or the project will be considered~bal~oned.
<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 NDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMEN ENTOI.
<br />
<br />
<br />SIGNATURE~' . " -~/, /\ L-~;',z'-' /
<br />-- OWNER~ ~---~- ~~--
<br />I
<br />
<br />DATE_~~~--~~1-~~~~-----------
<br />
<br />~~~~:VO:SA~~N~~l~~
<br />MY COMMISSION EXPIFtt~g:C:io\:,jlS:::I:; C:?, iT',;':. ,',5
<br />8DltT:n : tJ::-[jT~i.;~;i.~;:-rL':~:;l.:\:TJ:----
<br />
<br />
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<br />3"'1-0
<br />
<br />SIGNATU
<br />
<br />DATE_____~~~~~-_-------------------
<br />
<br />NOTARY AS TO ~
<br />CONTRACTOR___~__~~~-~~~~~~l
<br />
<br />MY COMl'iI S~~VE~~!Wi:TATE O~ FLO~IOA (~
<br />CO''''''1 co 'I f:'l/;P-;--Mirt-2~....~4.-------
<br />""'I ~"'\ - ~, '0
<br />BONDED THRU GENERAL INS. UN .
<br />
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