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<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" which ~ay b~ lore res\rictive than City
<br />regulations. The undersigned assules responsibility,for co.pliance 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 may be r~quired to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the OHner and contractor ~ay be
<br />cited for a tisde.eanor violation under state la". 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 Z~phyrhills Building Department, (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 elwner 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 aay be an indication that he is not properly licensed and is not entitled tel 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 '"ith a copy of 'Florida's Construction Lien Law - Homeowner's Protection
<br />Guide' prepared by the Florida Depart_ent of Agriculture and Consumer 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 proffiise in good faith to deliver it to the
<br />'owner' prior to cOlmencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all Hork will be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby aade to obtain a permit to do work and installation as indicated. 1 certify that no worK or
<br />installation has co~menced 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 ~orK, and that it is
<br />IY responsibility to identify what actions I lust take to be in COlllpliance.,Such agencies include b\ll ~l P. nelt liilited to:
<br />
<br />I Depart.ent of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f SouthWEst Florida Hater ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Army CorDS of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart_ent of Health ~ Rehabilitative Services, Environmental Health Unit - We'lls, Wastewater Treat~ent. Septic Tanks
<br />f US Environmental Protection AQency - Asbestos abatement
<br />
<br />1 also certify that, if fill material is to be used in Flc,od Zone "A" or "A,etc.', it is understelod tt.~t a drainage plan
<br />addressing a "colpensating volume' will be subtitted which is prepared by a professional engineer reqist2icd in the State of
<br />Florida prior to permit issuftnce.
<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 permit prevent the Building Off1cial fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;hall becole invalid
<br />unless the work authori2ed by such perlit is co.menced within six months of issuance, or if HDrk authorIzed by the perlit is
<br />suspended or abandoned for a peric,d of six lonths after the tile the \lorY. is commenced. One 90 day e~\;;j,sio\l of tile, lay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An
<br />approved inspectie,n !!lust be Ic,ggedduring each six month period, or the project Ili 11 be C(lnsidered dbalide,ned.
<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 UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNAT:~E~~~~::~::_------- SIGNATURE__~_m,-~~~-~
<br />
<br />OWNER OR AGENT CONTRACTOR
<br />
<br />DATE__fgQrYg~_2Q.-l~--------------------
<br />
<br />DATE__f~Qr~~ry-2Q~_1992-_--------------
<br />
<br />MY COMMISSION
<br />
<br />_ ~1-,.----
<br />H. Ma rv e 1
<br />
<br />S___________,,________._,_ -
<br />
<br />
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<br />
<br />i1Y
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<br />------------------
<br />
<br />NOTARY PUBLIC;. STATE OF FLORIDA',
<br />:oYN COMMISSION EXPIRES: JAN. 28. 1991il
<br />OED THRU NOTARy puaJ..lc UNDERWRITEft,~
<br />
<br />NOTARY PUBLIC
<br />II1Y COMMISSlOl~ ~l[;l~~:s~F fLO[~IDA.
<br />eONDED THRU NOTARY p~ '" . JAN. 28. 1994il
<br />BL.JC UNDERWRITERSJ
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