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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pereiteay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assuees responsibility for coepliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a contractor or c..tractors to undertake work, th';y lay be re~;ired'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 eisdeeeanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />requirelents eay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, (8131
<br />788-6611.
<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 ONner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Nork. If the contractor wishes you to sign
<br />as contractor that eay 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 FEE~
<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 LaN - Hoeeowner's Protection
<br />Guide" prepared by the Florida Departeent 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 promise in good faith to deliver it to the
<br />"owner" prior to COllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVII
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laNS regulati~~ construction, zoning, and land developeent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work Dr
<br />installation has cOleenced prior to issuance of a pereit and that all work will be perforeed to leet standards of all laws
<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 Mork, and that it is
<br />IY responsibility to identify what actions I aust take to be in coepliance. Such agencies include but are not lilited to:
<br />f Departaent of Environmental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water Kanaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable WaterMays
<br />f Department of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environmental Protection Aqency - Asbestos abateaent
<br />I also certify that, if fill eaterial is to be used in Flood Zone "A" or "A,ete.", it is understood that a drainage plan
<br />addressing a "colpensating volume" Mill be submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pereit issuance.
<br />
<br />A permit issued shall be construed to be a license to proceed with 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 pertit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
<br />unless the Mork authorized by such per.it is coemenced within six lonths of issuance, Dr if work authorized by the perlit is
<br />suspended or abandoned for a period of six aonths after the tiee the worK is cOI.enced. One 90 day extension of tile, lay be
<br />alloMed 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 eonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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".
<br />
<br />(j~ lP7 /.'J -;j~
<br />SIGNATUR~WNER OR AGENT
<br />
<br />E- CJ. G/lCI-ANJ
<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF FLORID~
<br />COIJNTY OF o.SCC-:>
<br />The forego in instrument
<br />before me thi
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />T!It:~ fon?9oin9 instrument
<br />befol-e me th i s
<br />
<br />was acknowledged
<br />19_ by
<br />
<br />who is personally known to me Dr who has
<br />prc.duced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />N()T/,R\' P',fDUC
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