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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOT\CE OF DEED RESTRICTIONS
<br />The undersigoed understands that this per.it.ay be subject to "deed lestrictions" which .ay be .ore restrictive than City
<br />regulations, The undersigned assu.es responsibility for co.pli.n:e with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor orcQQlractors to undertake flork, they lay be required to be licensed in accordance with
<br />state and IreaI regulations. If the contractor is n~t 11censed as required by law, both the owner and contractor .ay be
<br />cited for a ~isde.eanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
<br />7BB-bbll.
<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 contract.cr that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zep'iyrhills.
<br />
<br />C. TRPi~SPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. COtSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED)
<br />I certify tiat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Ho.eowner's Protection
<br />Guide" prepjred by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOleone other than the
<br />"owner", I :ertify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prijr to cot.encetent.
<br />
<br />E. Cm'TF:(-1CTOR'S/Ol-JNER'S AFFIDAVIT
<br />I certify \~at all the infortation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land deveioptent.
<br />
<br />Applicatioi is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installatilo has co.tenced prior to issuance of a per.it and that all work will be perfor.ed to teet standards of all 'laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations ln the jurisdiction. I also
<br />certify thct I understand that the regulations of other governBEntal agencies .ay apply to the intended work, and that it is
<br />.y responsloility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
<br />. Depart_fit of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />. Southwes' Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Arty Cor: s of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Departlf.,t of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />. M~~.~ 0~ental Protection Aqency - Asbest,s abat~.ent
<br />I also cef ify that, if fill uterial is to be useD III tlooo lOl1t:'ft'OI- "i'I,~i..:.,', ~~ ~~ ;;d;:,~~,:.oj that a rlraini\g~ p~::n
<br />addressing a "co.pensatiog volu.e" will be sublitted which is prepared by a profession~l engineer registered in the State of
<br />Florida pr ,or to pertit issuance.
<br />
<br />A pertit ilsued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside .,ny provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter
<br />requiring j correction of errors in plans, construction, or violatiDns Df any code. Every pertit issued shall becole invalid
<br />unless the work authorized by such pertit is cot.enced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended :,f abandoned for a period of six .onths after the tile the work is cOI.enced. One 90 day extension of tile, lay be
<br />allowed fo' the pertit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved j"spection lust be logged during each six tonth period, or the project will be considered abandoned.
<br />WARNING TC OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY 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 />COMMENCEHE,jT. JOBS UNDER $2,500 IN VALUE DO NOT ~tEO TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~~,l.il1t
<br />
<br />"SIGHATU' E: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />The fDregoing instrument wa~ acknowledged
<br />before me this , 199~ by
<br />
<br />.:nu*~ 'lOr
<br />
<br />P 14-"3 Co
<br />
<br />STATE OF ; LORIDA
<br />COUNTY OF
<br />The fOTagoing instrument
<br />before Tie th i s
<br />
<br />STATE OF FLORIDA
<br />
<br />
<br />who is Jersonally known to me or who has
<br />produc L .i
<br />as idel tification and who did/did not
<br />take ar oath.
<br />
<br />jf./y-O
<br />
<br />(Signai Lll-e)
<br />
<br />(Name' yped, Printed or Stamped)
<br />NOTARY F'UBLIC
<br />
<br />J. SCKili\i.l
<br />..~ Qf Florida
<br />My Comm. Exp, Apr. 17, 1994
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