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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it '.ay be subject to "deed restrictions" which .ay be .ore restrictive than City.
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they .ay be required to be licensed in accordance with
<br />state and local regulations. If thl contractor is not licensed as required by law, both th~ owner aid contractor .ay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay 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 contractoT(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign ~ 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 p!rlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS ~MENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the
<br />'owner', I certify that 1 have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />'oNner' prior to cO.lence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />1 certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cO'lenced prior to issuance of a per.it and that all work will be perfor.ed 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 govern.ental agencies lay apply to the intended work, and that it is
<br />,y responsibility to identify what actions 1 .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environlental ReQulation - Cypress Bayheads, "etland Areas and Environlentally Sensitive Lands,
<br />"ater/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQelent District - "ells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatelent
<br />1 also certify that, if fill .aterial is to be used in Flood lone "A" or "A,etc.', it is understood that a drainage plan
<br />addressing a 'colpensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A per.it 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 perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code.' Every pertit issued shall beco.e invalid
<br />unless the work authorized by such per.it is COI.enced within six lonths of issuance, Dr if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the ti.e the work is cOI.enced. One 90 day extension of ti.e, .ay 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 .ust 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 COK"ENCEKENT "AV 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 />CO"KENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECOR~ AND POST A .NOTICE OF COMMENCEMENT'.
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<br />t1J);%J ~a~ j
<br />SIGNATURE: OIlNER 0 AGENT
<br />
<br />~ v:1oflj~
<br />SIGNATURE: NTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P 11.5(7 0
<br />Th~,foregoing instrument was acknowledged
<br />before me this .. rVvE Jt, 19~ by
<br />-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF !-I eEl?.AI AN /)/)
<br />. The foregcoing instrument
<br />before me this /~
<br />
<br />~Jas aC~Wledged
<br />, 19 by
<br />
<br />
<br />6
<br />
<br />Ih-A JJ '1/I.-/;:.J .
<br />who is pers nally known to me or who has
<br />produced R... -:DR/lias /-/('EJ.}3C':
<br />as identification and who did/did not
<br />take an oath. ~ ,A~
<br />
<br />(Signature)1-<-AT1-I~ '3 B~o\J
<br />
<br />who is pe
<br />produced
<br />as identificat'on
<br />take an oath. I
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />
<br />NOT ARY PUBL I C NotafY PubUc, State ':'t large, Florida
<br />My commission ExpIres Apnl2. 1995
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