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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to .deed restrictions. Nhich lay be lore restrictive tha~ City
<br />regulations. The undersigned assules responsibility for cOlpliance Nith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance Nith
<br />state and local regulations. Ifc~,~entractor is not, licensed as required by law) both the oNner, and contractor .ay be
<br />cited for a .isde.eanor violation under state laM. If the ONner 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 Zephyr hills Building Depart.ent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have'the contractorls) sign portions of the
<br />"Contractor Sections. of this application for Nhich they Nill 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 Mork. If the contractor wishes you to sign
<br />as contractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting 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 AMENDED)
<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 Departlent-of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
<br />"oNner" prior to cOI.ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in cospliance with all
<br />applicable laws regulating construction, ~oning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a per.it to do Nork and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all Nork will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is
<br />IY responsibility to identify Mhat actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Departlent of Environ.ental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatsent
<br />f Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of Enqineers - SeaMalls, Docks, Navigable Waterways I
<br />f Departlent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection Aqency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it, is understood that a drainage plan
<br />addressing a "colpensating volule" Nill be sublitted Mhich is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A perli t issued shall be construed to be a license to proceed wi th the Mork and not as, author i ty to violate, cancel al ter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. 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 cO.lenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the '.i.e the Mork is ctll.enced.Une 90 day extension of tiae, lay be
<br />allowed for the perlit Mith 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 lonth period, or the project will be considered abandoned.
<br />WARNING T.o OWNER: YDUR FAILURE TD RECORD A N.oTICE .oF CDMMENCEMENT "AY RESULT IN YDUR PAYING TWICE FDR IMPRDVE"ENTS TD YDUR
<br />PROPERTY. IF YDU INTEND TD OBTAIN FINANCING, CDNSULT WITH YDUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDMMENCEMENT. JDBS UNDER $2,500 IN VALUE DD NDT NEED TD REC.oRD AND POST A "NOTICE .oF 'COMMENCEMENT".
<br />
<br />-;;IUAA4/t- ([4~
<br />GNATURE: OWNER OR AGENT
<br />
<br />
<br />SIGNATURE: CONTRACTDR
<br />
<br />was acknowledged
<br />, 19 _ by
<br />
<br />STATE OF FLORIDA
<br />C.oUNTY .oF
<br />The foregoing instrument
<br />befcore me th i s
<br />
<br />STATE .oF FL.oRIDA
<br />C.oUNTY .oF
<br />The foregoing instrument
<br />before me this
<br />
<br />\l'Jas ackno\l'Jledged
<br />19_ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(SignatLl'I-e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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