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<br />CONDITIONS OF PERMIT AFFIDAVIT,
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait 'lay bE subject to "deed restrictions. which lay be .ore restrictive than City
<br />regulations. The undersigned aS5uaes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OMner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulation~. If thf cGfftfactor is,not"Jicensed as required by law,' ~oth the owner and contractor aay be
<br />cited for a aisdeleanor violation under state laM. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents aay apply for the intended work, they are advised to contact the City of2ephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtheraore, 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 contractor that lay 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 FEES.
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided Mith a copy of .Florida's Construction Lien Law - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departaent 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 prolise in good faith to deliver it to the
<br />"owner" prior to COllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforla~iDn in this application is accurate and that all worK will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no MorK or
<br />installation has cOllenced prior to issuance of a perlit and that all MorK will be perforled to leet standards of all laMS
<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 work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, WasteNater Treatlent, Septic TanKS
<br />f US Environaental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A" or "A,etc.', it is understood that a drainage plan
<br />addressing a 'co.pensating volule" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait issued shall be construed to be a license to proceed with the work and not a~authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit preven~ the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
<br />unless the work authorized by such perait is cOllenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six aonths after the tiae the work is cOI.enced. One 90 day extension of tile, lay 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 lUSt 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 COMMENCE"ENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />was acknowledged
<br />, 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />beTDre me this
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoinq instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_____ by
<br />
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and who did/dld 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 />(Signature)
<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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