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<br />CONDITIUNS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to "deed restrictions. which lay be lore restrictive than City
<br />regulations. The under5igned assules responsibility for cOlplicnce with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as ,~quired by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner 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 Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the owner has hired a contractor Dr contractors, he is advised to'have the contractorlsl sign portions of the
<br />.Contractor Sections. of this application for which they will bf 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 enti'~led 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 Nith a copy of .Florida's Construction Lien LaN - HOleowner's Protection
<br />Guide. prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the appl'icant 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 />.0Nner. prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<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 laws regulating construction, zoning, and land developlent.'
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has COlaenced prior to issuance of a perlit and that all work will be perforled 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 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 lilited to:
<br />, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Nater/Wastewater Treatlent
<br />, Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />, ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />, Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />, US Environlental 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 .colpensating volule" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit 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 perlit issued shall becole invalid
<br />unless the work authorized by such per.it is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for'a period of six .onths after the tile the work is cOllenced. One qQ 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 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 />COKMENCEMENT. JOBS UNDER $2,500 IN YALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT'.
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />befc.re me this __,,___.__' 19 l;v
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc.\-e me th i s
<br />
<br />was ackno~lledged
<br />, 19_ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who ~id/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 />.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />!:;IOTARY PUBLI C
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
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