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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait 'aay be subject to 'deec restrictions' Nhich lay be aore restrictive than City
<br />regulations. The undersigned assuaes responsibility for cOlpliance 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 workj '12Y may be required to be licensed in accordance Nith
<br />state and local regulations. Iftbe"ciitlt\-actor ilinoblicensej as required by law, both the owner and contractor lay be
<br />cited for a aisdeaeanor violatio,n under state law. 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 of Zephyrhills Building Departaent, (8131
<br />788-6611.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />.Contractor Sections., of tbis applicati~n 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 aay 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 with a copy of 'Florida's Construction Lien Law - HOleoNner's Protection
<br />Guide. prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is soteone other than the
<br />'owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />.owner. prior to cOI.enceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work Nill be done in cotpliance Nith all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby tade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation has coaaenced prior to issuance of a pertit and that ail work Nill be perforled to teet standards of all laMs
<br />regulating construction, City codes, zoning regulations, and land developtent regulatIons in the jurisdiction. I also
<br />certify that I understand that the regulati~ns of uther governaental agencies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not liMited to:
<br />f Departtent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departaent of Health ~ Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environtental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill aaterial is to be used in Flood Zone .A" or "A,etc.", it is understood that a drainage plan
<br />addressing a .coapensating voluae. Mill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed ,lith the work and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or v~ulations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perait is cot.enced within six tonths of issuance, ,or if work authurized by the pertit is
<br />suspended or abandoned for a period of six tonths after the tiae the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perait 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 tonth period, or the project will ~e considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COK"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEHENT..
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument W~5 acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregGing instrument was acknowledged
<br />before me this 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 />(SignatUl-e)
<br />
<br />(SignatLrre)
<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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