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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands' that this perait .ay be subject to "deed restrictions" which lay be aore restrictive than City
<br />regulations. The undersigned assules 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 c\ntractors t~ undertake work, they I~y be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not'licensed as required by law, both the owner and contractor aay be
<br />cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended work, they are advised to cuntact the City of Zephyrhills Building Departaent, (B131
<br />78B-6611 .
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to'have, the contractor(sl 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 respol';ible for the work. If the contractor wishes you to sign
<br />as contractor that aay be an indication that ile ii> jjj); proper;; !~;::~Il;,i!ti and IS not entitled to peraitting privill'Qes 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 - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is soaeone 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/DWNER'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 devElopaent. '
<br />
<br />Application is hereby lade to obtain a perlit to do work and inst~.lation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perait and that all work will be perforled to aeet 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 aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUSt take to be in co~pliance. Such agencies 'include but are not lilited to:
<br />, Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Wat2r/Wastekater Trcatlent
<br />, Southwest Florida Water "anaQele~t District - W~11s, ~y~res5 Ba'f~F~15, Wetl~nd Areas, Altering Watercourses
<br />.. Any Corps otEnq'!-'Q~ - b;""'H.." Dods, ,m,:~;'11~ ;;ii~~; if",::;
<br />, Departaent of Health L RehatHitat!v!! ~f',r\/J.!;e!, l:.l1vironal!_nt;l_~f':::'J'1 Uil1!. - Wells, Wastellater Treataent, Septic Tanks
<br />, US Environaental Protection AQeJ.cy - Asbestos abatelent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" Dr "A,etc,", it, is understood that a drainage plan
<br />addressing a "colpensating voluae" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed "ith the Mork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, constl'uction, or viDlations of any code. Every perlit issued shall becoae invalid
<br />unless the work authorized by such perlit is cOllenced within six aonths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six 101lths after the tiae the work is cOllenced. One 90 day extension of tile, aay 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENC~"ENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CUNSUlT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 N VALUE DO NOT NEED TO RECO~D AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />l'
<br />STATE OF FLORIDA tI
<br />COUNTY OF 'ff'S (' ~ .___
<br />~~;;;r~~' ~~; 5 ' 7k;~7;:J;"~ 9$i '~~-';9~d
<br />
<br />;--fi' eeA e e (C k~ If . (;,h1H:-()
<br />who is pers~,nalfy~nOwn to me or who has
<br />produced .lJ.P.sc)~.c...'~ /../ce.u-se/
<br />as identification and who ~id/did not
<br />
<br />
<br />~~~:::4::7
<br />
<br />(Nain~yp~d, Printed or Stamped)
<br />NOTARY EUBLIC
<br />
<br />:'i;~: Jf Fl~RIDA
<br />COUNTY OF
<br />: ;,,,- i.:.'rt::'gul;-,g l"",tl-Ullpn'i: 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 />.
<br />
<br /><Signature)
<br />
<br />(Name Typed, ,Printed or Stamped)
<br />NOTARY PtlBLIC
<br />
<br />Noraty pu~. Slate of Florida at lar e
<br />My CommISSIon EKPires July 5. 1991
<br />
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