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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICT~ONS
<br />The undersigned understands that this penH 'lilY be subject to "deed restrictiol~5" which uy be lore 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 tbe owner bas hired a contractor or c~ntraLtors to undertak~ Ilorkl they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not ';l!cen5~} 3<, n:qt'ired by li:~!, both the owner and contractor lay be
<br />cited for a aisdeaeanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they ~re advised to tont,att the City of Zephyrhills Building Departlent, (813)
<br />788-6611. .
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors I he is advised to'have the contractorls) sign portions of the
<br />"Contractor Sections"' of this application for which they will be r~sponsible. If you, as the owner sign as the contractor I
<br />you are indicating that you, rather than the contractor, are r~spcn5ible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly l~censed and is not entitled to peraitting 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 - Heleowner's Protection
<br />Guide" prepared by the Florida Departlent 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 des~ribed docuaent and promise in goed faith to deliver it to the
<br />"owner" prior to cOlaencelent.
<br />
<br />E. CONTRACTOR'S/DWNER'S AFFIDAVIT
<br />I rertjfy that all the inforlatien 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 lade to obtain a perlit to do work and installation as indicated. I certify that no work Dr
<br />installation has cOllenced prior to issuance of a penit and tlat all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and Jend developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations rf 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 />~ Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />~ Southwest Florida Water ManaQelent District" Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />~ ArlY Corps of EnQineers - Seawalls, Docks, Na\;~able Waterways
<br />I Departlent of Health L Rehabilitative Services, E~vironlent'.l Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />~ US EnvirDl!!!!~1lt31 ProtectiDn 'lnenCy - Asbestos abitelent
<br />I also certify that, if fill laterial is to be use~ in Flood Zene "A" Dr "A,etc.", it is understood that a drainage pian
<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 wit;. the work and not as,authority to violatel cancel alter, Dr
<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 vlDlations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is cO'lenced within six lonths of issuan~e, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the ti~e the work is CO.ienced. 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 periodl 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 />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT HEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT'.
<br />"
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowl~dged
<br />before me this __________, 19____ by
<br />
<br />STATE OF FLORIDA
<br />
<br />who is personally
<br />produced
<br />as identification
<br />take an oath.
<br />
<br />known to me or who has
<br />
<br />and who ~id/did not
<br />
<br />(SignatUl-e)
<br />
<br />~~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />.4;t/1~t:,;; PA!R1C.lA ~ ~ARRlNGTON
<br />~*/i1\..:; M, COMMI!>>IO.~ (I CC 178637
<br />~;,~.:~} EXPIRES; Fl!llruafy 9. 1996
<br />''it.9i'i.J$-'' Bonlisd Thill W,,13IY Public UndltWlllM
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