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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peraitl3Y be Slildect tOLi:!:d l'estrid:e,ns" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOII-::i:nL~ ;l~th allY app! icable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTC\l:::S AND.. CONTRACTf)R RE~SPDNS I Bl..1:.1. T I E~
<br />If the ONner has hired a contractor or contr;lr.i~rs ~o undertake work, they ~ay be required to be licensed in accordance with
<br />state and local regulations. If th~'contrDC~Gr is.~ot licensed as r~quif2d by laNI both the owner and contractor lay be
<br />cited for a lisdeaeanor violation under stJle :d~. If the o~ner or intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended work, .~lY are advised to contact the City of ?ephyrhills Building Departeent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contrador' ,'_ .s advised to have the contractorls) sign portions of the
<br />"Contractor Sections" of this application for wllich they 11:11 :J~ ,~s~oiisibIE. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor I are re~f"n;ible for the work. If the contractor wishes you to sign
<br />as contractor that eay be an indication that h~ is not properly license~ and is not enti~led to pereitting privileges in'the
<br />City of Zephyr hills. ,
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<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 Consuler Affairs. If the ,applicant is sOleone other than the
<br />"oNner" , I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />"owner" prior to cOlaencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforeation in this application is accurate and that all work will be done in co.pliance lIith all
<br />applicable laws regulating construction, zoning, and land developeent.
<br />
<br />Application is hereby aade to obtain a perait to do work and installation .as indicated. I certify that no work or
<br />installation has coelenced prior to issuance of a pereit and that all work will be perfor.ed to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
<br />.Y responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environeental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treati~nt
<br />f Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arey Corps of EnQineers - Seawalls, Docks, Nav;qable WaterK:Ys
<br />f Departeent of Health ~ Rehabilitative Services, Environlent Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environeental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill laterial is to be used in Flood 7~Tle "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "coepensating volute" will be sub.itted which is ~,~pared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A pereit 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 perait 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 pertit is cO.lenced wi~hi". six lonths of issuance" or if work authorized by the pertit is
<br />suspended or abandoned for a period of six aonths after the tiae the work is cOloenced. i One 90 day extension of tile, lay be
<br />allowed for the pertit 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 lIill be consider,ed abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT KAY RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO VOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />
<br />SIGNATURE, OWNER OR .GENT ~~~
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF Q:3 '(' ()
<br />The foregoing ins~ment
<br />before me this () -~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19 ---9A- by
<br />
<br />who is personally known to me 0,- whc. has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />
<br />Dr whc. has
<br />
<br />(Signatul-e)
<br />
<br />(Name Typed, Print~rl or Stamped)
<br />NOTARY PUBLIG.
<br />
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