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<br />CONDITIONS OF PEQMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlitlilY be subject to 'det:d restric:tie,jis" which lay be lore re!;trictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRA~TOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake w0,"k, they lay be required to be licensed in accordance with
<br />state and local regulations. If the"iontractor is not licensed as required by law, both the owner and cDntractor lay b!!
<br />cited for a lisd!!leanor violation under state IaN. If the owner Dr intended contractor are uncertain as to what licensing
<br />requirellents lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparhent, (8131
<br />7BB-bbl1.
<br />
<br />Furthertore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 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 entitled to perlitting privileges in -the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have b!!en provided with a copy of "Florida's Construction Lien Lall - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is sOleone 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 cotaencelent.
<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 coapliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby aade to obtain a perait to do 1I0rk and installation as indicated. I certify that no lIorK e,r
<br />installation has coatenced prior to issuance of a perait and that all work will be perfor.ed to teet standards of all lalls
<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 govern.ental agencies aay apply, to the intended work, and that it is
<br />IY responsibility to identify what actions I aust take to be in rOlpliance. Such agenties include but are not lilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetl~nd Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I
<br />f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Depart_ent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic TanKS
<br />f US Environaental Protection AQenry - Asbestos abatetent
<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 "colpensating volule" will be subaitted whic~ is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, rancel alt!!r, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol th!!reafter
<br />requiring a correction of errors in plans, construction, or violations of any codp. Every pertit issued shall becole invalid
<br />unless the work authorized by such pertit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOlienced. 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,Hriting to the Building Official. An
<br />approved inspection lUSt be logged during each six .~nth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY 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 UF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 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
<br />befol-e me this
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />T~e ~Dregnin~ instrument
<br />JiefcH e me th is
<br />
<br />was ar.kf'r.,,~ledap.d
<br />, 19_ 0y
<br />
<br />I~Jas a~kn,::~':ledgcd
<br />
<br />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 1S personally known to me Dr who has
<br />prDduced
<br />~s identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />..
<br />
<br />(Name Typed, Printed or Stamped)
<br />!:l~lTARY PUBLIC
<br />
<br />-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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