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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTICNS
<br />The undersigned understands that this periit 'lay be subject to "deed restrictions' which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility fer co.pliance with any applicabl,e deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the~co~~actor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
<br />788-bbl L
<br />
<br />Furtherlore, if the owner has hired a contractor or contractor~1 he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will he 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 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 CJPy of 'Florida's Construction Lien Law - HOleowner'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 ~ave obt~inerl a ~~;~ ~f thE ~bo'~ j~5[rib'd docu~p~t an~ promise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'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 regulati>>y construct!on, 'QninQ: ~nd land dpveloplent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated~ I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforl'ed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and lclnd developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental 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 liaited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, ketland Areas and Envir~nlentaIly Sensitive Lands,
<br />water/Wastewater Treatment
<br />f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Water"~ys
<br />f Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainag~plan
<br />addressing a 'co.pensating volule' will be sublitted whicb 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 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 perlit 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 perlit 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 cOI.enced. 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 to nth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND~R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO ~ECORD AND "OST A 'NOTICE OF COMMENCEMENT",
<br />
<br />SIGNATURE: CONTRACJOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />was acknowledged
<br />, 19_, by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing iristrument
<br />before me this
<br />
<br />STATE OF ~LORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befol-e me this
<br />
<br />was acknowledged
<br />19_ by
<br />
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me Dr who has
<br />produc2d
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />.
<br />
<br />(Signatu;-e)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />01- Stamped)
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBdC
<br />
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