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<br />11'
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTTONS
<br />The undersigned understands that this per.it '.iy be subject to "deed restrictions" which lay be eore restrictive than City
<br />regulations. The undersigned assules responsib~lity for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or ~optractors to undertake work, they .ay be ~~quired to be licensed in accordance with
<br />state and local regulations. If the contractor is not'1icensed as required by law, both the owner and contractor eay be
<br />cited for a .isde.ean~r violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City oiZephyrhills Building Depart.ent, (813)
<br />788-6611.
<br />
<br />Further.ore, 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 contrar.tor, are responsible for the work.. If the contractor wishes you to sign
<br />as contractor that eay bean indication that he is not properly licensed and is not entitled to pereitting 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 - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is soeeone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and proeise in good faith to deliver it to the
<br />"owner" prior to coe.enceeent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforeation in this application is accurate and that all work Mil~ be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has coe.enced prior to issuance of a per.it and that all work will be perforeed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies eay apply,.to the intended work, and that it is
<br />ey responsibility to identify what actions I .ust take to be in co.pliance. Such agencies 'include but are not lieited to:
<br />f Depart.ent of Environ.ental Requlation - Cypress Bayheads, ~~tland Areas and Environeentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQeaent District - Wells, Cypre5r Bayheads, Wetland Areas, Altering Watercourses
<br />f Arey Corps of Enqineers - Seawalls, Docks, Navigable Water~~vs ' ,
<br />f Depart.ent of Health & Rehabilitative Services. Environeenta' Health Unit - Wells, ~astewater Treat.ent, Septic Tanks
<br />f US Environ.ental Protection Aqency - Asbestos abate.ent '
<br />I also certify that, if fill .aterial is to be used in Flood Z~ne "A" Dr "A,etc.', it is understood that a drainage plan
<br />addressing a "co.pensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A per.it issued shall be 'construed to be a license to proceed ~i,h the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall iS~d~nce of a pereit prevent the Building Official froe thereafter
<br />requiring a correction of errors in plans, construction, or viol.tions of any code., Every pereit issued shall beco.e invalid
<br />unless the work authorized by such per.it is co..enced within 3i~ aonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six tonths after the ti.e the work is cOltenced. One 90 day extension of tile, eay he
<br />allowed for the per.it with fee charge of $15.00. The extensi~n shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six .onth period, or the project will be ronsidered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT ~AY RESULT IN YOUR PAYING TWICE FOR IMPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />C~"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO"MENCEMENT".
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoin~instrument
<br />befcl}-e me th i s
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc.re me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />who is personally ~nown to me or who has
<br />produced '
<br />as identification and who did/did not
<br />take an oath.
<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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY FUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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