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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />Th~.und~rsigned und~r5tands that this per.it .ay b~ subj~ct to "de~d restrictions' which may be aor~ restr.ictive than City
<br />regulations. Th~ undersigned assulus responslbl1ltf;fo~.co.pliance with any applicable deed restrictions.
<br />
<br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
<br />
<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 r~gulations. If the contractor is not licensed as required by law, both the owner and contractor ~ay be
<br />cited for a Disdel~anor violation under state law. If the owner or intended contractc.r are unc~rtain as to what 'licensing
<br />require.ents lay apply fc,r the intended wllrk, they are advised to contact the 'City crf 2ep'hyrhills Building Departaent, 18131
<br />788-6611. '
<br />
<br />Furtherlore, if the lIwner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of th~
<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 fllr the work. If the contractor wishes you to sign
<br />as contractor that say 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.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Flllrida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'owner", I certify that I have c,btained a. copy of the above described dc,cument and prc,rr.ise in gc,od fai th tll del iver it to the
<br />'owner' prior to cOI.encelent.
<br />
<br />.,:
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zlIning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to.do work and install~tion as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be performed to meet standards of all laMS
<br />regulating cllnstruction, City codes, zoning regulations, and land development regulations in the jurisdictilln. I alsll
<br />certify that I understand that the regulations of other governmental agencies ~ay apply' to the intended work, and that it is
<br />IY responsibili ty tc, identify what adions I lust take to be in Cl\lIlpliancl!. Such agencies include bllt ~l e m.t I illi ted to:
<br />
<br />.l-
<br />
<br />I Departle~t of Envir~nmental ReQulation - Cypress Bayheads, Wetland Areas and Envirunmentally Sensitive L~nds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />I Ar.y Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Ilastewater Treat~en~, Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill laterial is to be used in Flc,od Zc,ne 'A" or "A,etc,', it is understc,c.d t,,~t a drainage plan
<br />addressing a 'coJpensating volu.e" will be sublitted which is prepared by a professional engineer fegist~ied in the State of
<br />Flllrida prior to perlit issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici.l fro. thereafter
<br />requiring a correction c,f errors in plans; cc,nstructicln, clr violatillns of any code. Every permit issllt'd ohall bece,.e invalid
<br />unless the work authorized by such permit is coalenced within six IlInths of issuance, or if wOI.k authol lzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e=tE~siDli of tile, lay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspectit,n aust be. logged during each six lIonth perilld, cor the projl!ct will be CHlsidered db611doned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UN DE $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOT I CE OF COMMENCEME . "
<br />
<br />SIGNATURE__~_~--__-__-----
<br />OWNER OR AGENT
<br />
<br />SIGNATURE
<br />
<br />
<br />DA TE _________1<)_-:._8.:_g~___________._______
<br />
<br />NOTARY AS TO ~ ^ .
<br />OWNER OR AGENT___cr-~~-~~~~:~~-~-
<br />MY COMMISSION EXPIRES______________________
<br />
<br />~~~~=~C~~R~~~~~-------
<br />
<br />
<br />"
<br />MY COMMISSION EXPIRES__________________
<br />
<br />
<br />Notary Public, State of FI .
<br />JA"n BLACI(WELL o'lda
<br />M> Comm E 9
<br />Comm N' 'P. .18.96
<br />. o. CC.228545
<br />
<br />
<br />Notary Public, State of Florida
<br />IA,.E r 9lACI(WELl
<br />M) Comm. E.p. 9.18.96
<br />Comm. ;..0. CC 228545
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