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<br />CONDITIONS OF PERMIT AFFI~AVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it lay be subject tD 'deed restrictions' which may be lore restrictive than City
<br />regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTOI::::S AND CONTRACTOR RESr::.t2!~IJ? I B I LIT I ES
<br />If the owner has hired a contractor or contractors to undertake work, they may be requiied,to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the ONner and contractor lay be
<br />cited for a .isdeseanor 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, (B13!
<br />788-6611.
<br />
<br />Furtherlore, if the ONner has hired a contractor Dr 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 FEES
<br />\ -.-.
<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 Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'owner', 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 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 regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<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 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, Wetland Areas and Environ~entally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water KanaQelent District - Wells, Cypress Fayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' Dr 'A,etc,', it is understood that a drainage plan
<br />addressing a 'colpensating volute' Mill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A permit issued shall be construed to be a license to proceed with the worK and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code, Every perlit issued shall becote invalid
<br />unless the worK authorized by such persit is cOI.enced within six lonths of issuance, Dr if work authorized by the permit is
<br />suspended or abandoned for a period of six sonths after the tile the worK is cOIDenced. One 90 day extension of time, lay be
<br />alloMed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An
<br />approved inspection must be logged during each six lonth 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 THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OFTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'.
<br />
<br />- !. ;~'.
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR' AgENJ
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF .'., ,
<br />The foregoing instrument
<br />before me this
<br />
<br />,..., \..1,.\
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc'j-e me thi. s
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />was acknowledged
<br />19______ by
<br />
<br />who is personally
<br />produced
<br />as identifi~ation
<br />take an oath.
<br />
<br />known to ~e or who has
<br />
<br />who is~ persN,ally knowr'ttd,me,'t'lr'.who'h.ai
<br />produced
<br />as identificatia~-and who did/did not
<br />take an oath.
<br />
<br />and who did/di~.not
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />.
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />1
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