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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to .deed restricti~ns' which may be lore restrictive than Cl~.
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they may be required to b~--licensed in accordance _;~h
<br />state and local regul~tions. If the contractor is not licensed as required by law, both the owner and contractor eay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensl'i~
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 12!J)
<br />7B8-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions ~r the
<br />'Contractor Sections. of this application for which they will be responsible. If you, as the owner sign as the contract:, ,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you \0 ,:g~
<br />as contractor that aay be an inditation that he is not properly licensed and is not entitled to perlitting privileges ir 'he
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORT A T I ON I MPACT FEES AND UT I L I TV CONN_ECT lQJ::LEEEi2.
<br />
<br />D. CONSTRUCTION LIEN LA~ (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 - HOleowner's Protect:"n
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than t~.,
<br />'owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it I:, the
<br />.owner. prior to cOlmencelent.
<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 compliance with all
<br />f applicable laws regulating construction, zoning, and land develop.ent.
<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 performed to leet standards of all !c""
<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 Hark, and that: \ 1S
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited
<br />. Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />. Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. De artlent of Health L Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tan~s
<br />. Environlental Protection AQency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood lone .A. or .A,etc.'! it is understood that a drainage plaG
<br />addressing a 'coapensating volute. will be sublitted which is prepared by a professional engineer registered in the Sla\e l,f
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel alte" or
<br />set aside any provisions of the technical codes, nor shall issuance of a ~erlit prevent the Building Official froa thel'cofter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every perli t issued shall beco~e 1 ",,;\ ld
<br />unless the work authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perro:t is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOlienced. One 90 day e~tension of ti~e, ,'", 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT HAY RESULT IN YOUR PAYING TUICE FOR IMPROVEMENTS TO ~~R
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUP. LENDER OR AN ATTORNEY BEFORE RECORDING YOUR IIOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE no NOT NEED TO RECORD AND POST A 'NOTICE OF COMMEllCEMENT..
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />-
<br />
<br />STATE OF FLORIDA J1 A \
<br />COUNTY OF I V (..1J1l /~
<br />The foregoing i%tnlment \o'Jas ackno\.lled(jt,<
<br />befcl\-e me th i sJ,(hI, /~ , 1 q~ by-
<br />
<br />b~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<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 is known to me or who ha'
<br />produced
<br />as identification
<br />take an oath.
<br />
<br />
<br />(Si gna tLll-e)
<br />
<br />(Signature)
<br />
<br />
<br />,t-,nted. o~ (h'~
<br />,~..~~~
<br />.;X/:.:. \ ST.A.TE OF FLORIDA
<br />.. .' '.". 1/28/95
<br />.. ;t: D
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C
<br />
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