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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it 'Iay be subject to 'deed restrictions" which aay be .ore restrictive than City
<br />regulations. The undersigned assules responsibility 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 contra~tors to undertake Mork, they .ay be r~quired to be licensed in accordance with
<br />state and local regulations. If th'~"cbfifractor is.not''licensed as required by laM, both the owner and contractor lay be
<br />cited for a .isdeleanor violation under state IaN. If th~ ONner 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, (8131
<br />788-6611.
<br />
<br />Furtherlore, if the ONner has hired a contractDr or contractors, he is advised tr,- have the contraCtOr(5) sign portions of the
<br />'Contractor Sections' of this application for which they Mill 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 Nork. If the contractoruwishes-you--to sign
<br />as contractor that eay be an indication that he is not properly licensed and is not entitled to per.itting 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 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 cOI.encelent.
<br />
<br />-
<br />1:..
<br />
<br />CONTRACTOR'S/C~~ER:S
<br />
<br />^ r -;- r ',,,,\ ^ 1 IT""
<br />. ..'~ ,- .. w. '... -. I
<br />
<br />I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to de work and installation as indicated. I certify that no work or
<br />installation has cO.lenced prior to issuance ~f. 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 governlental agencies lay apply to the intended work, and that it is
<br />.Y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but ar~ not lilited to:
<br />f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands,
<br />.Water/Wastewater Treatment
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />+ ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Service~. Environ.ent<<l Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environ.ental Protection Aqency - Asbest~~ a~ate.ent--
<br />I also certify that, if fill iciterial lS~u'h,~.._J ir!;,;iluJ;-'~ik GA" ar '1\,,,1.':.", ;1. is undersbod that a driiiliage pliln
<br />addressing a 'colpensating voluae' will be sublitted which is prepared by a professional engineer registered in the State' of
<br />Florida 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 violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall irsuance of a per.it prevent the Building Official fro. 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 per.it is cOI.enced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six tonths after the tile the work is comaenced. One 90 day extension of tile, lay be
<br />allowed f~r 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 peTiod, or the project will be considered abandoned.
<br />WARNING TO OWNER: Y~UR FAILURE TO RECORD A NOTiCE OF COHMENCEi1ENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN 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 />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befcl\-e me th i s
<br />
<br />STATE OF FLORIDA
<br />~
<br />COUNTY OF
<br />The foregoing instrument
<br />befc.re me th i s
<br />
<br />~Ias ackno~J1edged
<br />19_ by
<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 personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signatul-e)
<br />
<br />(SignatLl'l-e)
<br />
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed~ Printed or Stamped)
<br />~OTAR,( PUBLIC
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