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<br />CONDITIONS OF -PEFtl'lIT AFFID{~'v'IT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 'Iay ~e subject to "deed restrictions' which may be lore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the oNner has hired a contracto~ Dr contracto~s to undertake work, they may be required to be licensed in accorda~ce with
<br />state and local regulations. If ttle~.t'b1<<ractor is.not~'licen5ed as required by law, both the owner and contractor laY be
<br />cited for a .isdeleanorviolation 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 Departlent, (B131
<br />799-6611.
<br />
<br />Furtherlore, 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 Nhich 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 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 ZephyrhiIls.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />1 certify that I, the applicant, have been provided Nith a copy of 'Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"oNner", I certify that 1 have Dbtaineda copy of the above described document and promise in good faith to deliver it to the
<br />"oNner" prior to cOllence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with .~ll
<br />applicable laMS 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 or
<br />installation has cOllenced prior to issuance of a penit 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 may apply to the intended work, ~~d t~~t it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />, Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environzentally Sensitive Lands,
<br />Yater/Wastewater Treat.ent
<br />, Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />, Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />, Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />, US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or 'A,etc.', it is understood that a drainage plan
<br />addressing a "co.pensating voiu.e" Miil be sublitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to perait issuance.
<br />
<br />A perlit 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 issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becole invalid
<br />unless the Nork authorized by such perlit is co.aenced within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six .onths after the tile the work is co&~enced. One 90 day extension of tile, lay be
<br />allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved .lnspection lust be logged during each six lonth peTiod, or the project Hill be considered abandoned.
<br />WARNING TO OWNER: YuUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING THICE 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 />
<br />was acknowledged
<br />, 19 _ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befcll-e me th i 5
<br />
<br />STATE OF FLORIDA
<br />~
<br />COUNTY OF
<br />The foregoing instrument
<br />befc,re me th i 5
<br />
<br />vias acknc'vlledged
<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 Dr who' has
<br />pl-oduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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