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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.itaay be subject to .deed restrictions' which r.ay be .ore restrictive than City
<br />regulations. The undersigned assules responsibility for COlpliance with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTORS AND CONTRACTOR RESPQ.t.;!.2.l.!il..b..I T I E8.
<br />If the owner has hired a contract~r or contracto~s to undertake work, they ~ay be required t~ be licensed in accordance with
<br />state and local regulations. If the' coTit'Tador is not",'licensed as required by law, both the owner and contractor uy b!!
<br />cit!!d for a lisdeleanor 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 Departlent, (8131
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 may 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 />- ----.
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<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 - 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 />'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~
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work Hill be done in COlpliance with all
<br />applicable laMS regulating construction, zoning, 'and land development.
<br />
<br />Application is hereby lade to obtain a perlit to do Kork and installation as indicated. I certify that no Mor~ or
<br />installation has COllenced prior to issuance of, a perlit and that' all work Hill be performed to Jeet 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, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not li.ited to:
<br />f Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and EnvironMentally Sensitive Lands,
<br />'Water/Wastewater Treatment
<br />f SouthMest Florida Water ManaQement District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.en~ of Health ~ Rehabilitative Services. Environmental Health Unit - ~ells, Wastewater Treataent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatement
<br />I also certify that, if fill laterial is to ue used in Flood Zone .A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'colilpensating volulle' will be sublitted whic~)s pr~p_ared 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 Hork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froD 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 work authorized by such permit is comllenced within six months of issuance, or if Hork authorized by the perlit is
<br />suspended or abandoned for a period of six Aonths after the tilile the Hork is coc~enced. One 90 day extension of ti~e, lay be
<br />allowed f~r 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 month period, or the project wi 11 be considered abandoned.
<br />WARNING TO OIlIlER: Yl1UR FAILURE TO RECORD A NOnCE OF COMMENCEMENT MAY RESULT IN YOUR PII'IIIIG T\lICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU IllTEND TO OBTAIH FINAHCIHG, 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 COMMEr~CEMENT'.
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY O( ~______._.
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF _______
<br />The foregoing instrument
<br />befol-e me th is
<br />
<br />-
<br />vias acknol.Jl edged
<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 />pl-oduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signatul-e)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />t10TARY PLlpLJ~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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