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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it 'aay be subject to .deed restrictions' which ~ay be more restrictive lhan City
<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 or contracto\s to undertake work, they may b;-;~qjuired ~lcensed in accordance with
<br />state and local regulations. If the' cbiit'r act or is not"licensed as required by law, both the owner and contractor uy' be
<br />cited 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 Department, (813)
<br />788-6611.
<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 which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rath~r than th~ tbntractor, are responsible for the work. If the contractor wishes 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 2ephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTlQN FEE~.
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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!
<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 cOI.enced prior to issuance of, a perlit and that all work will be performed to 5eet 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 cOlpliance. Such agencies include but are not liaited to:
<br />. Departlent of Environ_ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
<br />'Yater/Wastewater Treatment
<br />. Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />. US Environmental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "Ii" or "A,etc.", it is understood that a drainage plan
<br />addressing a .compensating volule. wilt be sublitted "hic~_is pr~~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 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 froD thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becote invalid
<br />unless the Mork authorized by such permit is coalenced within six mcinths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six months after the tile the work is co~~en(ed. One 90 day extension of ti~e, lay be
<br />allowed for the perait 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 will be considered abandoned.
<br />IlARNING TO OIlNER: YtlUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT HI YOUR PtWItlG mCE FOR IHPROVEtlEHTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COI1I1ENCEI1ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD -AND POST A . NOT I CE OF COMHEIJCEHEHT'.
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<br />SIGNATURE: OIlNER 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 />befc,re me th i s
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />~'Ias ac kno~.1l edged
<br />, 19_ by
<br />
<br />who is personally known to me or who has
<br />~n)rll'cf'rl
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me Dr who has
<br />produced
<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 />tyOTARY PUpLI~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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