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<br />CONDITIO~S OF P~RMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait '~ay be subject to 'need restrictions' which ~ay be .ore restrictive th.~ City
<br />regulations. The undersigned assules responsibility for COlp) ance with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTORS AND CONTRACTOR RESP(]N~I B I LIT I E::?.
<br />If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations. If the' cOTit'ractor is .1ot,"licensed as required by law, both the (,wner and contractor may be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, ,hey are ~dvise~ to contact the City of Zephyrhills Building Department, (BI3)
<br />7BB-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor Dr contractorsj 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, rather than th~ 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 per~itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONi'jECl1..QN FEE~.
<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 - Homeowner's Protection
<br />Suide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is someone 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 information in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, :and land development.
<br />
<br />Application is hereby lade to obtain a perlit to do Hork and installation as indicated. I certify that no work or
<br />installation has commenced prior to issuance of. a per.it and that all work will be performed to leet standards of all laws
<br />regulating construction, City c(ldes, zoning reg'ulations, andl.and development 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 />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to:
<br />f Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environ~entally Sensitive Lands,
<br />'Hater/WasteHater Treatment
<br />f Southwest Florida Hater Manaqelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaHalls, Docks, Navigable W'aterHays .
<br />f Department of Health ~ Rehabilitative Services. Environlental Health Unit - Hells, Wastewater Treat;ent, Septic Tanks
<br />f US Environmental Protection AQency - Asbestos abatement
<br />I also certify that, if fill aaterial is to be used in Flood Zone 'A" or "A,etc.', it is understood that a drainage plan
<br />addressing a "compensating volume" Hill be submitted whic~_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 Hith the Hork and n(lt 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 fr(ll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every periit issued shall becole invalid
<br />unless the Hork authorized by such perlit is commenced within six months of issuance, or if worK authorized by the permit is
<br />suspended or abandoned for a period of six months after the time the work is co~~enced. One 90 day extension of ti~e, 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 logg~d during each six month period, or the project Hill be considered abandoned.
<br />WARHING TO OWNER: ytlUR FAILURE TO RECORD A NOTICE OF COHMENCErlENT MAY RESULT IN YOUR rAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. . IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY DEFORE RECORDIHG~YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IH Y~LUE DO NOT NEED TO RECORD ~ND POST ~ 'NOTICE OF COMMENCEMENT'.
<br />
<br />
<br />
<br />SIGHAIURE, O'HER OR AGEHI , ~R
<br />
<br />was acknowledged
<br />, '19_ by
<br />
<br />ST~TE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befcl\-e me th i s
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />\'las ac knol.Jl edged
<br />19 by
<br />
<br />who is personally Imoltm tD me OY' ,';1 r~,s
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />.~J~'::; i s pC'~-~,c:nL\ 11 '( kno~'/fl to me or ~.JhCt 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 or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUPLII:.
<br />
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