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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />~. NdTICE OF DEED RESTRICTIONS
<br />T~e undersigned understands that this perait lay be subject to "deed restrictions" which may be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ollner has hired a contractor of coritractorsw undertake 1I0rk, they saY--be r~quired ~-icensed in accordance ili th
<br />state and local regulations. If the contractor is not licen~~d as required by lail, both the Oilne: 2nd contractor eay be
<br />cited for a .isde.eanor violation under state IaN. If the Oilner 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, (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 Oilner 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 Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION 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 prDvided ilith a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" 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 cOltence.ent.
<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 compliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has coaaenced prior to issuance of a per.it and that all lIork will be performed 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 Kor~, and that it is
<br />.y responsibility to identify what actions I must take to be in co.pliance. Such agencies include but are not limited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />t Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Department of Health I. Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treahent, Septic Tanks
<br />t US Environ.ental Protection AQencv - Asbestos abatement
<br />I also certify that, if fill .aterial is to be used in Flood Zone "AU or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volume" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait 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 issuance of a perlit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid
<br />unless the work authorized by such perlit is co..enced within six months 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 cOlienced. One 90 day extension of time, lay be
<br />allowed for 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 lonth period~ or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT,MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LE~DER OR AN ATTORNEV BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AN~ POST A "NOTICE OF COMMENCEHENTu.
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was ackno\o'lledged
<br />19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befcl\-e me th i s
<br />
<br />~'Jas ac knc,\o') 1 edged
<br />19 by
<br />
<br />who is personally known to me or who has
<br />produced ______ .___
<br />as identification and wh~ did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />a3 ~jentlflcatic~ 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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