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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A~ NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait .may be subject tD 'deed restrictions' which aay be Gore restrictive than City
<br />regulations. The undersigned assules responsibility for coapliante with any applicable deed restrictions.
<br />
<br />B. UNL I CENSED CONTRACTORS AND CONTRACTOR Fj,[;.qF'QJiID.IJ3 I LIT I E8..
<br />If the owner has hired a contractor or contracto~s to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations. If the- tanhador is not'.'licensed as required by lal1, both the ('I1ner and contractor uy be
<br />cited for a lisdeaeanor 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, (B131
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
<br />'Contractor .Sections' of this application for Mhich 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 per~itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTlQl\j FEE~,
<br />
<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 'FIorida's Construction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is SOleone other than the
<br />'oMner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />'oMner' prior to cOI~encelent!
<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 Mith .all
<br />applicable laMS regulating construction, zoning, ~nd land developlent.
<br />
<br />Application is hereby tade to obtain a pertit t~ do Mork and installation as indicated. I certify that no work or
<br />installation has cOI~enced prior to issuance of. a pertit and that. all Hork will be performed to seet standards of all laws
<br />regulating construction, City codes, zoning reg'ulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern=ental agencies lay 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 limited to:
<br />f Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environ=entally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar IY Corps of EnQ i neers - Seawa 11 s, Docks, Havigab 1 e Ha tl!TKays- - '
<br />. Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - ~ells, Wastewater Treataent, Septic Tanks
<br />f US Environmental Protection AQency - Asbestos abatement
<br />I also certify that, if fill .aterial is to be used in Flood Zone 'A' or 'A,etc,', it is understood that a drainage plan
<br />addressing a 'coJ!lpensating volule' will be subaitted whicb}s pr~p_ared by a professional engineer registered in the state of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed Kith 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 permit prevent the Building Official froD thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every periit issued shall beCOie invalid
<br />unless the Mork authorized by such permit is comlenced within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tiDe the Hork is COQgenced. 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 logged during each six ~onth period, Dr the project will be considered abandoned.
<br />HARNING TO OHNER: Y~UR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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 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 />~~.
<br />
<br />SIGNATURE: OWNER 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 was acknowledged
<br />befc,\-e me this , 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<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 />(Signa tun::, )
<br />
<br />(SignatUJ-e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY Plll)L I~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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