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<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it~ay be subject to "deed restrictions' which may be lore restrictive than City
<br />regulations. The undersigned assules responsibility for COlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRA~IOR P.ES~91~~I8ILITIEa
<br />If the ONner has hired a contractor or contractors to undertak~ work, they may be required to be licensed in accordance with
<br />state and local regulations. If the' cb'rit'ractor is not"licensr:d as required by law, both the c,wner and contractor lay be
<br />cited for a lisdeleanor violation under state ILw. If thp. owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, the;' ~re advised to contact the City of Zephyrhills Building Department, (BI3)
<br />78B-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sJ 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 Ilay 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.UT~ITY CONNECTION 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 "Florida's Construction Lien Law - HOleowner's Protection
<br />6uide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'oNner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it tD the
<br />~oNner" prior to cOlmencelent~
<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 cOlpliance with ,all
<br />applicable laNS regulating construction, zoning, 'and land developlent.
<br />
<br />Application is hereby lade to obtain a per.it to do Nork and installation as indicated. I certify that no Nork or
<br />installation has commenced prior to issuance of" a perlit and that all work will be perfor~ed to leet"standards of all laws
<br />regulating construction, City codes, zoning regulations, and ,land 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 />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not liaited to:
<br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environ~entally Sensitive Lands,
<br />"Hater/Hastewater Treatment
<br />I Southwest Florida Hater ManaQelent District - Hells, Cypress Bayheads, Hetland Areas, Altering WatercDurses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a 'collpensating volule' will be submitted whic~_is pr~~ared by a professional engineer registered in the state of
<br />Florida prior to perllit issuance.
<br />
<br />A pertit 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 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 becole invalid
<br />unless the work authorized by such permit is cOIDenced within six months of issuance, or if ~Drk authorized by the permit is
<br />suspended or abandoned for a period of six months after the tile the work is comgenced. One 90 day extension ofti~e, lay be
<br />allowed f~r the perait 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 month period, or the project will be considered abandDned.
<br />WARNING TO OHNER: YUUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR rAYING TWICE FOR IHPRoVEftE"T~~TO YOUR
<br />PROPERTY. IF YOU INTEND TO oBTAIH FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY DEFORE RECORDING YOUR NOTICE OF
<br />CO"'NC"'NT. JOBS "HD'R ",500 I' Vnl"' DO NOT NE'O TO R,CORO ~ ~~>
<br />
<br />
<br />
<br />SI6NATURE: OWNER OR AGENT ,. SIGNATURE: CONTRACTOR
<br />
<br />was acknDwledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befell-e me th i 5
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />Vias acknol.Jl edged
<br />, 19 by
<br />
<br />~ho is personally known to me Dr who has
<br />pl-oduced
<br />as identification and who did/did not
<br />take an oath.
<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 />(Signatun~)
<br />
<br />(SignatLn-e)
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />IjOTARY Pl,J,f.jL I~
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
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