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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 .ay be .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they .ay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be
<br />cited for a .isde.eanor violation under state IaN. If the ONner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Depart.ent, (8131
<br />7B8-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />.Contractor Sections" of this application for which they will be responsible. If you, as the ONner 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 .ay 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 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 - Ho.eowner's Protection
<br />Guide. prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to co..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<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 co..enced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is
<br />'Y responsibility to identify what actions I .ust take to be in coapliance. Such agencies include but are not li.ited to:
<br />I Depart.ent of Environ.ental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water ftanaqeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />I US Environ.ental Protection Aqency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan
<br />addressing a .co.pensating volu.e" .ill be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it 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 per.it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becole invalid
<br />unless the work authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"ftENCEftENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMftENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT",
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<br />
<br />~:J ~ 4!d:!.TRACTfJu-4U~
<br />
<br />STATE OF FLO)tP~
<br />COUNTY OF . <;" Cf)
<br />The foregoing i~t~~. acknowledged
<br />before me this 1~ by
<br />
<br />'/ JfrJ ))/1-1 <; ~. L/t5~ 1)f Am
<br />who is personally known to me Dr who has
<br />pl-odLlced PI j) L-
<br />as identification and whc. did/did not
<br />
<br />tak~~ jJ .o~l~
<br />(SignatLlre). . ; '.. '. d
<br />, SJI ftf leFf;(. V, PFU ;TS ('
<br />(Name Typed / rinted Ctr Stamped)
<br />NOT ARY PUBLI C
<br />
<br />STATE OF FLORID
<br />COUNTY OF
<br />The forego ng in~l!Llment was acknowledged
<br />befc'j-e me this,P1~Jd.l ' 19 q3 by
<br />
<br />R /Cj(/J;tY;J If)CL/fF/1::-1 D
<br />who is pers~~lly knoloW t~.me~~.s.~5~ has
<br />prodLlced ~~ ~~
<br />as identi ficatiol").and<wlJo did/did nCtt
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<br />
<br />(Name Typed, F.1.r: n~ea or . Stamped )
<br />NOTARY PUBLIC .
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