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<br />CONDITIONS OF P~RMIT AFFIDAVIT
<br />A.,' NOT, I CE OF DEED RESTR I CT I [I~J~~;
<br />The undersigned understands that this peraitlay ~e subject to 'deed restrictions" which lay be lore restrictive than C~ty
<br />regulations. The undersigned assuaes responsibility for coapliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to ~"JertaLe work, they may be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not icensert as requir2j by law, both the owner 3nd contractor aay be
<br />cited for a aisdeaeanor violation under state law" If the owner or intended contractor are uncertain as to tlhat licensing
<br />requireaents aay apply for the inhmded ImrK, the'f art: il,t.\'ised tr [(dact the City of Zephyrhills Building Depart.ent, (813)
<br />788-6611.
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<br />Furtheraore, 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 yo:]: 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 pro~erly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2.
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<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 - Hoaeowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuaer Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />"owner" prior to coaaence.ent.
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<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 cOlpliance with all
<br />applicable laws regulatinq construction, zoninq, 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 co..enced prior to issuance of a per.it and that all work will be performed to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I .ust 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 Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />f Departaent of Health ~ Rehabilitative Services, ~nvironlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abate.ent
<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 .colpensating voluae" will be sublitted which is prepared 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 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 perait 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 becoae invalid
<br />unless the work authorized by such per.it is co..enced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the tile the work is cOltenced. One 90 day extension of tile, lay be
<br />allowed f~r the permit with fee charge of $15.00. The extens;on shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each ~ix lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YUUR FAILURE TO RECUR!> A 1l0nCE OF CGMMENCEMENT MAY 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 />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />~ 1
<br />" ~, lY~!Jj11l.J,V"
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<br />'''' E: R OR 'O~
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<br />SIGNATURE: CONTRACTOR
<br />
<br />tIl-cO /'> ~-
<br />
<br />STATE OF ELDRIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />b2fc:~-~ m~ ~h~.~ ____0" 19 by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befcol-e me th i s
<br />
<br />\f-Jas acknN.Jledged
<br />19 by
<br />
<br />who is personally known to me 0r 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 />produced
<br />as identification 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 />f:lOTARY PUBLIC
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