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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A.', NOT I CE: OF DE:E:D RE:STR I CT IONS:, ,
<br />
<br />The undersign~d understands that this per.it lay be subject to 'deed re5tricti~ns' whicn may b~ m~r~ restrictive ~han Ci~y
<br />regulations. The undersigned USUIeS responsibili~Y,fD~ cOMpliance with any applicabl~ need restrlct\on~.
<br />...,.l'. -'\
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the o"n~r has hired a contractor or contractors to undertake work, they may be required t.o be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the OHner and contract~r nay be
<br />cited for a lisdeaeanor violation under state law. , If the owner or intended contractor ar~ uncertain as to what licensing
<br />requirelents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills 8uilding Departeent, (8131
<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 Hhich they will 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 Hork. 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 te, per~itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho~eowner's PrDtection
<br />Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is so!eone 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 cOi~encement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information 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 development.
<br />
<br />Application is hereby lIade to obtain a perlllit to do work and installatic1n as indicated. I certify that no we,rk or
<br />installation has co~~enced prior tD issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laMS
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that 1 understand that the regulations of other governmental agencies ~ay apply to the intended Mork, and that it is
<br />.y responsibility to identify what actions I lust take to be in compliance. Such agencies include bIll ile nDt li~ited to:
<br />
<br />I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi tive L~nds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Hetland Areas, Altering WatercDurses
<br />I Army Coros of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environ~ental Health Unit - W~lls, Wastewater Treat~En~. Septic Tanks
<br />I US Environoental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill matHial is to be used in Fle,od Zone "A" or 'Il,etc.', it is underste.od t!.,t a drainage plan
<br />addressing a 'colpensating volulle' Mill be sub.itted which is prepared by a professional engineer re9ist~ied in the State of
<br />Florida prior to permit iS5u~nce.
<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 prDvisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a correction (If ernrs in plans, ct.nstrudie,n, or violations of any ce,de. Every perillt issued ::hall bcce'le invalid
<br />unless the work authori2ed by such permit is cOllmenced within six months of issuance, or if HOlk authorIzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the time the >>ork is co~menced, One 90 day e=le~5ioll of tile, lIay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspedie.n oust be le'ggedduring each six month period, c.r the pre,j~d will be ce,nsidered dboude.ned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />DATE
<br />
<br />---------------------------------------
<br />
<br />SIGNATUR~---~~NT~------------
<br />DATE___~~?~~~------------------------
<br />~g~~~~~Jhjl-
<br />MY COMMIS~@I~~-----
<br />: Ii *. ~:. Mar 09.1997
<br />. . Hucldeben'Y AIleooiatM lno
<br />"'~ ~ 800-422-1555
<br />..,~ OF f\fj~
<br />
<br />
<br />SIGNATURE__________________________________
<br />OWNER OR AGENT
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT_____________________________
<br />
<br />MY COMMISSION EXPIRES______________________
<br />
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