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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NQI.H::E OF _DEED.--f:ESJRI j:T.l..Q.!:m,
<br />The undersigned understands that this per.it lay 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,
<br />
<br />B. !Jt~L I CENSED CONTRACTORS __8NP__t;_Q!jJJ3...8J;_LQR ....BE:9.E:m~!:iI.~_I L!.I I Eq
<br />If the owner has hired a contractor or cDntractors to undertake work, they m~y 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 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 Depart.ent, (8131
<br />788-6611.
<br />
<br />Furthermore, 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 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 perlitting privileges in the
<br />City of Zephyrhills,
<br />
<br />C TRANSPORTA T I ON I MPACT F_E~!:L {)NQ... UT IJ.. I TY ..J.:,;.QNNECTJ OJ::L.EEE~.
<br />
<br />D. CONSTRUCTION LIEN LA~ (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 />'oMner. prior to cO'lence.ent,
<br />
<br />E. ~ONTRACTOR'S/OHNER'S AFFIDB.YXI.
<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, 20ning, and land develop.ent,
<br />
<br />Application is hereby aade to obtain a perlit 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 perforled 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 lay apply to the intended work, and that it is
<br />'Y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />, 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 "anaqe.e"t District - Wells, Cypress Fayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />, Depart.ent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />, US Environ.ental Protection Aqency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to be used in Flood lone .A" or "A,etc,., it is understood that a drainage plan
<br />addressing a -co.pensating volu.e- Mill be subtitted 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, Dr
<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 becole invalid
<br />unless the work authorized by such perlit is co..enced within six .onths of issuance, Dr if work authorized by the per.it is
<br />suspended Dr abandoned for a period of six .onths after the ti.e the work is co..enced, One 90 day extension of ti,e, .ay be
<br />allowed for the pertit "ith 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, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCEMENT nAY RESULT IN YOUR PAYING TWICE FOP. 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",
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument1was acknowledged
<br />befell-e me this , 19_ by
<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 Dr who has
<br />pl-oduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(SignatLll-e)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />r~OTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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