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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 'Iay be subject to "deed restrictions" which aay be lore restrictive than City
<br />regulations, The undersigned assu.es responsibility for co.pliance with any applicable de~d restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If,ttr~"tontractor is not. I icensed as required by la"" both the owner and contractor lay be
<br />cited for a .isdeaeanor violation under state law. If the owntr 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 , Zephyr hills Building Depart.ent, (813)
<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 which they will be responsible, If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the cDntractor, 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 FEES,
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that 1, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Depart.ent-of Agriculture and Consu.er Affairs. If the applicant is sOleone 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 co.mence.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 compliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent,
<br />
<br />Application is hereby made to obtain a permit to do work and installation as indicated, I certify that no work or
<br />installation has com.enced prior to issuance of a permit and that all work will be performed 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 governmental agencies may apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not lilited to:
<br />f Department of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, DOCKS, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatement
<br />I also certify that, if fill laterial 1S to he used in Flood 10ne "A" or "A,etc.', it' is understood that a drainage plan
<br />addressing a "colpensating volu.e" Mill be submitted 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 proceeo Mith 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 frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every per.it issued shall beco.e invalid
<br />unless the Mork authorized by such pertit is co..enced within six .onths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the ti.e the work is cOleenced, One 90 day extension of tile, lay be
<br />alloMed for the perlit 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 .onth period, or the project will be considered abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR lKPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />C~KENCE"ENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
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<br />
<br />C2~~
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF r ~
<br />The foregoing inp~~~ent was a~~owledged
<br />before me this /U/ ,19~~ by
<br />
<br />~fGb
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identifi
<br />take an
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing in~trument was aC?:1IWledged
<br />befol-e me this /(J - ) ~ 19 by
<br />
<br />who is per~1 k/;o'(f~~r who has
<br />
<br />produced
<br />as iden
<br />take
<br />
<br />
<br />.......---.---~~
<br />
<br />(Name Typed~ Print~d cr Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed ~ Pri nted or Si;3mped)
<br />NOTARY PUBLIC
<br />
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