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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. t:!QI.IJ;:E ~E_DEED_REJ~rrp~IJ~.T I ot~iI .
<br />The undersigned understands that this perlit May be ~ubject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for COMpliance with any applicable deed restrictions.
<br />
<br />B. ~NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ollner has hired a contractor or contract~~~t~-~~de~t;k;-;or~ih;y-;;y-b-;-;:~Qtti~edt;;-b;i-i.censed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the ollner and contractor tay be
<br />cited for a .isde.eanor violation under state lall. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended lIor~, they are advised to contact the City of Zephyrhills Building Depart.ent, (9131
<br />799-6611.
<br />
<br />Further.ore, if the ollner 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 lIill be responsible. If you, as the ollner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the lIork. If the contractor Nishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of ZephyrhilIs.
<br />
<br />C. TRANSPORT AT I atl HJPACT FE~!2._ ANP_l:!.Lt!::- 1)'{.J.:;ot'l/Nf:CTLQN FEE~.
<br />
<br />n. ~ON9.JRUCTtm~L_I",LE::tL_LJ~H (CII(WTFR 7 J 3 ~ FLOn.1 Df) STfHUTES ~ AS ()"JENDE}))
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien LaN - HOMeowner'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 />"ollner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to co.aencelent.
<br />
<br />E. t::;ONTRACTOR ' SImmER'S AFF I PI:!Y IT.
<br />I certify that all the inforlation in this application is accurate and that all work lIill be done in cOlpliance with all
<br />applicable lalls regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do 1I0rk and installation as indicated. I certify that no lIork Qr
<br />installation has cOI,enced prior to issuance of a per.it and that all 1I0rk will be perfor.ed to .eet standards of all lalls
<br />regulating construction, City cQdes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations Qf other govern,ental agencies aay apply to the intended work, and that it is
<br />'Y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Departaent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands,
<br />Water/Wastellater Treat~ent
<br />f Southllest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />f ArlV Corps of EnQineers - Seawalls, DQcls, Navigable Waterways
<br />· Departtent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US. EnvirDnlental Protection Aqencv - Asbestos abateaent
<br />( also certify that, if fill .aterial is to be used in Flood Zone "AR or "A,etc.', it is understood that a drainage plan
<br />addressing a "cQapensating volule" "ill be subaitted IIhich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit 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 Qf the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is co..enced within six .onths of issuance, Qr if lIork authorized by the perlit is
<br />suspended or abandoned for a period of six ,onths after the tile the work is co.,enced. One 90 day extensiQn of tile, lay be
<br />allowed for the per.it with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be IQgged during each six lonth period, or the prQject will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT 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 />COM"ENCEMENT. 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 />befor"e me this
<br />
<br />II'las acknol-dedged
<br />~ 19_ hy
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befcq-e me th i s
<br />
<br />II'las ac knell-II edged
<br />~ 19_ by
<br />
<br />who is pers6nally known to ~e Dr 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 />(Signature)
<br />
<br />(Signahn-e)
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />r~OT ARY PUBLI C
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
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