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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF pEED RESJRICTIONS.
<br />The undersigned understands that this per.it .ay 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. !JNLICENSED CONTRACTORS AN!LJ~;_QtJTRACTOR ~J;SF:'J!l,JSIBIL.ITl~~
<br />If the owner has hired a contractor Dr contractors to undertake work, they lay 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 />reQuire.ents .ay apply for the intended "or~, they are advised to contact the City of Zephyrhills Building Depart.ent, IBI3)
<br />7BB -bb I 1.
<br />
<br />Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorls) sign portions of the
<br />"Contractor Sections" of this application for which they "ill 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 Mork. 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 lephyrhills.
<br />
<br />(' TRANSPORTATION H1PACT FEE!? AND UTILITY CONNECTION FEE.S.
<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 docll.ent and pro.ise in good faith to deliver it to the
<br />BOHner' prior to co..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVII
<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, zoning, and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work Dr
<br />installation has cOI.enced prior to issuance of a per.it and that all work will be perfor.ed 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 governaental 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 li.ited to:
<br />, Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />, Southwest Florida Water "anagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />, Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, WasteMater Treatlent, 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" Dr "A,etc.", it is understood that a drainage plan
<br />addressing a 'co.pensating voluae. Mill be sublitted which is prepared by a professional engineer registered in the state of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed Kith 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 fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the Mork authorized by such periit is co.tenced within six lonths of issuance, Dr if work authorized by the per.it is
<br />suspended Dr abandoned for a period of six tonths after the ti.e the work is cO'lenced. One 90 day extension of ti~e, .ay be
<br />alloMed for the periit Kith 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, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT MAY RESULT IN YOUR PAYING TWICE FOR I"PROYEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COM"ENCE"ENT. 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 instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />who is personally known to me 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 />(SignatLll-e)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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