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<br />'''. ....v.:.:.
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RE_STRIC"pONr3
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS ~.ND_._CqtHfi.ACTOR RE;.Se.ONSIBILITIES
<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 the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to "hat licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131
<br />7BB-MII .
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indic~tion that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION H1PACT FEES AND UTILITY .cONNECI)ON FEE.9-.
<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 - HOleowner'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 docn.ent and pro.ise in good faith to deliver it tD the
<br />"owner" prior to COllence.ent.
<br />
<br />E. (,:ONTRACTOR ' S/mJNER ' !:L_AFF:..I.D(!~Lr.
<br />I certify that all the inforlation in this application is accurate and that. all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a per.it and that all work "ill be perforled to .eet standards of all laws
<br />regulating construction, City codes, toning regulations, and land developlent 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 />IY responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not li.ited tD:
<br />, Departlent of Environ.ental ReQulation - Cypress Barheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Yater/Wastewater Treat.ent
<br />I Southwest Florida Water "anaQelent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />J. Ar.v Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />, Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />, US Environ.ental Protection AQenev - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" ~r "A,elc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be subtitted 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 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 perlit prevent the Building Official frol thereafter
<br />requiring a correction of errDrs in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such periit is cOltenced within six tonths of issuance, Dr if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six .onths after the tiae the work is coatenced. One 90 day extension of tile, lay be
<br />allowed for the per.it 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, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCltfG, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMKENCE"ENT".
<br />
<br />SIGNATURE: OHNER 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 />befc,re me this
<br />
<br />"Ias ac kno,,1l edged
<br />, 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-odLlced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />~.QTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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