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<br />CONDIfIONS OF PERMIT AFFIDAVIT
<br />A. NOT ICE OF DEED RESTRICT IOI'~B .
<br />The undersigned understands that this perlit ~ay be subject to "deed restrictions" which lay be lore restrictive lhan City
<br />regulations, The undersigned assules responsibility for co~pliance with any applicable deed restrictions,
<br />
<br />B. I)NL I CENSED CONTRACTORS At,!JL,I:;:_O!JT81i(::_TQR 8..r:;:,St~PNEiI BJ L.!..T I E2
<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 law, If the owner or intended contractor are uncertain as to what licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, IBI31
<br />7BB-bbll.
<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 "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 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 TRANE?PORTATION H1PACT FEES AND UT ILI_TYJ;::ONNECT I 01'( FEE,~,
<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 sOleone other than the
<br />.owner" , 1 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 />"owner" prior to coetencelent.
<br />
<br />E. CONl:RACTOR I S/OHNER 'S AFF I,!Hi~J 1,1.
<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 developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. 1 certify that no work Dr
<br />installation has coelenced prior to issuance of a pertit and that all work will be perforled to leet 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 tay apply to the intended work, and that it is
<br />'y responsibility to identify what actions I tust take to be in co'pliance. Such agencies include but are not li_ited to:
<br />. Departeent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ,entally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaQeeent District - Wells, Cypress Barheads, Wetland Areas, Altering Watercourses
<br />f Arav Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Departaent of Health l Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treateent, 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 Zone "A" or "A,ete,', it is understood that a drainage plan
<br />addressing a "cotpensating voluae" will be subtitted whieh is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />
<br />A perlit issued shall be construed to be a license to proceed Kith the work and not as authority to violate, canrel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code, Every pertit issued shall becole invalid
<br />unless the work authorized by such pertit is co.,eneed within six lonths of issuance, Dr if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six ,onths after the tile the work is cottenced. One 90 day extension of tile, lay be
<br />allowed for the pertit 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 Mill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCEKENT nAY RESULT IN YOUR PAYING TWICE FOR I"PROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY, BEFORE RECORDING YOUR NOTICE OF
<br />CO"KENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM"ENCE"ENT".
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<br />U/~-
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<br />SIGNATURE: OHNER OR AGENT~ JU~Jtr~~;3t?lt~
<br />
<br />
<br />STATE OF flORIDA d::?~) /)\.: ~
<br />COUNTY OF ~, f.a...-~ ~
<br />The foregoing instrument was acknowledged
<br />before me this , 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 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 or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(S i gna tLll-e)
<br />
<br />(Signature)
<br />
<br />(Name Typed~ Printed Dr Stamped)
<br />NOT ARY PUBLI C
<br />
<br />(Name Typed~ Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
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