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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOT I.CE OF DEED REJ?JR1CT.l..OI\IE_
<br />The undersignpd undprstands that this per.it lay be subjpct to "deed restrictions" which .ay bp 'Orp restrictivp than City
<br />regulations. The undprsignpd assules rpsponsibility for ro~pliance with any applicable depd restrictions,
<br />
<br />B. !...INL I CENSED CONTRACTORS ~t.!I;L.129!:tLRA~_.:rOR RJ;;,S..f:~Q1\1qI B_1 L iT 1 E!;i
<br />If the owner has hired a contractor or contractors to underlakp work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licpnsed as rpquired by la", 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 work, they are advised to contact the City of Zephyrhills Building Depart.ent, IBI31
<br />7BB-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 .ay be an indication that he is not properly licpnspd and is not pntitlpd to ppr.itting privilpgps in thp
<br />City of lpphyrhills.
<br />
<br />C. TRANSPORTATION H1Pt='tCT FEE~ ?-lND UTI!-ITY._!;:ONNECTI0N FEES
<br />
<br />D. !=ONSTRUCTION I"..JENl-AIi (CHAPTER 713~ FUJRID{) STATUTES, r,s AI'1ENDED)
<br />I certify that I, thp applicant, have bppn provided "ith a copy of "Florida's Construction Lien Law - Ho.eo"ner's Protpction
<br />Guidp" prepared by the Florida Dppart.ent of Agriculturp and Consuler Affairs, If the applicant is so.eonp other than the
<br />"o""pr", I certify that I have obtained a copy of the above described docu.pnt and pro.ise in good faith to dpliver it to thp
<br />"oMner" prior to co..encp.ent.
<br />
<br />E, !,:ONTRACTOR' S/O\.-JNER ' S _ AFF:.iPllY-.!.I
<br />I cprtify that all the infor.ation in this application is accuratp and that all work will bp donp in cOlpliance with all
<br />applicable laws regulating construction, loning, and land develop.ent,
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOI.enced prior to issuance of a per.it and that all work "ill be perforled to leet standards of all laws
<br />regulating construction, City codps, zoning regulations, and land develop.ent regulations in thp jurisdiction. I also
<br />cprtify that I undprstand that the regulations of other governlPntal agencies .ay apply to the intpnded work, and that it is
<br />'Y responsibility to idpntify what actions I .ust tatp to be in co.pliance. Such agencies include but are not li.ited to:
<br />, Depart.ent of EnvironlentaI Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater TreatMent
<br />· Southwest Florida Nater nanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altpring Watercourses
<br />f. ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />, Departlent of Health & Rehabilitative Sprvices, Envir~n.ental Health ~~jt - Wells! Wastewater Treat.ent, Septic Tanks
<br />, US Environ.ental Protection Aqency - Asbestos abate.ent
<br />I also certify that, if fill .atprial is to be uspd in Flood lone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating volulP" Mill be sub.itted which is prepared by a professional engineer registerpd in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A perlit issued shall be construpd to be a license to proceed with 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 thp Building Official fro. therpafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such per.it is cOI.enced within si~ lonths of issuance, or if Mork authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after thp tile the work is cOI.encpd. One 90 day extension of tile, lay be
<br />allo"ed for the per.it with fee charge of '15.00. The extpnsion shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six lonth period, or the project will be considerpd abandoned,
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEnENT nAY RESULT IN YOUR PAYING TWICE FOR IKPROVEnENTS TO YOUR
<br />PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COn"ENtE"ENT. JOBS UNDER $2,500 IN YALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF connENCEnENT.,
<br />
<br />
<br />
<br />SIGNATURE. OWNER OR AGENT -~ ~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befor-e me this
<br />
<br />was acknowledged
<br />, 19 _ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc'l-e me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />who is personally known to me Dr who has
<br />p,-oduced
<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 />.\
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C
<br />
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