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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />(). NOT I.CE OF DEED RE$..:.rRl.GTLONE';
<br />The undersigned understands that this pertit lay be subject to "deed restrictions" which tay be lore restrictive than City
<br />regulations, The undersigned assules responsibility for cOJpliance with any applicable deed restrictions.
<br />
<br />B. !JNL I CENSED CONTRACTORS A.t.1!L.f;J;::lNIBl1.~LOR _F.:;:~9_LQt~9-.L~_I L LIITfl
<br />If the owner has hired a contractor or contractors to undertake work, they may 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 tisdeleanor violation under state laM. 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 Departlent, IBI3)
<br />7BB-bbll.
<br />
<br />Furtherlore, 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 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 Mork. 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. TRANSPORTATION IMPACT FEE? AND UTILITY ~ONNECTION 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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner", 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 cottenCelent,
<br />
<br />E. CONTRACTOR I S/OWNER I S AFF I D0Y-I.T
<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 laMS regulating construction, zoning, and land developtent,
<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 coatenced prior to issuance of a perlit and that all work will be perforaed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent 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 ayst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />, Departtent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and EnvironlentaIly Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />, Southwest Florida Water nanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />, Departtent Df Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />. US Environ.ental Protection Aqenty - Asbestos abatelent
<br />I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,ett.', it is understood that a drainage plan
<br />addressing a "colpensating volute" will be sub.itted which is prepared by a professional engineer registered in the state of
<br />Florida prior to per.it 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 of the technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every per.it 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 or abandoned for a period of six tonths after the tite the work is co.tenced. One 90 day extension of tile, tay 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 sir. tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCE"ENT nAY 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 />CO""ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />Lt~~
<br />
<br />SIGNATURE: C TRACTOR
<br />
<br />-
<br />
<br />SIGNATURE: OWNER OR AGENT
<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 />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 a~d 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 />
<br />take an oath.
<br />
<br />(SignatLu-e)
<br />
<br />(SignatUi-e)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARV_ PUBLIC
<br />
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