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<br />CONDI~ION5 OF PERMIT AFFIDAVIT
<br />A. t-IOT l.J,:E OF _:Q.~ED_RE~TR I CT I OI\IE;
<br />The undersigned understands that this per.it lay be subject t~ "deed restrictions" which .ay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for co~plian[e with any applicable deed restrictions.
<br />
<br />B. WNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />I f the owner has h ired a contractc.r or contract~'~~-t~~-~~-rtake -;ork, th;Y';;Y'" be-~~q;i-;;dt;t;;"iicensed in accordance wi th
<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 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, IBI3)
<br />7BB-bbll.
<br />
<br />Further.ore, if the owner has hired a contractor or contract~rs, he is advised t~ have the contractor!s) 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 contract~r, are responsible for the Nork. 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 t~ per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORT A T I ON I t'1Pt4CT FEE~ f.-)tm UT 1"- I TV .J.::;ONNECTJ 01'''._ FEE.;?.
<br />
<br />D. ~ONSTRUCTION ,=_IEN LAW. (CHAPTER 713~ FUJF:ID{) STATUTES~ ;C,S ()1'1ENDED)
<br />I certify that I, the applicant, have been provided with a copy ~f "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 docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to co..ence.ent.
<br />
<br />E. CONTRr,CTOR I S/OHNE~":""'!:L AFF:..LPIlY II.
<br />I certify that all the infor.ation in this application is accurate and that all work "ill 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 or
<br />installation has co..enced prior to issuance of a per.it and that all work "ill be perfor.ed to .eet standards of all laws
<br />regulating construction, City c~des, 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 .ay 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 n~t li.ited to:
<br />, Depart.ent of Environ.ental ReQulation - Cypress Barheads, Hetland Areas and Environ.entally Sensitive Lands,
<br />Water/Wastewater Treat~ent
<br />, Southwest Florida Nater ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Hells, Wastewater Treat.ent, 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,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating volute" will be sub.itted which is prepared by a professi~nal engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A perait issued shall be construed to be a license to proceed with the "~rk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
<br />unless the work authorized by such per.it is co.,enced within six .onths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extensi~n of ti~e, .ay be
<br />allo"ed 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 .ust be logged during each six .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT nAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: OHNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />was acknowledged
<br />, 1? _ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befclj-e me th i s
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />\l'Ji\S 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 />pl-oduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(SignatLn-e)
<br />
<br />(Signature)
<br />
<br />(Name Typed~ Printed or Stamped)
<br />till.TAR_L PUBLIC
<br />
<br />(Name Typed, Printed Clj- Stamped)
<br />NOTARY PUBLIC
<br />
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