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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait aay be subject to "deed restrictions" which lay be lore restrictive than Citi
<br />regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake Nork, they lay be required to be licensed in accordance .ith
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay b~
<br />cited for a aisdeaeanor violation under state IaN. If the owner Dr intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, i813l
<br />788-6611.
<br />
<br />Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions (;f the
<br />"Contractor Sections" of this application for which they Nill 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 NorK. If the contractor Nishes you to 51g0
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges ir the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided Nith a copy of "Florida's Construction Lien LaN - HOleoNner's Prot~ction
<br />Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is sOleone other than tce
<br />"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it ti' the
<br />"oNner" prior to co.aenceaent.
<br />
<br />.,
<br />i
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all Nork will be done in coapliance with all
<br />a~plicable laNs regulating construction, zoning, and land developaent.
<br />
<br />,
<br />
<br />Application is hereby aade to obtain a perait to do Nork and installation as indicated. I certify that no NorK or
<br />installation has co.aenced prior to issuance of a perait and that all Nork Nill be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies aay apply to the intended NorK, and that it is
<br />ay responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not liaited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/WasteNater Treataent
<br />f SouthNest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable WaterNays
<br />f De artaent of Health & Rehabilitative Services Environaental Health Unit - Wells, WasteNater Treatlent, Septic Tanks
<br />f Environlental Protection AQency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage pla;i
<br />addressing a "colpensating volule" will be sublitted Nhich is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the NarK and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a ~erlit prevent the Building Official froD thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole ir,valid
<br />unless the NarK authorized by such pertit is coatenced Nithin six lonths of issuance, or if work authorized by the perm1t is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOltenced. One 90 day extension of tile, ~a, be
<br />alloNed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection aust be logged during each six to nth period, or the project will be considered abandoned.
<br />IIARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TI/ICE FOR IMPROVEMENTS TO ',OUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IIITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OIlNER OR AGENT
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COuNTY OF
<br />The foregoing instrument
<br />befctl-e me th i s
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />vJa.s ackno\.jledgE.d
<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 />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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