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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. t.~UTICE OF PEEILrif_STRI_CTIONE":i.
<br />The undersigned understands that this per.it May be subject to "deed restrictions" which lay be .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />tl . I,,~~JL I CENSED CONTR{~CTORS AI'-JD CONTR{~CTOF\ RESPONS I B I LIT I EE,
<br />If the owner has hired a contractor or c~nt';;do~-~-t~-~~d~;t-~i;';~~i;they--;;;'-'b;;~q;i-r-;d't~-b-;-i'iCl!nsed in accttrdance with
<br />state and local regulations. If the contractor is not licensed as required by laN, both the ONner and contractor lay 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 lIork, they are advised to contact the City of Zephyrhills Building Depart.ent, lBl31
<br />7BB-6611. .
<br />
<br />Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractorls) sign portittns of the
<br />.Cttntractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />yttU 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 licensed and is not entitled to perlitting privileges in t.he
<br />City of Zephyrhills.
<br />
<br />l' IF:ANf?PORTAT I ON I t'lP{-,\CT FEEtLl)N.p__lJ.LLUl.Y...J,:~.gNLiECTLQI'(YEE9-.
<br />
<br />D. CONSTRUCT I ON L I EN '=-.1l.H (CHAPTER 71 3~. FLOR I Dn STATUTES ~ AS AI'1ENDED)
<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 Departtent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'oNner", I certify that I have obtained a copy of the above described docll_ent and prOMise in good faith to deliver it t(l the
<br />'oNner" prior to co..ence.ent.
<br />
<br />E. CONTRACTOR 'S/m'JNEFi~~.J)fE.LD{lY-.!.I.
<br />I certify that all the infortation in this application is accurate and that all work will be done in COMpliance Nith all
<br />applicable laws regulating constructi(ln, zoning, and land develop.ent.
<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 cOI.enced prior to issuance of a perlit and that all work Hill 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 govern.ental agencies .ay apply to the intended Hork, and that it is
<br />ay responsibility to identify what actions I lust take to be in co'pIiance. Such agencies include but are not li_ited to:
<br />I Depart.ent of Environlental ReQulation - Cypress Bayheads, Hetland Areas and Environ.entaIly Sensitive Lands,
<br />Water/Wastewater Treat~ent
<br />I Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Hetland Areas, Altering Waterc(lurses
<br />f ArlY Corps of EnQineers - Seallalls, Docks, Navigable WaterHays
<br />I Depart.ent of Health l Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environ.ental Protection AQency - Asbestos abateMent
<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 besublitted Hhich is prepared by a professional engineer registered in the State (If
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, (lr
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOM 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 "ork authorized by such perait is co.tenced Hithin six .onths of issuance, or if Hork authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the tile the work is co..enced. One 90 day extension of ti,e, lay 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 six tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />(Ldtif0~ ~~
<br />
<br />SIGNATURE: OWNER AGE T SIGNATURE: CONTRACIOR
<br />
<br />STATE OF - IDA .
<br />COUNTY OF ne1
<br />The foregoing instr t I'/as ~Wledged
<br />befof'e me this . ~ 19. by
<br />
<br />r3 (jJj)L<" ~ P f/?r:: U'''' l
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<br />1"1110 is ~c;"'n;a 1 y ImE;wn to me or l~ho has
<br />pr'oduced
<br />as. identification i~~
<br />ke a
<br />
<br />
<br />
<br />me or who has
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