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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. t-IOT]; CE OF pEED RESTR I CT IONf3
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be eore restrictive than City
<br />regulations. The undersigned assuees responsibility for co~plian(e Kith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors ~~~dertake work, they .ay-be required to be licensed in accordance Kith
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor eay be
<br />cited for a eisdeeeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireMents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart_ent, (813)
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of lephyrhills.
<br />
<br />(,'
<br />.' .
<br />
<br />TRANSPORTATION IMPACT FEE? AND UTI~ITY_~ONNECTION~E~
<br />
<br />D. CONSTRUCTION LIEN LAW (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 - Ho.eowner'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 document and prolise in good faith to deliver it to the
<br />"owner" prior to coelencelent.
<br />
<br />E. !;ONTRACTOR' S/mJNER' S _BEf--I.P0.Y-II.
<br />I certify that all the inforlation in this application is accurate and that. all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pereit to do work and installation as indicated. I certify that no work or
<br />installation has coeeenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developeent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in coepliance. Such agencies include but are not li.ited to:
<br />, Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />, Southwest Florida Water ManaQe.ent District - Wells, Cypress aayheads, Wetland Areas, Altering Watercourses
<br />f Arty Corps of Enqineers - Seawalls, Docks, Navigable WaterMays
<br />, Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />* US Environlental Protection Aqency - AsbestDs abate.ent
<br />I alsD 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" Mill be sub.itted which is prepared by a profes~ional engineer registered in the State of
<br />Florida prior to per.it 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, Dr
<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 perlit is co..enced within six tonths of issuance, or if work authorized by the pertit is
<br />suspended Dr abandoned for a period of six lonths after the ti.e the work is cot.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 lonth 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 />COMMENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />was acknol1ledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregDing instrument
<br />befDre me this
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />Iflas acknolflledged
<br />, 19_ by
<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 />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 />(S i gna tLll-e)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />t.~QJAR'(l:.~LIC
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOT ARY PUBLI C
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