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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait lay be subject to udeed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay 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 misdemeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirements may apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthermore, 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 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 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 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, bave been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the
<br />"owner" prior to couenceJent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<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 bas cOllenced prior to issuance of a perlit and that all work will be perfofled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is
<br />my responsibility to identify what actions I must take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Army Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US Environaental Protection Agency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood tbat a drainage plan
<br />addressing a "cOlpensating volume" will be submitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to permit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a permit prevent the Building Official frCl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peflit issued shall becOle invalid
<br />unless the work authorized by sucb permit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tbe the work is cOIIenced. One 90 day extension of tae, JaY be
<br />allowed for the peflit 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 IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKMENCKKENT KAY RESULT IN YOUR PAYING twICE FOR IMPROVKKEHTS TO YOUR
<br />PROPERTY. IF YOU IKTKND TO OBTAIN FINANCING, CONSULT ~ITH 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 uNOTICE OF COKMENCKKENT".
<br />
<br />~_ ~0. ~
<br />
<br />SIGNATURE: OWNER OR AGEKT
<br />
<br /><':..,
<br />
<br />
<br />--
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF . J' ,~
<br />The foregOing ins~~ent was acknowledged
<br />before me thiS_~d-~ , 191s by
<br />
<br />\
<br />
<br />who is personally known to m
<br />pro uced
<br />as identification and who did/did not
<br />take an ".,th. # 1) _
<br />~~~~
<br />(Signature)
<br />
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~
<br />The foregoing~iDs~~t was acknowledged
<br />before me thi~j, 19~ by
<br />
<br />/l,/
<br />who is ersonally known to me)or who has
<br />./
<br />produced
<br />as identification and who did/did not
<br />take an~~.,~,_
<br />(Signature)
<br />
<br />Stamped)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />""",~
<br />.~ DONNA M SINCLAIR
<br />* * My Commission OC3Sll1l8
<br />..... Expires Jun. 14.1Q8&
<br />~ Of f'LfII!>'"
<br />
<br />(Nam~ Typed, Printed or
<br />NOTARY PUBLIC ~~~
<br />
<br />.W*
<br />
<br />~O'f'L"
<br />
<br />DONNA M SINCLAIR
<br />My Commission CC382619
<br />Expires Jun, 14.1998
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