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<br />. .. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to .deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles 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 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 lilY be
<br />cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />UContractor Sections II 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 perJitting 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, have been provided with a copy of "Florida's Construction Lien Law _ HOJeOWner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sllleone other tban the
<br />.owner", I certify tbat I have obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to couencl!leIlt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<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 developllent.
<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 cOllenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida W~ter HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnviroDJental Protection Agency - Asbestos abateJent .
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or IIA,etc.", it is understood that a drainage plan
<br />addressing a .cOlpensating volllle" will be subJitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perJit prevent the Building Official frill thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
<br />unless the Ifork authorized by such perJit is COIIenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is c~ced. One 90 day extension of tile, lilY be
<br />allowed for tbe perJit 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 IOntb period, or the project will be considered abandoned.
<br />WARMING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCEMENt MAY RESULT IN YOUR PAYING TIIICE FOR IMPROVBMmS TO YOUR
<br />PROPER'lY. IF YOU INtBND TO OBTAIH FIHAJfCIlfG, CONSULT WITH YOUR LIHDER OR AI AnoRm BIFORE RECORDING YOUR HorICI OF
<br />COMMEN JOBS UffDER $2,500 IIf VALUE DO NOT NEED TO RECORD AID POST A " OF COMMENCEMENt".
<br />
<br />~.
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<br />
<br />
<br />STATE OF FLORIDA
<br />COUlfTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF F~RIDA ~
<br />COUNTY OF r ~
<br />The foregoing instrument was aCknowledged
<br />before me this .blb7~ NN milt, 19~ by
<br />
<br />who is personally
<br />produced
<br />as identification
<br />take an oath.
<br />
<br />known to me or who has C:~~~~~~~~~~~~iiYkno~to miD or who has
<br />and who did/did not as identification and who did did not
<br />take oc) h
<br />
<br />(Signature)
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />.' ~~ ll:1& Bobble S. Swetland
<br />t! :~ WN COMMISSION' CC534927 FXPIi.,.
<br />'~i'" . *-'<l Februaiy 22. 2000
<br />.'.~p.f.f.,~.' BONDeD llIRIJ TROY FAIN INSURANCE. ,,-:
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