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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTR ~IONS
<br />The undersigned understands that this pel...". lay be subject to "deed restrictions" which ,....1 be lOre restrictive than City
<br />regulations. The undersigned assutes responsibility for cOIpliance 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 JaY be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lay 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 />.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 JaY be an indication that he is not properly licensed and is not entitled to pertitting 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 - ROJeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture.and ConsUJer Affairs. If the applicant is SOleone other than the
<br />.owner", I certify that I have obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOJJenceJent.
<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 cOlpliance 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 has cOllenced prior to issuance of a pertit and that all work will be perf oIled to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDJeDtal agenCies JaY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Departlent of EnvironJental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water ManageJent District - Wells, Cypres! Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvironJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US Environlent~l Protection Agency - ~Sb2St03 abatement
<br />I also certify that, if fill Jaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOlpensating volute" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is coaenced. One 90 day extension of tile, JaY be
<br />allowed for the pertit 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 HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMIlITS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ON AN lI'l'TORHEY BEFORE RECORDING YOUR NO'l'ICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEMEN'l".
<br />
<br />
<br />~l~
<br />~ v
<br />SI ATORE: OWNER OR AGEN'l~"
<br />
<br />;;)~ 7//;{vt:::
<br />SIGNATURE: COtttJACTO~
<br />
<br />STATE OF FL~IDA
<br />COUNTY OF j, \ ne U(&.-
<br />The foregoing in~trument was ~cknowledged
<br />before me this \Jhcf ~, 19CW by
<br />
<br />STATE OF FLORI~
<br />COUNTY OF KIY\el.hG
<br />Th~ foregoin~ instrument was_ac~owledged
<br />before me tlllS 12f16C-fY'~ ' i9~ by
<br />
<br />,/,,110-'19. personally known to)ne or who has
<br />C produced-- . ,-
<br />as identification and who did/~t
<br />
<br />.~-m~
<br />' v lJ/lU
<br />( J.gn ture)
<br />8'-6e (Yl. vy\t oUr v'f
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />+t:>'~" ELYSE M MCQUIRE
<br />iW* My C<II'. ~,julanOC42tOO8
<br />* ecpn. Nov. 18,1_
<br />"'... _......- Bonded ~ HAl
<br />'fltOfP.IfI"- 800-422-1_
<br />
<br />who is personally known to ffi2 qr who has
<br />protlUced ----,----
<br />as identification- dud who did/did---Det
<br />
<br />t~ an ~.=-m ~
<br />o ~ ' r I J..JJ\,it
<br />(Sign t~re)
<br />0\ ~(YI yY\ ',,1..0 {
<br />(Name Pr~ 1H:G8i1amped)
<br />NOTAR Myc......J Jinncc..a1008
<br />ecpn. Nov, 18, 1888
<br />Bonded by HAl
<br />SOO..-zl-1l566
<br />
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