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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peraitlay 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 OMner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with
<br />state and local regulations. If"tl'ftftotltractor is, not licensed as required by laM, both tile ollner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the olln~r Dr intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the OMner has hired a contractor Dr contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be re~ponsible. If you, as the ollner sign as the contractor,
<br />you are indicating that you, rather than t!J~ contractor, are responsible for the Mork. If the contractor wishes you to sign
<br />as contractor that lay be an indication that ne is not properly licensed and is not entitled to perlitting privileges iri the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~,
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED)
<br />I certify that I, the applicant, have been provided Mith a copy of 'Florida's Construction lien law - HOleollner's Protection
<br />Guide" prepared by the Florida Departlent-Df Agriculture and Consuler Affairs. If the' applicant is sOleone other than the
<br />'oMner', I certify that I have obtained a copy of the above described docuaent and promise in good faith to deliver it to the
<br />"oMner" prior to cOlaencelent.
<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 lIith all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do Mork and installation as indicated. I certify that no work Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laMS
<br />regulating construction, City codes, zoning regulations, and land developlent 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 />IY responsibility to identify what actions I lust take to he in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - SeaMalls, Docks, Navigable Water"~V5
<br />I Departlent of Health L Rehabilitative Service~, Environaent;,l Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environaentul Protection Aaencv - ~sbestos abateient
<br />I also certify that, if fill laterial is to b~ sed in Flood Zone "A" or "A,etc,", it is understood that a orainage plan
<br />addressing a "coepensating volule" will be suba.tted Mhich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed Mith 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 froe thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code., Every perli t issued shall beeole invalid
<br />unless the work authorized by such per.it is coa.enced within six lonths of issuance, or if work authorized by the permit is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is comlenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The exten~ion sha!l be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six tonth period, Dr the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM"ENCEMENT "AY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCINS,.CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENCE"ENT. JOBS ~NDER $2,500 IN VALU N . NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'.
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<br />
<br />STATE OF FLORIDA # .
<br />COUNTY OF t2l1( 0
<br />The foregoing in~rument was ~powledged
<br />before me this ~~ , 19~ by
<br />
<br />,6<J~4 .__
<br />who is ~rso y k wn to me or who has
<br />produced
<br />as iden
<br />take
<br />
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~~(~
<br />The foregc. i ng i ll~rum~nt
<br />before me this ~~(2
<br />
<br />was ac~~~ledged
<br />~ 19...2::L- by
<br />
<br />
<br />to me or who has
<br />
<br />e) // .
<br />.vrO'!.(~.;? r
<br />(Name TYPl?~:, ~'r'lntE'd Dr
<br />NOTARY pUI?L.r;
<br />
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