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<br /><II
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />,A.' NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit '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 ~ork, they lay be required to be licensed in accordance with
<br />state and local regulations. If tlfe t61f\ractor is no~. I icensed as required by law, both the ollner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended lIork, they are advised to contact the City of Zephyrhills Building Departlent, (813l
<br />78B-6611.
<br />
<br />Furtherlore, if the ollner has hired a contractor Dr contractors, he is advised to have the contractorlsl 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 lIishes 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 ZephyrhilIs.
<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 Nith a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent-of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"oNner", I certify that I have obtained a ~opy of the above described doculent and protise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<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 lalls regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do Mork and installation as indicatea. I certify that no 1I0rk or
<br />installation has cOllenced prior to issuance of a perlit and that all Mork Nill be perforaed to aeet standards of all lalls
<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 governaental agencies lay apply to the intended Mork, and that it is
<br />IY responsibility to identify Nhat actions I lust take to be in cOlpliance. Such agencies include but are not liaited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaNalls, Docks, Navigable Waterways
<br />f Departaent of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood zo~~ "A" or cR,e~c.", it is understood that a drainage plan
<br />addressing a "coapensating 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 perlit issued shall be construed to be a license to proceed Nith 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 frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the Mork authorized by such perlit is coalenced within six lonths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six lonths after the tite the work is coa.enced. One 90 day extension of tile, aay be
<br />allowed for the perait 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 aonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCE"ENT 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 />CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />0~~
<br />SIGNATURE: CONTRACTOR .
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~
<br />The foregoing ln~tr~~nt was acknowledged
<br />before me this GL-~ , 19$ by
<br />
<br />~Q(T.v~
<br />who is pelSonally known to me or who has
<br />prodLlced
<br />as ident'
<br />take
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~~cJ'~
<br />The foregoing instrLlment was ac~owledged
<br />bE'fore me th i s J- .2.....i , 19.d- by
<br />
<br />~.,~
<br />who is personally kn wn to me Dr who has
<br />PI-odLlced
<br />as identifica
<br />take an oat
<br />
<br />
<br />(Sign
<br />
<br />
<br /><SignatLlre)
<br />
<br />
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