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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />. A.. NOTICE OF DEED RESTRIC'fIONS
<br />The undersigned understands that this perilt .ay be-Bubject to "deed restrictions" which .ay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for co.pliance with any appli~able deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they .ay 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 .ay be
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to Ihat licensing
<br />reguire.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparllent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be 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 cont[~ctor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that .ay be an indication that he is not properly licensed and is not entitled to perlitting privileges in tbe
<br />City of Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify tbat I, the applicant, have been provided with a copy of "Florida's Construction Lien Lal - Ho.eowner's Protection
<br />Guide" prepared by the Florida Deparllent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />"~fOer", I certify that I have obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the
<br />"olner" prior to COllenCelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work lill be done in co.pliance with all
<br />applicable Jaws regulating construction, zoning, and land deveJoplent.
<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 tbat all work will be perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies .ay apply to the intended work, and that it is
<br />.y responsibility to identify wbat actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />· Deparllent of Envirofilental Regulation - Cypress Bayheads, Wetland Areas and Envirofilentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />t Southwest Florida Nater Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Vaterways
<br />t Depaltlent of Health' Rehabilitative Services, EnviroOJental Health Unit - VeIls, Vastewater Jreatlent, Septic Tanks
<br />t US EnviroOJental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating vol Ole" will be sub.itted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it 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 per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued sball becOle invalid
<br />unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOntbs after the ti.e the work is cOllenced. One 90 day extension of tile, JaY be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six IOnth period, or tbe project will be considered abandoned.
<br />NARNING TO OWNER: YOUR FAILURE TO RECORD OTICE OF COHHBNCRHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVE
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAN NG CONSULT VITH YOUR LENDER OR AN ATTORNEY BEFORE RBCORDING YOUR
<br />COHHRNCRHENT. JOBS UNDER $2,500 IN VAL NOT NRED TO RECORD AND POST A "NOTICE OF COMMENCEHENT".
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUJn'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE 0 FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19___ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and WhD did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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