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<br />CONDITIONS OF PERM=~ AFFIDAV!~
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersiqned understands that this penH lay be subject to "deed restrictit,ns" ll'~ich laY be lore restrictive than City
<br />requlations. The undersiqned assu.es responsibility for co.pliance ~ith ,any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPQNSIBILITIES
<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 requlations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a .isde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents .ay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departaent, (8131
<br />7BB-bb11.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 SlgO
<br />as contractor that aay be an indication that he is not properly licensed and is not entitled to per.itting 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 - Ho.eowner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consu.er Affairs. If the applicant is soaeone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it tel the
<br />"owner" prior to coatenceaent.
<br />
<br />:.
<br />
<br />E" CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all worK will be done in coapliance with all
<br />a~plicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />I
<br />
<br />Application is hereby aade to obtain a perait to do Mork and installation as indicated. I certify that no worK or
<br />installation has coa.enced prior to issuance of a perait and that all work will be perforled to .eet standards of all 10.5
<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 governaental agencies lay apply to the intended work, and that It is
<br />ay responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not liaited \c':
<br />I Departaent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
<br />WaterlWastewater Treataent
<br />I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I De arttent of Health L Rehabilitative Services Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I Environaental Protection AQency - Asbestos abateaent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plaii
<br />addressing a "colpensating volute" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance,
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel altef, 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, Dr violations of any code., Every per.it issued shall becole iDvalid
<br />unless the work authorized by such perait is coaaenced within six aonths of issuance, Dr if work authorized by the perllt is
<br />suspended or abandoned for a period of six lonths after the ti.e the Mork is cOI.enced. One 90 day extension of tile, ~2V 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 .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IIIPROVEt\EIHS TO 'lOUR
<br />PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMtlENCEtlENT".
<br />
<br />ft.r,/e' &:--/
<br />
<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befctl-e me th i 5
<br />
<br />STATE OF 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 />pl-oduced
<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 who did/did not
<br />take an oath.
<br />
<br />(SignatUl-e)
<br />
<br />(SignatLn-e)
<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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