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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />1he undersigned understands that this permit lay be subject to "deed restrictions" which may be more restrictive than City
<br />regulations. 1he undersigned assumes responsibility for compliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<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 may be
<br />cited for a misdeleanor violation under state law. If the owner or 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 Department, (BI3)
<br />7BB-bbll.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sJ 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 lay be an indication that he is not properly licensed and is not entitled to permitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />"owner" prior to COlmencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<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 comaenced prior to issuance of a permit and that all work will be performed to meet standards of all laws
<br />regulating construction, City er.des, zoning regulations, and land development regulatic.ns in the jurisdiction. I alscl
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />.y responsibility to identify what actions I must take to be in compliance. Such agencies include bllt ~Ie not limited to:
<br />
<br />. Department of Environmental ReQulatic.n - Cypress Bayheads, Wetland Areas and Environmentally Sensitive L:inds,
<br />Water/Wastewater Treatlent
<br />. Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Department of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />. US Environlental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.', it is understood t~it a dlainage plan
<br />addressing a "colpensating volUMe" will be sublitted which is prepared by a professional engineer reqistfied in the State of
<br />Florida prior to permit issuance.
<br />
<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Off\ci~l frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perIDit issu~d 3hall becole invalid
<br />unless the work authorized by such permit is COI.enced within six lonths of issuance, or if work authollzed by the per.it is
<br />suspended or abandoned for a period of six tonths after the ti/lle the work is cOlimenced. One 90 day e~tt',,~ioll elf tile, lIay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspectie.n must be loglj\!o diJ.iny "a~;; ::::x fl(l"lh p::ri:d, c.; the pn.jrd ~;i 11 be considered "bdlldc.ned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERrV. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />DATE /0' I..} ~ d d
<br />_________________J_____________________
<br />
<br />
<br />NOTARY AS TO ~ filII A L _ ~/>il
<br />OWNER OR AGENT _ ___ll~~G01~--------
<br />
<br />MY COMM I SS ION n I RES <:>_!~.M._~~g!(-
<br />",-Wl MY COMMISSION # Dl)264S48
<br />~OP:I EXPIlU!S: F-.ry 19, 200&
<br />
<br />SIGNATURE___~~-~---
<br />CONTRACTOR
<br />
<br />/d'/.J-o'--
<br />- -------)(--------------
<br />
<br />DATE
<br />
<br />SIGNATURE__~~--~-----
<br />OWNER OR AGENT
<br />
<br />NOTARY AS T
<br />CONTRACTOR
<br />
<br />
<br />, h2Jd(P'JLck
<br />__ l~~_______--------
<br />
<br />MY
<br />
<br />EXPIRE L~...JANE-""'~y 'W
<br />~ !VI. u....,QlJl~CK
<br />~ MY COMMISSION II DD26U4a
<br />
<br />EXPutEs: P*'-Y 19. ~
<br />
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