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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait 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 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 lilY be
<br />cited for a lisdeteanor 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 Departtent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has hired a contractor or contractors, he 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 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 perlitting 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 - Haaeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agricult~re and ConsUler Affairs. If the applicant is sOleone other than the
<br />'owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to coaencetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that' a!llforJnfiU'be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<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 perait and that all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in tqe jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agenCies lilY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Deparllent of Envir~nlental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departtent of Health & Rebabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environaental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill lateria! is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpensating volUle" 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 with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~uance of a perlit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every periit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOll8nced within six IOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOlleDced. One 90 day extension of tile, lilY be
<br />allowed for the perlit 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 IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEtIl' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVlMEIft'S TO YOUR
<br />PROPERTY. IF YOU IIf!EHD TO. OBTAIN FINJlJICING, CONSULT WITH YOUR MiNDER OR AM ATTORNEY BEFORE RECORDIHG YOUR NOTICE OF
<br />COMMENCEMENT. JOBS URDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A I ICE OF NCEMEtIl''' .
<br />"
<br />
<br />
<br />
<br />STATE OF FLORIp~
<br />COUtIl'Y OF -.ti I \ \6tnvo u~h
<br />The foregoing instrument was acknowledged
<br />before me this ~, ~____ by
<br />
<br />-
<br />
<br />~ f::-~ Wl\\;-S
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~~ ~,~ch.eA.J
<br />~~~ K \ 6~+cher
<br />(Name Typed, Printed or Stamped)
<br />~ NOTARY PUBLIC
<br />
<br />COUtll'Y OF ~ S Co
<br />The foregoing iDst~~t was acknowledged
<br />before me this~/~ ,~ 0(0 by
<br />, --: M/((S
<br />who .s personally known 0 me or who has
<br />produce
<br />as identification and who did/did not
<br />ta oath.
<br />
<br />
<br />7l1.
<br />ture)
<br />le~l'l-is IYl
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />f)44~JS
<br />or Stamped)
<br />
<br />
<br />f...:;~S;:.......GrE'~lNis.M~D~1
<br />~ {?~ Com:i;~~ion "0018n06 ~
<br />: %~~ E."J"cS 11/26/2006 :
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