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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait aay be subject to "deed restrictions" which lay be lore restrictive than City.
<br />regulations. The undersigned assuaes responsibility for coapliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES
<br />If the owner has hired a contractor or contract~-s to undertake wOo'ks they aay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is Ji~! licensed as required by law, both the owner and contractor lay be
<br />cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended work, they are advised ;0 contact the City of Zephyrhills Building Departlent, (8131
<br />78B-6611.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have th~ 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 aay be an indication that he is not properly licensed and is not entitled to peraitting 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 - Hoaeowner's Protection
<br />6uide" prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the
<br />.owner., I certify that I have obtained a copy of the above described docuaent and proaise in good faith to deliver it to the
<br />.owner" prior to cOlaenceaent.
<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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<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 cOlaenced prior to issuance of a perait and that all work will be perforled to leet standards of all laws
<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 aay apply to the intended work, and that it is
<br />ay responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not liaited to:
<br />f Departaent of Environaental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water "anaqeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Aray Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />, I Departlent of Health l Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental 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 plan
<br />addressing a .colpensating voluae" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perait 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 viola~ions of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perlit is coa.enced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six aonths after the tiae the work is coslenced. One 90 day extension of tile, lay 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 aD nth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY 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 />c..~ UNDE~UE DO NOT Nt,D TO RECURD AND p~ c~..
<br />
<br />
<br />
<br />SI6NATURE: OWNER OR AGE SI6NATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />bef,:-~e me this ___, 19__ ~y
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing
<br />:;-,efc" ~ ,n~ th i s
<br />
<br />instrument was acknowledged
<br />, 19_ oy
<br />
<br />who is pel-sona 11 y knclwn 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 Dr who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(SignatUl-e)
<br />
<br />(SignatLrce)
<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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