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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The und~rsigned understa~s that this per.it .ay be subject to 'deed restrictions' which .ay be lore restrictive than City
<br />regulatIons. The underSIgned assu.es responsibility for co.pliance 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 .ay be required tD be licensed in accordance with
<br />state and IDcal regulatiDns. If the contractDr is not licensed as required by law, bDth the owner and cDntractDr lay be
<br />cited for a .isdeleanor violation under state IaN. If the ONner Dr intended contractDr are uncertain as tD what licensing
<br />requirelents lay apply for the intended Nork, they are advised tD contact the City Df 2ephyrhills Building Departlent, (8131
<br />788-6611.
<br />
<br />FurtherlDre, if the owner has hired a contract Dr or contractors, he is advised to have the contractor(s) sign portiDns 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 - Ho.eowner's Protection
<br />Guide' prepared by the Florida Depart.ent 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 doculent and prDlise in good faith to deliver it to the
<br />'owner' prior to COllenee.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infDr.ation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zDning, 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 />installatiDn has cDI.enced prior tD issuance of a perlit and that all wDrk will be perf Dried tD leet standards of all laws
<br />regulating constructiDn, City codes, zoning regulatiDns, and land develop.ent regulatiDns in the jurisdiction. 1 also
<br />certify that I understand that the regulations of Dther gDvern.ental agencies .ay apply tD the intended wDrk, and that it is
<br />,y responsibility to identify what actions I .ust take tD be in co.pliance. Such ageneies include but are not li.ited to:
<br />f Depart.ent of Environ.ental Requlation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar.y Corps Df Enqineers - Seawalls, Docks, Navigable Waterways
<br />t Depart.ent Df Health l Rehabilitative Services. EnvirDn.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />t US Environ.ental PrDtectiDn Aqencv - AsbestDs abate.ent
<br />I alsD certify that, if fill .aterial is tD be used in FloDd Zone 'A' Dr 'A,etc.', it is understood that a drainage plan
<br />addressing a 'cDlpensating volu.e' Kill be sub.itted which is prepared by a prDfessiDnal engineer registered in the State of
<br />Florida prior tD per.it issuance.
<br />
<br />A perlit issued shall be cDnstrued tD be a license to prDceed with the KDrk and not as authority to violate, caneel alter, tr
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errDrs in plans, construction, or viDlatiDns Df any cDde. Every per.it issued shall beCDle invalid
<br />unless the work authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the perlit is
<br />suspended Dr abandoned for a period of six .onths after the ti.e the work is co..eneed. One 90 day extension of tile, lay be
<br />allowed fDr the per.it with fee charge Df $15.00. The extension shall be requested in writing to the Building Official. An
<br />apprDved inspection lUSt be logged during each six .onth period, or the project will be considered abandDned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CoM"ENCEMENT KAY 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 />CoM~ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COKKENCEHENT'.
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SI6HATURE: OWNER OR AGENT
<br />
<br />was acknowledged
<br />, 19 _ by
<br />
<br />STATE Of FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<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 />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 who 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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