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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this peait lilY be subject to 'deed restrictions' wbich lily be lOre restrictive than City
<br />regulations. !be undersigned assUJeS responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, tbey lilY 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 lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to "bat licensing
<br />requirelents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbich they will be responsible. If JOU, 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 lilY be an indication that he is not properly licensed and is not entitled to peaitting 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, bave been provided with a copy of 'Florida's Construction Lien Law - HoIeoImer's Protection
<br />Guide" prepared by the Florida Depart:lent of Agriculture and COnsUIeI Affairs. If the applicant i8 8OE)Ile other than tbe
<br />'owner", I certify that I bave obtained a copy of tbe above described docuIent and pra.ise in good faith to deliver it to the
<br />'owner' prior to COIIeDCl!ll!llt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work "ill be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land develOplellt.
<br />
<br />Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
<br />installation bas co.Ienced prior to issuance of a peait and that all work will be perfoIJed to l8et standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develOplellt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1lleDtal agencies lilY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to:
<br />I Departlent of BnviroDll8lltal Regulation - Cypress Baybeads, "etland Areas and BnvirollleDtally Sensitive Lands,
<br />"ater /Wastewater 'lreat:lent
<br />I Southwest Florida Nater Hanaql!ll!llt District - "ells, Cypress Baybeads, Wetland Areas, Altering "atercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, lavigable "atenays
<br />t DepartJent of Health , Rebabilitative Services, EnvirODleDtal Health Unit - "ells, Wastewater 'lreat:lent, Septic 'lants
<br />t US EnviIOlllel1tal Protection Aqency - Asbestos abatl!ll!llt
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COIpeI1Sating volUle' will be saitted wbich is prepared by a professional engineer registered in tbe State of
<br />Florida prior to peIlit issuance.
<br />
<br />A pmit issued sball 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 tbe technical codes, nor sball issuance of a peait prevent the Building Official fra. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peait issued sball beCOle invalid
<br />unless the "ark authorized by such peait is COIIeIlced within s1llODtbs of issuance, or if work autboriled by the peIlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is c~ced. One 90 day utension of tile, .y be
<br />allowed for the peIlit with fee charge of $15.00. 'lhe utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned.
<br />NARJIING '10 0IfIIR: YOUR FAILURE '10 RECORD A lorlCE OF C<IIIDCIIIINt' lilY RESUL'l IN YOUR PAYIIG ""ICE FOR IMPROVBIIII'lS '10 YOUR
<br />PROPIRfi. IF YOU II'lBlfD 'fO OB'lIII FIWCIIG, COlfSUL'l "1'lH YOUR LBIIDER OR II AnORDY BEFORE RICORDIIG YOUR lorlCB OF
<br />COHHBNCBHBNI. JOBS OlDER '2,500 II VALUE DO lor lIED '10 RECORD AND POS'l A lINorlCE OF COIIHINCBMlNlII.
<br />
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<br />SIGlA'lURE: OOBR OR AGBJIT ~
<br />
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<br />
<br />SIGlATURB: COI'lRAC'lOR
<br />
<br />SfA'll OF FLORIDA
<br />COON'lY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'lA'I'1 OF FLORIDA
<br />COON'lY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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