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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'he undersigned understands tbat tbis penit laY be subject to "deed restrictions" wbieb laY be lOre restrictive tban City
<br />regulations. !be undersigned assUJeS responsibility for cmpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas hired a contractor or contractors to undertake work, they laY be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor laY be
<br />cited for a lisd_anar violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />requireaents laY apply for tbe intended work, they are advised to contact tbe City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if tbe owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of tbe
<br />"Contractor Sections" of tbis application for whieb they will be responsible. If fOU, as tbe owner sign as the contractor,
<br />you are indicating that fOU, ratber than tbe contractor, are responsible for the work. If tbe contractor wisbes fOU to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to pertitting privileges in the
<br />City of lepbyrbills.
<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, tbe applicant, bave been provided witb a copy of "Florida's COnstruction Lien Law - lIcIIeoImer's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and COnsUller Affairs. If tbe applicant is SOIeOIle otber than the
<br />"owner", I certify tbat I bave obtained a copy of tbe above described clocuIent and prolise in good faitb to deliver it to tbe
<br />"owner" prior to co.enCl!IeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforaation in tbis application is accurate and that all work will he done in cOlpliance witb all
<br />applicable laws regulating construction, loning, and land develo.-ent.
<br />
<br />Application is hereby tade to obtain a penit to do work and installation as indicated. I certify that DO work or
<br />installation bas cc.leDced prior to issuance of a perlit and that all work will be perfoIJec1 to teet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develO(lleDt regulations in the jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of other goveI1lleDtal agencies laY apply to tbe intended work, and that it is
<br />IY responsibility to identify wbat actions I lUst take to be in cmpliance. Sueb agencies include but are not lilited to:
<br />t Departlent of EnvirOlllBlltal Regulation - Cypress Baybeads, Wetland Areas and Environaenta11y Sensitive Lands,
<br />Vater /Vastewater 'I'reatJent
<br />I Soutbwest Florida Water Manageaent District - Wells, Cypress Baybeac1s, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departaent of Bealtb & Rebabilitative Services, BnvirODleDtal Bealtb Unit - Wells, Wastewater 'I'reatJent, Septic tanks
<br />t US EnviIOllleDtal Protection Agency - Asbestos abateaent
<br />I also certify that, if fill taterial is to be used in Flood ZOne "A" or "A,etc.", it is understood that a drainage plan
<br />addresSing a "cOlpeDSating volute" will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A peIlit issued sball be construed to be a license to proceed witb tbe work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of tbe tecbnical codes, nor sball issuance of a peIlit prevent tbe Building Official frol tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peni~ issued &ball becCIIe invalid
<br />unless tbe work autboriled by sueb penit is ~ced witbin sillODtbs of issuance, or if work autboriJed by the peIlit is
<br />suspended or abandoned for a period of sillOntbs after tbe tile tbe work is ~ced. One 90 day atension of tile, laY be
<br />allowed for tbe penit witb fee ebarge of $15.00. 'fbe atension &ball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sixlODtb period, or the project will be considered abandoned.
<br />WmlNG to <MER: YOUR FAILURE to RECORD A NO'I'ICB OF aJIMIICBIlIMf MAY RESULt' IN YOUR PAYING !lICH FOR IMPROVIIIII!S to YOUR
<br />PROPERft. IF YOU IIl!DD t'0 OB!lIJI FlIlAlCING, COIISULt' Vlt'II YOUR LODER OR IIIlftOR11Y BIFORB RICORDIRG YOUR DICE OF
<br />aJOIBRCEMBIft'. JOBS UIDIR $2,500 IN VALUE DO NO'I' RDD fO RECORD IIID POSt' A 'NO'I'ICE OF C<JIIDCIMIMt'".
<br />
<br />t/
<br />SIGJlAt'URE: OOBR OR AGBM'I'
<br />
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<br />SIGJIA'IURI: CODRACfOR
<br />
<br />S'l'AR OF FLORIDA
<br />coum OF f (,tt u;
<br />The foregoing instrum~t was a~knowledged
<br />before me this IJ' ft3t? , 19.:L!:f- by
<br />
<br />!,() .rL---r!3 rL R iJ JLJ2
<br />who is personally known tqme or who has
<br />produced
<br />as identification and who did/did not
<br />take anrM::~t 1. ~,.
<br />(Signatb;~~\ O~_.,.~\
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />S'I'AR OF FLORIDA
<br />coum OF fit- >e,,-'!
<br />The foregoing instrum~t,was acknowledged
<br />before me this !f rc-~, 19.:t-- by
<br />
<br />
<br />who u;,~~~ to me or who has
<br />produced ,,----
<br />as identification and who did/did not
<br />take an ."P4, l,th (
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<br />(Signat re)
<br />
<br />(Name Typed, Pr
<br />NOTARY PUBLIC
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