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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it ..ay be subject to "deed restrictions" Mhith aay be .orl rlstrittivl than City
<br />regulations. The undersigned assu.es responsibility for co.pliante 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 to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by laM, both the owner and contractor .ay be
<br />cited for a .isde.eanor violation under state IaN. If the OMner or intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Departaent, IBI3}
<br />788-6611.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the OMner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Mork. 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 Nith a copy of "Florida's Construction Lien Law - HoaeoNner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and ConsWler 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 coaaenceaent.
<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 coapliance Mith all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do MOrk and installation as indicated, I certify that no Nork Dr
<br />installation has cOlaenced prior to issuance of a per.it and that all work will be perforled to aeet standards of all laMS
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies .ay apply to the intended Mork, and that it is
<br />ay responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not lilited to:
<br />. Departaent of Environaental ReQulation - Cypress Bayheads, Metland Areas and Environ.entaIly Sensitive Lands,
<br />Mater/Mastewater Treatlent
<br />I Southwest Florida Mater "anaQeaent District - Wells, Cypress Bayheads, Metland Areas, Altering Watercourses
<br />. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />. US Environaental Protection AQency - Asbestos abatelent
<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 "coapensating voluae" 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 issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perait is coaaenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six aonths after the tiae the Mork is coa.enced. One 90 day extension of ti.e, aay be
<br />allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official, An
<br />approved inspection lust be logged during each six aonth period, or the project Mill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF Co~NCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT MITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CDftftfMCE~NT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT",
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />was acknowledged
<br />, 19 _ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc1re me th i s
<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 PUBLI C
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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