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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this penit lilY be subject to 'deed restrictiCll8' ,bieb I8Y be lOre restricUve than City
<br />, regulations. !be undersigned asSUle& responsibility for cmpliance lith any applicable deed restrictiCll8.
<br />
<br />B. UNLIC8NSED'CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIfIIer bas hired a contractor or contractors to undertake IOrk, the, lilY be required to be licensed in accordance with
<br />state and local regulatiOllB. If the contractor is not licensed as required by law, both the lJIID8J: and CCIltractor lilY be
<br />cited for a lisdeleanor violation under state law. If the 0IIIleI or intended contractor are uncertain as to Ifbat licensing
<br />requiruents lilY apply for the intendedllOrk, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the OlDer bas bired a contractor or contractors, be is ad,ised to have the contractor(s) sign portions of the
<br />'Contractor Secti0D8' of this applicaticm for ,bich they ,ill be responsible. If roo, as the lJIID8J: sign as the CCIltractor,
<br />you are indicating that you, rather than the, contractor, are responsible for the IIOrk. If the contractor 1i8bes fOIl to sign
<br />as contractor tbat lilY be an indication that be is not properly licensed and is not entitled to perJitting privileges in the
<br />City of Z8pbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AHBNDED)
<br />I certify that I, the applicant, have been provided lith a COPJ of 'Plorida's CODstruction Lien La, - a.o.mer's Protecticm
<br />Guidel prepared by the Florida DepartJent of Agriculture and CODsUler Affairs. If the applicant is 8OMOD8 other tbaD the
<br />'OlDer', I certify that I bave obtained a copy of the above described docuIent and pro.ise in good faith to deliver it to the
<br />'OlDer' prior to cc.enCelellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the iDfOIlilUon in this application is accurate and that allllOrk lill be done in COIPliance lith all
<br />applicable laws regulating construction, IODing, and land develO(Elt.
<br />
<br />Application is hereby lade to obtain a perlit to do IIOrk and inBWlaUon as indicated. I certify that no IIOrt or
<br />installation bas CDl8Dced prior to issuance of a perlit and that alllOrk lill be perfOrlecl to _t standards of all 1M
<br />regulating construction, Cit, codes, loning regulations, and land de,elOpleDt regulations in the jurisdlctioo. I also
<br />certify that I understand that the regulations of other !IOV8l1IIIeDtal agencies lilY apply to the intem1ed IIOrl, and that it is
<br />If responsibility to identify what actions I lUst take to be in COIPliance. Such agencies include but are not luited to:
<br />t DepartJent of InvirODleDtal Rl!!II11aUon - Cypress BaJbeads, Wetland Areas and BnvirODleDWly Sensitive LaDIls,
<br />Water/lastelater !reatJent
<br />t Soutblfest Florida Water lIana!IeIeIlt District - Wells, Cypress Baybeads, Wetland Areas, Altering WatercOurses
<br />t ArJy Corps of Bngineers - Seawalls, Docks, lavigable Waterways
<br />t DepartJent of Health i Rehabilitative Services, BnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic ranks
<br />t US BnviIOlJll!lltal Protectioo Agency - Asbestos abatuent
<br />I also certify that, if filllilterial is to be used in Flood Zone 'A' or 'A, etc. " it is understood that a drainage plan
<br />addressing a 'CCIIpeDB8ting vol_' lill be _itted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to penit issuance.
<br />
<br />A penit issued shall be construed to be a license to proceed lith the IOrk and not as authority to violate, cancel alter, or
<br />set aside an, provisions of the technical codes, nor shall issuance of a perlit prevent the BuildiDg Official froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. B,ery perlit issued shall beCC118 invalid
<br />unless the IIOrk authoriled by such perlit is ~ced within sillCl1tbs of issuance, or if IOrk authorized by the perlit is
<br />suspended or abandoned for a period of sillODtbs after the tile the work is cc.encecl. One 90 day 81tensioo of tile, 18Y be
<br />allOled for the perlit lith fee charge of $15.00. !be 81tenslon shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project lill be considered abaDl1ooed.
<br />WAIIIIIIG !O (11III: YOOR PllLURB 'fO BBCOD A IO!(CB OF aIIIIDCIIIBft lilY RISUL! II YOOR P1YIIfG !IIICB POI IIIPIJVIIIII!S !O YOOIl
<br />PROPBm. IF YOU IJI'IBID 'fO OB!III PIDICI'G, COISUL! lID YOOR LDDIR OR 1I1noRlBY BIPORI RIOIIDII6 YOOII MICB OF
<br /><XIUIBICBIIIN!. JOBS UIDIR. $2,500 II VlLUB DO IO! DID !O RICORD lID POS! A 'IO!ICB OF CCIIIICBIID!I.
<br />
<br />SIGD!URI: comAC'fOR
<br />
<br />SIGD!URI: (JIIIR OR lGBI!
<br />
<br />SIAIB OF FLORIDA
<br />coum OF
<br />Tbe foregoing inst11Jllent was acknowledged
<br />before .e this , 19_ by
<br />
<br />SIAII OF FLORIDA
<br />coom OF
<br />The foregoing inst~t was acknowledged
<br />before lie this , 19_ by
<br />
<br />wbo is personally known to _ or who has
<br />produced
<br />as identification and who did/did not
<br />take an oQ.th.
<br />
<br />who is personally known to .e or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />(Na.e Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name. Typed, Printed or Stuped)
<br />ROTARY PUBLIC
<br />
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