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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this pemit lilY be subject to 'deed restrictions' wbich lily be lOre restrictive than City
<br />regulations. !be undersigned aBSUIe& responsibility for cmpliance 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 laY 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 laY be
<br />cited for a .isdelleaDor violation under state law. If the mmer or intended contractor are uncertain as to wbat licensing
<br />requireJellts lilY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas hired 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 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 lilY be an indication that he is not properly licensed and is not entitled to perIIitting 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 La. - lkIIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and COnsUIIeI Affairs. If the applicant is SOJIeOIle other than the
<br />'mmer", I certify that I bave obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the
<br />"owner' prior to COllellceJll!llt.
<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 cOlPliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby Jade to obtain a pemit to do work and installation as indicated. I certify that no work or
<br />installation has ~ced prior to issuance of a perIIit and that all IIOrk will be perfol'led to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJelltal agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUst take to be in COIpliance. Such agencies include but are not lilited to:
<br />It DepartJent of EnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and EnvirolllM!lltally Sensitive Lands,
<br />Water/Vastewater !reatJent
<br />It Southwest Florida Water Managetent District - Vells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />It AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />It Departlent of Health i Rehabilitative Smices, EnvirDJlll!Dtal Health Unit - Wells, Wastewater !reatJent, Septic !ants
<br />It US EnviIOllll8lltal Protection Agency - Asbestos abateJent
<br />I also certify that, if fill Iilterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COIIpeDSating volUle' will be saitted 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 sball issuance of a perIIit prevent the Building Official fIOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perIIit issued shall beCOle invalid
<br />unless the work authorized by such pemit is cOIIeIlced within sillODths of issuance, or if IIOrk authorized by the pemit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the IIOrk is co.enced. One 90 day utension of tile, lilY be
<br />allowed for the perIIit with fee charge of $15.00. !be l!Itension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
<br />WARRING !O OVID: YOUR FAILURE 'fO RECORD A MorICE OF C<IIMBICBIII1l' MAY RlSUL! II YOUR PAYING fiICE FOR DIPROVIIIBIl'S !O YOUR
<br />PROPERft. IF YOU IJIDIID !O 08!IIX FIWCIIG, COISUL! WID YOUR LBIIDIR OR D AnoRDY BIFORI RICORDING YOUR DICE OF
<br />COMMI!fCEMEll'. JOBS OlDER *2,500 II VALUE 00 !for IUD !O RlCORD AID POS! A 'lorlCE OF C<ltMDCBMIIfI'.
<br />
<br />SIGI1!URE: COH!RAC!OR
<br />
<br />SIGlAt'URE: OOER OR AGm
<br />
<br />S!A!E OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SUfE OF FLORIDA
<br />coum OF
<br />Tbe foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oath.
<br />
<br />wbo is personally known to me or wbo has
<br />produced
<br />as identification and wbo 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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