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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit laY be subject to 'deed restrictions' which lay be lOre restrictive tban City
<br />regulations. tbe undersigned assOles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 lil1f, both the owner and contractor lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the ONner has hired a contractor or contractors, he is advised to have 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 wisbes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrhills.
<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 - HOIeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsOler Affairs. If tbe applicant is SOEone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prOllise in good faith to deliver it to the
<br />"owner" prior to COlleDCeJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land develo.-ent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOlleDced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develo.-ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goveruental agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater treatlent
<br />* Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rebabilitative Services, EnvirORlental Health Unit - Wells, Wastewater treatlent, Septic tanks
<br />* US EnvirODJental Protection Agency - Asbestos abateJent
<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 'cotpeDsating volUle" will be sublitted wbicb 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 frOll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOlle invalid
<br />unless the work authorized by such perlit is COIIeDced within sillOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillOnths after the tile the work is cOllenced. One 90 day extension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. 'fbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each s1llOnth period, or the project will be considered abandoned.
<br />WARNING 'f0 OWNER: YOUR FAILURE fO RECORD A NOIICH OF <XJtHEHCEHDI HAY RESUL'f IN YOUR PAYING 'filCH FOR IHPROVEHBMfS TO YOUR
<br />PROPERlY. IF YOU IMfEND fO OBtAIN FINANCING, CONSULt WIfH YOUR LINDO OR 111 AnORREY BBFORE RECORDING YOUR HO'IICE OF
<br />COHMENCBMEJIT. JOBS UNDER $2,500 IN VALUE 00 NOI NEBD 1'0 RECORD AND POS'f A 'NOfICB OF COHMBNCBMBJII".
<br />
<br />SIGNA!URE: OWNER OR AGBlIT
<br />
<br />SIGNATURE: CONfRACfOR
<br />
<br />StATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'fA'I'B OF FLORIDA
<br />coum 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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