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<br />CONDITIONS.OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'lbe undersigned understands that this pemit JaY be subject to 'deed restrictions' "bich laY be lOre restrictive than City
<br />regulations. !be undersigned assUIeB responsibility for co.pliance "ith 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 aay be required to be licensed in accordance "ith
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor JaY be
<br />cited for a aisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813)
<br />788-6611.
<br />
<br />FurtheI1lOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />UContractor Sections' of this application for "hich they "ill 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 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 with a copy of 'Plorida's Construction Lien La" - BOIeOIDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is SOROne other than the
<br />'ownerl, I certify that I have obtained a copy of the above described dOCUllent and proaise in good faith to deliver it to the
<br />uowner' prior to COJllll!JlCelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cDIPliance "ith all
<br />applicable laws regulating construction, loning, and land developieDt.
<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 <DIenced prior to issuance of a pemit and that all work "ill be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies JaY apply to the intended work, and that it is
<br />ay responsibility to identify "bat actions I lUst take to he in COIpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnvirODJelltal Regulation - Cypress Baybeads, Wetland Areas and InvirollJelltally Sensitive Lands,
<br />Water/Wastewater !reatlent
<br />t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArQ Corps of Engineers - Sea"alls, Docks, lavigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, Bnvironaental Health Unit - Wells, Wastewater 'lreatJent, Septic tanks
<br />t US BnviIOJ1JeJltal Protection Agency - Asbestos abateaent
<br />I also certify that, if fill aaterial is to he used in Flood Zone IAI or UA,etc.', it is understood that a drainage plan
<br />addressing a lco.pensating volUleu "ill be subaitted "hich is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit issuance.
<br />
<br />A perait 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 pemit prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
<br />unless the "ork authoriled by such pemit is COIIeJlced "ithin sil IOIlthS of issuance, or if wort authorized by the perait is
<br />suspended or abandoned for a period of sil IOIltbs after the tile the wort is c~ced. One 90 day utension of tile, JaY be
<br />allowed for the perait "ith fee charge of $15.00. the utension shall be requested in "riting to the Building Official. An
<br />approved inspection lUst be logged during each sil IOnth period, or the profect "ill be considered abandoned.
<br />WARRING 'l0 (JfRIR: YOUR FAILURE 'f0 RECORD A IO'fICE OF aJlMDCIIIINl' MAY RESUL'f II YOUR PAYlIG 'fIIICE FOR llIPROVIIID'fS 'f0 YOUR
<br />PROPIRTY. IF YOU IIl'fIllD 'fO OBfAIJf PlIfllfCIIIG, COIISUL'lWI'fH YOUR LINDER OR D A'f'fORIBY BlFORE RICORDING YOUR IIO!ICB OF
<br />crJOIDCIMINl'. JOBS OlDER U,SOO II VALUE DO IO! RElO 'fO RECORD DO POS'f A 'NO!ICE OF C<IIIINCIIID'I".
<br />
<br />SIGlAfUHI: amR OR AGKIIT
<br />
<br />SIGlAfUHI: COImlACl'OR
<br />
<br />SIATB OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SfA!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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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