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<br />CONDI1-IONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF'DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to 'deed restrictions' Nhich lay be iore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance Nith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOH RESPONSIBILITIES
<br />If the ONner has hired a contractor or contractors to undertake Nork, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by laN, both the ONner and contractor lay be
<br />cited for a lisdeleanor violation under state IaN. If the ONner or intended contractor are uncertain as to "hat licensing
<br />requirelents lay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Departlent, IBI31
<br />7B8-6611.
<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 Nhich they Nill be responsible. If you, as the ONner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Nork. If the contractor Nishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting 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 laN - HOleoNner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consuler 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 cOI.encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance Nith all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a per.i, to do Nork and installation as indicated. I certify that no work or
<br />installation has cO'lenced prior to issuance of a per.it and that all work will be perforled to leet standards of all laMS
<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 governlental agencies lay apply to the intended Nork, 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 />I Departlent of Environaental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />W.ter/WasteNater Treatlent
<br />I Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable WaterNays
<br />I Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection Aqency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' Dr 'A,etc.~, it is understood that a drainage plan
<br />addressing a 'colpensating volule' will be sublitted Nhich 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 Mith 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, cpnstruction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the Mork authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the Mork is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKI(NCEKENT. lOnS ~~2.500 1M VIlDE DO MDT NEED TO RECORD RMO~~~
<br />
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />was acknowledged
<br />, 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<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 PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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