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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to 'deed restrictions" wbicb laY be lOre restrictive tban City
<br />regulations. Ihe undersigned assUles 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 tbe contractor is not licensed as required by law, both the owner and contractor laY be
<br />cited for a lisd_anor 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 Zepbyrbills Building Departlent, (813)
<br />188-6611.
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections' of this a~plication for wbicb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that JOu, 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 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 Law - HOIeOIDer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUlef Affairs. If tbe applicant is sOleone otber tban the
<br />'owner", I certify tbat I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleDcelent.
<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 with all
<br />applicable laws regulating construction, loning, and land developleDt.
<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 has cOlleDced prior to issuance of a pertit and that all work will be perfoIJed to teet standards of all IllS
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal agencies laY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Vetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses
<br />* Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health' Rebabilitative Services, EnvirODleDtal Health Unit - VeIls, Wastewater Ireatlent, Septic lanks
<br />* US EnviroDleDtal Protection Agency - Asbestos abatelent
<br />I also certify that, if fIll laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood tbat a drainage plan
<br />addressing a .cOlpensating volUle' will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance,
<br />
<br />A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball beCOle invalid
<br />unless the work authoriled by such perlit is cOll8nced within sil IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the work is cOMenced. One 90 day extension of tile, laY be
<br />allowed for the pertit with fee cbarge of $15.00. tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eacb sil IOntb period, or the project will be cODsidered abandoned.
<br />)lAMING TO OlRfER: YOUR FAILURE TO RECORD A IOIICH OF COIIHBRCEllBNT MAY RESULT II YOUR PAYIIG DICE FOR lMPROVBIIBI1'S to YOUR
<br />PROPIRTY. IF YOU IIIIIND to OBTAIN FlNAlCING, CONSULT VIm YOUR LINDIR OR AM AnoRlD BIFORB RICORDIHG YOUR lIorICH OF
<br />COHIfBNCBHBHT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RICaRD AID POST A 'NOflCE OF COHHBNCIHENT'.
<br />
<br />
<br />SIOOMl:MlRUm ~; 2~~
<br />
<br />STATE OF FLORIDA
<br />COUNfY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNfY 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 1yped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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