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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' whieb laY be lOre restrictive than City
<br />regulations. Ihe undersigned assUles responsibility for cOtpliance 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 OKDer and contractor tay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireteDts laY apply for the intended work, they are advised to contact tbe City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />.Contractor Sectionsl of this a~plication for wbich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating tbat you, rathertban the contractor, are responsible for tbe work. If the contractor wisbes you to sign
<br />as contractor that tay 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 IFlorida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide. prepared by tbe Florida Departlent of Agriculture and CODSuter Affairs. If the applicant is sOl8one other tban the
<br />.0KDer", I certify that I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />.ownerl prior to cOllencetent.
<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 COIpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<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 bak cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber governtental 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 Hnvirontental Regulation - Cypress Bayheads, Wetland Areas and Hnvirontentally Sensitive Lands,
<br />Water/Wastewater Ireatlent
<br />· Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health' Rebabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlen~, Septic lanks
<br />· US EnviroDlental Protection Agency - Asbestos abatetent
<br />I also certify tbat, if fill laterial is to be used in Flood ZOne "AI or "A,etc.l, it is understood that a drainage plan
<br />addressing a ICOlpensating volUlel will be sublitted 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
<br />unless the work aqthorized by sucb perlit is colltmced within s1xlOnths 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 ~ced. One 90 day l!Itension of tile, tay be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eaeb sil IODtb period, or the project will be considered abandoned.
<br />WARMING TO OIUfER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCIHINT MAY RESULT IN YOUR PAYING TIIICE FOR IMPROVIHINTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR KOlICH OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A INOTICE OF COMHDCKIIIlNT".
<br />
<br />SIGNA1'URE: omR OR AGENT
<br />
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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 1yped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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