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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this penlt lilY be subject to 'deed restrictions' whieb lilY be lOre restrictive than City
<br />regulations. !he undersigned asSUle& responsibility for 9pliance 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 lilY 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 owner and contractor lilY be
<br />cited for a .isd_anor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguireIeDts lilY apply for the intended work, they are advised to contact the City of ZepJJyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner 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 whieb they will be responsible. If JOU, 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 wishes you to sign
<br />as contractor that lilY 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 Law - BoIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUlel' Affairs. If the applicant is 8OI8OIll! other than the
<br />'owner", I certify that I have obtained a copy of the above described docUIIent and pnmse in good faith to deliver it to the
<br />'owner' prior to Co.eDCeleDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infolliltion in this application is accurate and that all work will be done in COJIpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is bereby lade to obtain a penit to do wort and installation as indicated. I certify that DO work or
<br />installation has CDleDced prior to issuance of a perlit and that all work will be perf011led to leet standards of all laws
<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 gOYetllleDtal agencies IilJ apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lUst take to be in COIpliance. Sueb agencies include but are not lilited to:
<br />t Departlent of EnvirOllllel1tal Regulation - Cypress Bayheads, lIetland Areas and EnviroDleDtally Sensitive Lands,
<br />lIater/llastewater !reatlent
<br />t Southwest Florida lIater Managl!lleDt District - lIells, Cypress Bayheac1a, lIetland Areas, Altering lIatercourses
<br />t Arty Corps of Engineers - Seawalls, Docb, lIavigable lIaterways
<br />t Departlent of Health' Rehabilitative Services, Envirouental Health Unit - lIells, lIastewater rreatlent, Septic ranks
<br />t US EnvilOllJeDtal ProtectibD Agency - Asbestos abatl!lleDt
<br />I also certify that, if fllllilterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'ClIIpeDSating volUle' will be sublitted whieb 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 wort 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 fl'Ol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becOIe invalid
<br />unless the wort authoriled by sueb perlit is ~ced within slllODths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sil IODths after the tile the work is co.enced. One 90 day atension of tile, lily be
<br />allowed for the penit with fee ebarge of $15.00. the atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillODth period, or the project will be considered abandoned.
<br />IIARHIlfG to 0IfIfIR: YOUR FAILURI to RECORD A DICE OF aJIIIDCIIIII! MAY RESULr IIf YOUR PAYllfG DICE FOR DIPROVIIIIIrS ro YOOft
<br />PROPmY. IF YOU IIfBIfD !O 081111 PlIUCIIIG, COJfSUL! IIlrH YOUR LIIIDBR OR IIlftORDY BIFORB RBCOIDIIIG YOUR DICE OF
<br />aJlMEIICDIIIf!. JOBS UlDIR $2,500 IN VAWI 00 1101 ifili) to RECORD lID POS! A 'II01ICE OF CCIIIBIfCBIIBJII.
<br />
<br />~a_~:' 7
<br />SIGlfA'I' : 0IfIfIR OR AGm
<br />
<br />SIGII!URI: COIl!RACfOR
<br />
<br />BrA!1 OP FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S!AD 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 lie or who has
<br />produced
<br />as identification and who did/did not
<br />take an o~th.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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