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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' whicb laY be lOre restrictive than City
<br />regulations. Tbe undersigned assDles 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 witb
<br />state and local regulations. If tbe contractor is not licensed as required by lil1f, both the owner and contractor laY be
<br />cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguireleDts laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbicb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratberthan 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 - ROJeOIDer's Protection
<br />Guide' prepared by the Florida DepartJent of Agriculture and ConsDler Affairs. If tbe applicant is sOl8one otber than the
<br />"owner", I certify tbat I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleDceJent.
<br />
<br />E. CONTRACTOR'SjOWNER'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, laning, 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 bas cOlleDced 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 goverDIeDtal agenCies laY apply to the intended rork, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not luited to:
<br />* Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and RnviroDleDtally Sensitive Lands,
<br />Water/Wastewater !reatlent
<br />* Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />* Departlent of Health' Rebabilitative Services, RnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic lanks
<br />t US EnviroDlental 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 that a drainage plan
<br />addressing a 'cOlpensating volUle" 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 the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall beCOJe invalid
<br />unless the work authorized by such perlit is cOIII8Ilced within sil IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of sillOntbs after the till! the work is co.enced. One 90 day extension of tile, JaY be
<br />allowed for the perlit 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 IOnth period, or the profect will be considered abandoned.
<br />WARNING TO OWNIR: YOUR FAILURI TO RKCORD II NOIICI OF COHHBJIClMltn' MAY RlSUL! IN YOUR PAYING !VICI IHPROVBIIBtn'S TO YOUR
<br />PROPERTY. IF YOU III'J'EID !O OBl'Al1I FINAlfCIIIG, COIISULt' WITH YOOR LEIDIR OR All At'TOIllEY RI G YOUR lfarlCl OF
<br />COMMRICIHBNT. JOBS UI VALUE 00 10'1' IEED TO RECORD AIID POST A 'I01'ICE OF C
<br />
<br />
<br />
<br />SIGIATURE:
<br />
<br />STATK OF FLORIDA
<br />COUIl'J'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATK 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 1yped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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