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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this penit JaY be subject to Ideed restrictions I which JaY be lOre restrictive than City
<br />regulations. !be undersigned assUJeS responsibility for COIpliance 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 JaY 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 mmer and contractor JaY be
<br />cited for a lisdeEanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
<br />requireJellts Jay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the OIner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />IContractor Sectionsl of this application for lIhieb they will be responsible. If you, as the OIIDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IIOrt. If the contractor wishes you to sign
<br />as contractor that JaY 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, have been provided with a copy of IFlorida's construction Lien Law - lIoIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOEIle other than the
<br />lowner", I certify that I have obtained a copy of the above described docuIent and prOJise in good faith to deliver it to the
<br />"owner" prior to COllBDCeJeDt.
<br />
<br />E. CONTRACTORtS/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlition in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, zoning, and land develo~t.
<br />
<br />Application is hereby Jade to obtain a peIlit to do IOrt and installation as indicated. I certify that no work or
<br />installation baa CDlenced prior to issuance of a peni t and that all work will be perfol'led to .et standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develO[lll!l1t regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies JaY apply to the intenc1ed IIOrt, and that it is
<br />If responsibility to identify what actions I lUst take to be in COIIpliance. Such agencies include but are not lilited to:
<br />. Departlent of EnvirollleDtal Regulation - Cypress BaybeadB, IIetland Areas and EnvirollleDtally Sensitive Lands,
<br />IIater /IIastewater 'I'reatlent
<br />. Southwest Florida IIater Managl!leDt District - IIells, Cypress Baybeads, IIetland Areas, Altering IIatercourses
<br />. AllY Corps of Inqineers - Seawalls, Docks, Navigable IIaterways
<br />. Departlent of Health & Rehabilitative Services, Envirouental Health Unit - IIells, IIastewater 'I'reatlent, Septic 'I'anks
<br />. US EnviIODlelltal Protection Agency - Asbestos abateJeDt
<br />I also certify that, if fill Jaterial is to be used in Flood Zone IAI or "A,etc.", it is understood that a drainage plan
<br />addressing a IC0Jpen8ating VOIUleI will be subtitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the IOrt and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall becCIIe invalid
<br />unless the IOrt authorized by such penit is co.enced within sillODtbs of issuance, or if IOrk authoriled by the penit is
<br />suspended or abandoned for a period of sillODtbs after the tile the work is co.enced. One 90 day I!Itension of tile, lay be
<br />allowed for the penit with fee charge of '15.00. !be I!Itension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be loggecl during each sillODth period, or the project ,ill be considered abandoned.
<br />IIARMING '1'0 OIIIIIR: YOUR FAILURE '1'0 RECORD A IIO'I'ICE OF C(IIMIRCIIfm MlY RESULT IN YOUR PAYING DICE FOR DIPROVIIIBIl'S '1'0 YOUR
<br />PROPIR'I'Y. IF YOU IOIlD '1'0 OBflIN FIUlCING, COISUL'I' 111m YOUR LBRDIR OR II AnoRDY BEFORE RICOIIDING YOUR IIO'I'ICI OF
<br />crJOIDCIMIN'I'. JOBS UXDER '2,500 IN VALOI 00 110'I' lIED '1'0 RECORD AID POS'I' A INOl'ICI OF C<IfIIDCIIIII'II.
<br />
<br />
<br />~ M~?--
<br />
<br />S'I'ATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SUR 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 me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Rame Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Rame Typed, Printed or Sta.ped)
<br />ROTARY PUBLIC
<br />
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