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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that tills penit laY be subject to 'deed restrictions' which lay be .re restrictive than City
<br />regulations. !be undersigned asSUle& responsibility for capliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas bired a contractor or contractors to undertake work, tbey laY be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb the owner and contractor laY be
<br />cited for a lisdell8allOr violation under state law. If tbe owner or intended contractor are uncertain as to what licensing
<br />requirl!l8Dts laY apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of tbe
<br />'Contractor Sections~ of tbis applicatioo for which tbey wi11 be responsible. If you, as tbe owner sign as tbe cootractor,
<br />you are indicating that you, ratber than tbe contractor, are responsible for the IIOrk. If tbe contractor wi_you to sign
<br />as contractor that .y be an indication that he is not properly licensed and is not entitled to peIJit.ting privileges in tbe
<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, tbe applicant, have been provided witb a copy of 'Plorida's Construction Lien Law - lDeoImer's Protection
<br />Guide' prepared by tbe Florida Departlent of Agriculture and ConsUlet Affairs. If tbe applicant is 8OII!OIle otber than tbe
<br />'owner', I certify tbat I have obtained a copy of tbe above described docuent and prOlise in good faitb to deliver it to tbe
<br />'owner' prior to co.enCl!lel1t.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforlation in tbis application is accurate and that all work will be done in COIpliance witb all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do wort and insWlation as indicated. I certify that 110 IIOrk or
<br />installation bas CDleDced prior to issuance of a perlit and that all work will be perfomed to Jeet standards of all laws
<br />regulating construction, City codes, looing regulations, and land developJeJlt regulations in tbe jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of other goverDll8Dtal agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUst take to be in COIpliance. Such agencies include but are not lillited to:
<br />t Departlent of BnviroDl8lltal Regulation - Cypress Baybeads, Wetland Areas and BnviIOlll8lltally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Soutbwest Florida Water Managl!lel1t District - Wells, Cypress Bayheac1a, Wetland Areas, Altering Watercourses
<br />t ArIy Corps of Bngineers - Seawalls, Docks, lavigable Watenays
<br />t DepartJent of Bealtb i Rehabilitative Smices, BnvirODl8Dtal Bealtb Unit - Wells, Vastewater !reatlent, Septic !anks
<br />t US BnvirODleDtal Protection Agency - Asbestos abatl!lellt
<br />I also certify that, if fill uterial is to be used in Flood Zone 'A' or 'A, etc. " it is undentooc1 that a drainage plan
<br />addressing a 'COJpeDSating vol.' will be sw.itted wbich is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a penit prevent the Building Official flOl tbereafter
<br />requiring a correctioo of errors in plans, construction, or violations of any code. Bvery per.tit issued aball becaIe invalid
<br />unless tbe work authoriled by such peIlit is COIIeIlced witbin sillOlltbs of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sillOlltbs after the tiJe tbe work is CDleDcec1. One 90 clay 81tension of tile, lay be
<br />allOlled for tbe penit with fee charge of $15.00. !be 81tension sball be requested in .riting to the Building Official. An
<br />approved inspection at be logged during each sil atb period, or the project .ill be considered abandoned.
<br />WARRING !O 0Iftf1R: YOUR FAILURE 10 RlCORD A IOIICB OF alllDCBIIDI HlY RlBUL! II YOUR PIYlIG !IIICB FOR DIPROVIIIII!S 10 YOUR
<br />PROPBRTY. IF YOU mIlD !O OB!UI FIIWICIIG, COISUL! VI!B YOOR LDDIR OR AI AnoRDY BlFORI RICORDIIG YOUR DICB OF
<br />COMMBIICBIIBII!. JOBS UlDIR $2,500 II VALUE 110 IOIIIID !O RICORD lID POS! A -IOIICB OF aJIIIJfCBllBll!-.
<br />
<br />SIGIIA!URI: OOIR OR AGBII'l
<br />
<br />SIGIA!URI: COJIDAC'lOR
<br />
<br />STATB OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATI OF FWRIDA
<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 oct,tb.
<br />
<br />(Signature)
<br />
<br />(Namp. Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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