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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this penlt lilY be subject to Ideed restrictions I wbieb lily be lOre restrictive than City
<br />regulaUems. !be undersigned as81lleS responsibility for COIpliance with any applicable deed restrictiODS.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired 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 OlDer and contractor lilY be
<br />cited for a lisdeleanOr violation under state law. If the OIRler or intended contractor are uncertain as to what licensing
<br />requirelellts lilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building llepartlent, (813)
<br />788-6611.
<br />
<br />Furthenore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Cemtractor Secti0081 of this applicatiem for wbieb they will be respcmsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the col)tractor, 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 entiUed to P8I1itting pdvileges 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 AMEHDED)
<br />I certify that I, the applicant, have been provided with a copy of IPlorida's Constructiem Lien Law - lkIIeoImer's Protection
<br />Guide' prepared by the Plorida DepartJent of Agriculture and ConsUlll!1' Affairs. If the applicaQt is SOI8OIle other than the
<br />'OWDerl, I certify that I have obtained a copy of the above describea c10cUIent andtpIOlise in good faith to deliver it to the
<br />.owner' prior to co.enCl!l8Jlt.
<br />
<br />~
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforliltion in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developl8llt.
<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 has ~ced prior to issuance of a pmit and that all work will be perfOlled to leet staDclards of all laws
<br />regulating construction, City codes, loning regulations, and ~~ developleDt regulations in the jurisdictiem. I also
<br />certify that I understand that the regulations of other gDVeIllleDtal agencies lilY apply to the intended wort, and that it is
<br />Ii responsibility to identify wbat actions I lust tue to be in COIpliance. Sueb agencies include but are not Iilited to:
<br />t Departlent of InvirODl8l1tal Regulation. Cypress Bayheads, lIetland Areas and InvirODl8l1ta11y Sensitive Lands,
<br />lIater/llastewater.TreatJent
<br />t Soutbwest Florida lIater Hanag8l8llt District - lIells, Cypress Barbea4s, lIetland Areas{ Altering lIatercourses
<br />t ArlY ColliS of Ing'ineers - Seawalls, Docks, Ifavigable lIatenays -
<br />t Departlent of Health i Rebabilitative Services, InvirODleDtaJ Health Unit - lIells, lIastewater rreallent, Septic ranb
<br />t US EnviIODlelltal Protectiem Agency - Asbestos abatl!ll!llt
<br />I also certify that, if fill aaterial is to be used in Flood ZOne IAI or IA,etc.l, it is understood that a drainage plan
<br />addressing a lCOIpeDSating 1010181 will be saitted whieb is prepared by a professiemal engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A penit issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor sball issuance of a penit prevent the Building Official fIOl thereafter
<br />requiring a correctiem of errors in plans, construction, or violations of any code. Ivery pemit iBBued shall becme invalid
<br />unless the work authoriled by sueb penit is COIIeDced within sillODtbs of iss.ee, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is ~ced. One 90 day utension of tile, lily be
<br />allowed for the penit with fee charge of tI5.00. fhe 81tension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the project will be CODIidered abandoned.
<br />WARMING TO OWNER: YOUR FAILURlIO RECORD A NOTICE OF COIIIBRCBIIItff HAY RlSULI II YOUR PAYIIG DICE POR IIIPROVIIIIIIS 10 YOUR
<br />PROPERTY. IF YOU IIIIIID 10 0871111 FIIfAllCIIfG, COIISULr IIIrB YOOR LIIDD OR III AftORDY BlPORI RICORDIIG YOUR JOrICE OF
<br />aJIIIlfCIHBRI. JOBS OlDER t2,500 III VALUE 00 lOT IfIBD TO RECORD AID POSr A IIOTIC! OF aJIIDCIIIIlIrl.
<br />
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oath.
<br />
<br />STAR OF
<br />ccum OF
<br />Tbe foregoing i:Jst~~t was ac
<br />before me this 0 , 19~
<br />
<br />Q
<br />wbo is persona ly own to me or wbo bas
<br />produced ~
<br />as idBOt~ BOd who did/did DOt
<br />take an ~. J~1J1r
<br />
<br />(Signatu) j I · \ ff::;--4/
<br />... Uhh. m LJ.ot"":: cY
<br />(Name Typed, Printed or Stuped)
<br />NOTARY PUBLIC
<br />
<br />
<br />SIGIIA'IUIII: 0IfIfIR OR AGIJII
<br />
<br />SlATE OF FLORIDA
<br />coum OF
<br />Tbe foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />
<br />(Signature)
<br />(Namp. Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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