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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 Ideed restrictionsl wbieb lap be lOre restrictive than Citp
<br />regulations. The undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer has hired a contractor or contractors to undertake work, they laY 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 O1IIler and contractor lilY be
<br />cited for a lisdeleanor violation under state law. If the olDer or intended contractor are uncertain as to wbat licensing
<br />reguirelents laY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611. ·
<br />
<br />FurtberlOre, if the OlDer has hired a contractor or contractors, be is advised to baye the contractor(s) sign portions of the
<br />IContractor Sectionsl of this application for which they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for tbe work. If the contractor wisbes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to perlltting privileges in the
<br />City of Zephyrhills. '
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. ~ONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of IFlorida's Construction Lien Law - HoIeoIDer'a Protection
<br />Guide" prepared by the Florida Deparuent of Agriculture and ConsUler Affairs. If the applicant is SOIBOne other than the
<br />lower", I certify that I bave obtained a copy of the above described docUIIeDt and prOlise in good faith to deliver it to the
<br />lowner" prior to COlleDcuent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COIPliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. 1 certify that no IOrk or
<br />installation has COIIenced prior to issuance of a perlit and that all work will be perforaed to Ieet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal 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. Sucb agencies include but are not lalted to:
<br />. Deparuent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Nater/Nastewater Treablent .
<br />I Southwest Florida Water Manag8lent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Natercourses
<br />I ArlY Corps of Engineers - Seawalls, Docls, Navigable Naterways
<br />t Deparuent of Health i Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlen!, Septic 'anks
<br />I US EnyiroDlental Protection Agency - Asbestos abatel8nt
<br />I also certify that, if fill laterial is to be used in Flood Zone IAI or IA,etc.l, it is understood that a drainage plan
<br />addressing a ICOlpensating VOlUleI 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 tbe work and not as authority to violate, cancel alter, or
<br />Bet 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. Every per.it issued &ball bBCOll invalid
<br />unless the work autboriled by such perlit is cOllBDced within sil IOnths of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tille the work is c08eDced. One 90 day extension of tile, IilJ be
<br />allowed for the perlit with fee charge of $15.QO. Tbe 81tension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eacb sillOlltb period, or the project will be considered abandoned.
<br />NARIlING TO OWNIR: YOUR FAILURE TO RECORD A NOTiCE OF aIlIfIlICEMKNI MAY RESULT IN YOUR PAYING !IIICE FOR IMPROVIIIKNl'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCIIG, CONSULT NITH YOUR LINDER OR AN AnOmy BEFORE RECORDING YOUR 1I00ICE OF
<br />COHHINCEHENI. JOBS UNDER $2,500 IN VALUE DO NOI NEED TO RECORD AND POST A INOTICE OF WfMDCEIIBIII'.
<br />
<br />
<br />J?i:~ 4r-
<br />SIGNATURE: COlT OR
<br />
<br />----------
<br />)
<br />
<br />SIGNATURI: OIIIIER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNty OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE 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 oct.tb.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name 1"yped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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