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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'fbe undersigned understands that this pemit lay be subject to 'deed restrictions' wbich lilY be lOre restrictive than City
<br />regulations. fbe undersigned asSUles responsibility for COIpliance 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 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 owner and contractor lily be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguirl!lents lilY apply for the intended work, they are advised to contact the City of Zephyrhills 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 the
<br />'Contractor Sections' of this application for which they will be responsible. If fOU, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IfOrt. If the contractor wishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to perJitting 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 'Florida's Construction Lien Law - B(IIBOWDer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsllleI' Affairs. If the applicant is SOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />'owner" prior to cOlleDcl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforliltion in this application is accurate and that all wort will be done in c08pliance with all
<br />applicable laws regulating construction, loning, and land developleJlt.
<br />
<br />Application is hereby lade to obtain a perlit ,to do work and installation as indicated. I certify that no work or
<br />insWlation has CDlenced prior to issuance of a perli t and that all IfOrk will be perfoIJed to leet staDc1ards of all IDS
<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 other govlU1lleJltal agencies lay apply to the intended IfOrk, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Departlent of EnYirolllelltal Regulation - Cypress BByheads, Wetland Areas and EnvirollleDtally Sensitive Lands,
<br />Water/Wastewater 'freatlent
<br />t Southwest Florida Water HanagBleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Amy Corps of Engineers - Seawalls, Docks, Havigable Watenays
<br />I Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'freatlent, Septic fanks
<br />t US EnviroDleJltal Protection Agency - Asbestos abateJl8nt
<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 'cOlpeDsating volDle" 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 IfOrt and not as authority to violate, cancel alter, or
<br />. set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans,. construction, or violations of any code. Every peIlit issued shall beCOle invalid
<br />unless the wort authoriled by such perlit is cODenced within sillOnths of issuance, or if work authorised bJ the Perlit is
<br />suspenaed or abandoned for a period of sillOnths after the tile the work Is C08enced. One 90 day l!Itension of tile, IilJ be
<br />allowed for the peIlit with fee charge of $15.00. !he extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned.
<br />WARHIlfG 'f0 OVHER: YOUR FAILURE 'f0 RECORD A BOrICE OF COHHDCBIIU'f HAY RESUL! IH YOUR PAYIIG BICE FOR lHPROVEHEft'S 'f0 YOUR
<br />PROPIR'fY. IF YOU IJI'fEHD 'fa OB'fIIH FIIWICIHG, COMSUL! WIfHYOUR LEIDER OR AN AnORIIY BEFORE RECORDIIG YOUR IO'fICE OF
<br />COHMEIICBIIU'f. JOBS URDER $2,500 II VALUE DO HOT tfEED 'fa RECORD AND POS! A "HOTIeR OF C<>>IHElfCEMDl'.
<br />
<br />~:~
<br />
<br />A~a~.
<br />I /
<br />SIGII'fURE: CR.
<br />
<br />SrA!R OF FLORIDA 1iF
<br />coum OF .5C 0
<br />The foregoinf instrument was a~kn~ledged
<br />before me this {tf--l(r- ,19 by
<br />
<br />~,~~ /JI/&I-hv
<br />who is personally known to ..e (W wile sas
<br />predu,-cd.
<br />as identifi
<br />take an oa
<br />
<br />S!ArE OF FLORIDA 7/;.,
<br />coum OF d:.,J C 0'
<br />The foregoing~nstrument was acknowledged
<br />before me this ICI"'7-i{~ , 19 qy by
<br />
<br />~ .~jJ~
<br />~:ersonaI1Y in to me 1) b.. r
<br />
<br />as identification and who did1.did not
<br />take an 0
<br />
<br />(Signature)
<br />
<br />(Rue 'bPed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
<br />
<br />(Signatur
<br />
<br />(Rame Typed, Prin ed or Stamped)
<br />ROTARY PUBLIC
<br />
<br />
<br />
<br />.:.c:~
<br />-o.a'ftcAf.L\-
<br />
<br />
<br />.,..Y
<br />IIyComm, Elip. AuD. M, _
<br />Comm. # CC 214508
<br />........ .0,__' ...."__"
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