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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ibe undersigned understands that this penit laY be subject to 'deed restrictionsD wbieb laY be lOre restrictive than City
<br />regulations. Ibe undersigned assUleS responsibility for COIpliance lith any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the O'IfIler has hired a contractor or contractors to undertake IOrt, they laY be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by lal, both the O1IIler and contractor laY be
<br />cited for a lisdl!leaDor violation under state law. If the mmer or intended contractor are uncertain as to what licensing
<br />requirelents laY apply for the intendedlOrk, 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 the
<br />.Contractor Sections' of this application for Ihieb they will be responsible. If you, as the O1IIler sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IOrk. If the contractor lisbes you to sign
<br />as contractor that laY be an indication that he 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 lith a copy of 'Florida's Construction Lien Lal - HOIeOIIDer's Protection
<br />GuideD prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is IlOIeOne other than the
<br />'01IIlerD, I certify that I have obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />"OInerD prior to COlll!JlCetent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all IOrk lill be done in cOlpliance lith all
<br />applicable lals regulating construction, loning, and land developent.
<br />
<br />Application is hereby lade to obtain a peIlit to do lork and installation as indicated. I certify that no lork or
<br />installation bas ~ced prior to issuance of a penit and that all IOrk lill be perforted to teet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlellt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies laY apply to the intendedlOrk, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in COJpliance. Such agencies include but are not lilited to:
<br />t Departlent of Environtental Regulation - Cypress Baybeads, Wetland Areas and EnvirolllellWly Sensitive Lands,
<br />Water /iaste1later Ireatlent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Any Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Vaste1later Ireatlent, Septic lants
<br />t US Hnvirontental Protection Agency - Asbestos abatl!ll!llt
<br />I also certify that, if fill laterial is to be used in Flood ZOne 'A' or DA,etc.D, it is understood that a drainage plan
<br />addressing a 'cOJpenSating VOlUleR will be sublitted Ibieb 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 lith the IOrt 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 frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball becOle invalid
<br />unless the work authorized by sueb peIlit is COIIeJlced lithin six IOnths of issuance, or if lork authorized by the peIlit is
<br />suspended or abandoned for a period of sil IOIltbs after the tite the work is coaenced. One 90 day l!Itension of tile, laY be
<br />allowed for the perlit lith fee charge of $15.00. Ibe extension shall be requested in lriting to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillOllth period, or the project will be considered abandoned.
<br />VARlUNG 10 0WlfER: YOUR FAILURE 10 RECORD A NO'I'ICH OF COMMDCHm'f MAY RESULI IN YOUR PAYING 'NICH FOR lMPROVEMmS 10 YOUR
<br />PROPERlY. IF YOU IlI'fHHD 10 OB'l'AIH PUIAHC'IKG, CONSULI VIIH YOOR LBJIDHR OR 11 AnORm BEFORE RECORDING YOUR NOIlCE OF
<br />COMMHHCBMHH'f. JOBS UHDER $2,500 1M VALUE 00 10'1' HHHO TO RECORD AHD POSI A t'NO'I'ICE OF COIIIHHCmmlI'f".
<br />
<br />SIGJlAruRE: COlI'fRA(]()R
<br />
<br />SIGJlAtURi: OOIBR OR AGBlI'f
<br />
<br />S'fA'fE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SIAIB 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 />(Name 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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