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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this penit lay be subject to 'deed restrictions' wbicb lay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has bired 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 tJ:Ie owner and contractor laY be
<br />ci ted for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents laY 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 bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for tbe vork. If the contractor "iabes 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 tbe
<br />City of Zephyrhills.
<br />
<br />c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 113, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of 'Florida's COnstruction Lien La" - HoIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOl8ODe other than the
<br />'owner", I certify that I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleDcelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable lalla regulating construction, loning, and land developllent.
<br />
<br />Application is bereby lade to obtain a perlit to do 1I0rk and installation as indicated. I certify that no work or
<br />installation bas COIIeDced prior to issuance of a perlit and that all work lIill be perfoned to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developl8l1t regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDIeRtal agenCies laY apply to the intended work, and that it is
<br />.y responsibility to identify lIbat actions I lust take to be in cOlpliance. Sucb agencies include but are not laited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastellater Treatlent
<br />. Soutbwest Florida Water HanageleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seallalls, Docks, Navigable Waterways
<br />t Departlent of Health i Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic lanks
<br />· US EnvirODleDtal Protection Agency - Asbestos abatelent
<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 'cOlpensating volUJe' lIill be sublitted "hich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set 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 petlit issued shall becoIe invalid
<br />unless the 1I0rk authoriled by such perlit is COIIenced lIithin sillOntbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillODtbs after the tile the lIOrk Is co.enced. One 90 day utension of tile, laY be
<br />allowed for the penit lIith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sil IODth period, or the project lIill be considered abandoned.
<br />NAMING TO OVID: YOUR FAILURE TO RlCORD A NOTICE OF C<IIHIIClllBNT MAY RESULT IN YOUR PAYING TIIlCE FOR IHPROVIIIBnS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN ATTORRIY BEFORE RICORDIMG YOUR DICE OF
<br />COMHIMCEHlIf'l'. JOBS UNDER U,500 IN VALUE 00 NOT NEED TO RlCORD AND POST A 'NOTICE OF aJttIEJfCIIIINf8.
<br />
<br />SIGJfATURI: OIfI(ER OR AGENT
<br />
<br />SIGIfATURK: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ byd
<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 oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARy'PUBLIC
<br />
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