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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'1'be undersigned understands that this perait lay be subject to 'deed restrictions' Ibieb lay be lOre restrictive than City
<br />regulations. !be undersigned assUles responsibility for COIpliance lith any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance lith
<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 lisd_anor violation under state lal. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />.Contractor Sections' of this application for Ibieb they lill be responsible. If you, as the owner Sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IIOrk. If the contractor lisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the
<br />City of Zephyrhills,
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNE<::TION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided lith a copy of 'plorida's Construction Lien Lal - HoIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is sOftOne 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 coaenCl!Ient.
<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 COIpliance lith all
<br />applicable lals regulating construction, loning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do IOrk and installation as indicated, I certify that no lork or
<br />installation bas COIIl!Dced prior to issuance of a perlit and that all IOrk lill be perfoIJed to leet standards of all lals
<br />regulating construction, City codes, loning regulations, and land developleRt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies lilY apply to the intended work, and that it is
<br />IY responsibility to identify Ihat actionS I lUst take to be in ctmpliance. Sueb agencies include but are not liaited to:
<br />t Departlent of Bnvirollll8lltal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater '1'reatlent
<br />t Southwest Florida Water Managl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Sealalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODll!Dtal Health Unit - Wells, Wastelater '1'reatlent, Septic tanks
<br />t US EnvirODlental Protection Agency - Asbestos abatl!lent
<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 uCOlpell8ating volUll!u lill be subJlitted Ihieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perait issued shall be construed to be a license to proceed lith 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 perait prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
<br />unless the IIOrk authoriled by sueb perait is COIIeIlCed lithin sillOntbs of issuance, or if lork authoriled by the perait is
<br />suspended or abandoned for a period of sillOlltbs after the tile the IOrk is c.enced. One 90 day utension of tiae, lilY be
<br />allOlfed for the perIIit lith fee ebarge of $15.00. fhe utension shall be requested in Iriting to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IOllth period, or the project will be considered abandoned.
<br />WARNUG fO OWNER: YOUR FAILURE fO RECORD A NOflCE OF COMMEICEIIIH'l' MAY RESULf IH YOUR PAYIHG !WICE FOR IHPROVEMBnS fO YOUR
<br />PROPER'l'Y. IF YOU 1II1'ElfD fO OB'l'AIH FIlfAICIHG, COIISULf WID YOUR LEIfDD OR 111 AnomY BEFORE RECORDING YOUR KOfICE OF
<br />COMMEKCEMEII'l'. JOBS UlfDD $2,500 Ilf VALUE 00 IIOf NEED '1'0 RECORD AIfD POSf A "HOfICE OF COMMENCEMm".
<br />
<br />
<br />. ~ DO
<br />~'n Q ~ Q ~J"\'f) \\,\ \ .
<br />SIGlfA'l'URE: con
<br />
<br />
<br />S'l'A'1'E 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 />(Signature)
<br />
<br />(NUt! Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />S'1'A'fE OF FLORIDA
<br />COUIf'l'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to me or who bas
<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 />
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