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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands tIIat tIIis perin laY be subject to .deed restrictions. wbieb lay be lOre restrictive than City
<br />regulations. Ibe undersigned assUles responsibility for cOlpliance witll any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ~er bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and Jocal regulations. If tile contractor is not licensed as required by law, botll tile OlDer and contractor lilY be
<br />cited for a lisdeteanor 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 tbe City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the OlDer bas bired a contractor or contractors, he is advised to bave tile contractor(s) sign portions of the
<br />"Contractor Sections. of tIIis application for wbich tIIey will be responsible. If you, as the OlDer sign as tile contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for tile worl. If the contractor wishes you to sign
<br />as contractor tIIat laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in tile
<br />City of Zepbyrhills.
<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 tIIat I, the applicant, bave been provided witll a copy of .Florida's Construction Lien Law - HoIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If tile applicant is SOleODe otber than tile
<br />"owner", I certify tIIat I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COlleOCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tile inforlation in tbis application is accurate and that all worl will be done in COIPliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
<br />installation bas COIIeDced prior to issuance of a perlit and that all worl lill be perforled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify tbat I understand that tile regulations of otller goveIDlental agencies laY apply to tile intended worl, and tIIat it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sueb agencies include but are not lilited to:
<br />· Departlent of Bnvironaental Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treattent
<br />· Soutbwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />· Departlent of Health & Rebabilitative Services, EnvirODleDtal Healtll Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />· US BnvirODleDtal Protection Agency - Asbestos abatetent
<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 volllle" will be subtitted wbieb 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 work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent tile Building Official frOl,thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becoIe invalid
<br />unless the work authoriled by sueb perlit is cOllellced within sblOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after tile tile tile worl is ~ced. One 90 day utension of tile, laY be
<br />allowed for tile perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb sil IOntll period, or tile project will be considered abandoned.
<br />NAMING TO OIfHBR: YOUR FAILURB TO RECORD A 10TICE OF C<IIMENCBMBWI MAY RESULT II YOUR PAYING TWICE FOR IMPROVEllllTS 10 YOUR
<br />PROPBRTY. IF YOU IWlEID TO OBTAIN FINANCING, COlfSULT WITH YOUR LBHDIR OR AI AnORBBY BBFORE RECORDIIG YOUR NOTICE OF
<br />COMMBNCBHBIl'. JOBS UNDBR $2,500 II VALUE 00 lOT IEED TO RECORD AID POSI A "IOIICE OF ClIIMBHCBIlBWI".
<br />
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<br />
<br />SIGlfATURH: COH'IRAC'lOR
<br />
<br />STATB OF FLORIDA ~
<br />COUIl'Y OF C (/
<br />The foregoing instrument was acknowledged
<br />before me this 1.1- - Z9 , 19~ by
<br />
<br />STATB OF FLORIDA /
<br />COUHTY OF f;f ;;: cD
<br />
<br />The foregoing inst~ent was aC~~ledged
<br />before me thi!?cL I ~ 0 , 19 <; ~ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and wh
<br />take an oath.~
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<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 />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARy'PUBLIC
<br />
<br />
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