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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit laY be subject to "deed restrictions" whicb laY be lOre restrictive than City
<br />regulations. Tbe undersigned assllles responsibility for cOlpliance 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 lIOrk, 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 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 wbat licensing
<br />requireleDts laY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for whicb 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 the work. If the contractor wisbes you to sign
<br />as contractor that lilY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<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 that I, the applicant, have been provided with a copy of "Florida's COnstruction Lien Law - 8oIeoIner's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and ConsllIer Affairs. If the applicant is SOHODe 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 COlleDCeleDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforliltion in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby Iilde to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas COIIeDced prior to issuance of a peIlit and that all work will be perforaed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developl8Dt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lUSt take to be in cOlpliance. Sucb agencies include but are not lilitec1 to:
<br />t DepartJent of Environaental Regulation - Cypress Baybeads, Metland Areas and EnviroDleDtally Sensitive Lands,
<br />Mater/Wastewater Treatlent
<br />t Southwest Florida Mater HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health' Rebabilitative Services, EnvirORleRtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US InvirORleRtal Protection Agency - Asbestos abateleDt
<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 "cOJpeRsating volUle" will be subtitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issuec1 sball be construed to be a license to proceed witb the work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fIOl,thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perllt issued shall beCOle invalid
<br />unless the work authoriled by such peIlit is COllellced within sillOnths of issuance, or if work authoriled by the peIlit is
<br />suspended or abandoned for a period of sillODths after the tile the lIOrk is c-.mced. One 90 day utension of tile, lilY be
<br />allowed for the peIlit 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 each six IODth period, or the project will be considered abandoned.
<br />WARRING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHDCEIIIIft' MAY RESULT IN YOUR PAYING niCE FOR IHPROVIIIBITS TO YOUR
<br />PROPERTY. IF YOU IIft'BJID TO OBTAIN FIIIAIICING, CONSULT VI'1'H YOUR LINDO OR AN AnoRIIY BEFORE RECORDING YOUR NOTICI OF
<br />COMMENCEHEIft'. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A wN01'ICI OF C<lllENCIIIEIft'w.
<br />
<br />SIGIIATURI: COIft'RACTOR
<br />
<br />SIGNATURE: ODKR OR AGE1ft'
<br />
<br />STATI OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATI 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 />procluced
<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 />(Naae 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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