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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ihe undersigned understands that this penit lilY be subject to Ideed restrictiODSI ,bieb lilY be lOre restrictive tban City
<br />regulations. !be undersigned assU1e8 responsibility for capliance ,ith any applicable deed restrictiODS.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OlDer bas bired a contractor or contractors to undertake work, they lilY be required to be licensed in accordance ,ith
<br />state and local regulations. If the contractor is not licensed as required by law, both the OlDer and contractor lilY be
<br />cited for a lisdeJeallor violation under state law. If the OIIl8r or intended contractor are uncertain as to ,bat liC8D8inq
<br />requireaents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Deparblent, (813)
<br />788-6611,
<br />
<br />FurtberlOre, if tile OIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of tile
<br />IContractor SeCtiODSI of Ws application for ,bieb they ,ill be responsible. If you, as the OlDer sign as tile contractor,
<br />you are indicating that you, rather tban the contractor, are responsible for tile IOrk. If the contractor ,iabes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to penitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILI'tY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, tile applicant, bave been provided ,ith a copy of IFlorida's construction Lien La, - lIoIeoImer's Protection
<br />Guidel prepared by the Florida Deparblent of Agriculture and Consuaer Affairs. If the applicant is 8OIC!OIl8 other tban the
<br />lownerl, I certify that I have obtained a copy of the above described docllleDt and prOllise in good faith to deliver it to the
<br />lownerl prior to co.encuent,
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the infoIlition in this application is accurate and that all IOrk ,ill be done in COIPliance ,ith all
<br />applicable laws regulating construction, loning, and land developlBllt.
<br />
<br />Application is bereby Iilde to obtain a perlit to do ,ark and installation as indicated, I certify that no work or
<br />installation bas CDIeIlced prior to issuance of a penit and that all IOrt ,ill be perfoIl8d to leet stanc1ards of all laws
<br />regulating construction, City codes,. loning regulations, and land developlent regulations in tile jurisdiction. I also
<br />certify that I understand that the regulations of other gov8IllleDtal agencies laY apply to the intended wort, and that it is
<br />If responsibility to identify ,bat actions I lust take to be in cOlpliance. Such agencies include but are not Iulted to:
<br />t Departlent of Bnvironaental Regulation - Cypress Bayheads, Wetlandlreas and BnvironaenWly Sensitive Lands,
<br />lIater/Vastewater !reatlent
<br />t Southwest Florida lIater Managl!l8llt District - lIells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
<br />t AI'IJ Corps of Engineers - Seawalls, Docks, Navigable lIatenays
<br />t Departlent of Health i Rebabilitative Services, Invironaental Health Unit - lIells, lIastewater Ireablent, Septic !ants
<br />t US Environaental Protection Agency - Asbestos abatuent
<br />I also certify that, if fill laterial is to be used in Flood Zone IAI or IA,etc, I, it is understood that a drainage plan
<br />addressing a lcoapensating vol.1 ,ill be saitted ,hieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance, '
<br />
<br />A perlit issued shall be construed to be a license to proceed ,ith 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 fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued sball becoIe invalid
<br />unless the IOrk autboriled by sueb perlit is co.enced within sillOntbs of issuance, or if IOrk autlloriled by tile penit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is co.encec1. One 90 day utension of tile, laY be
<br />allowed for the perait ,ith fee charge of $15.00, fbe utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the project lIill be considered abaDdoDed.
<br />1IAR11ING 'f0 omR: YOUR FAILURI '10 RECORD A DICE OF WlMDCIIIII! lilY RESUL'f II YOUR PAYING !IIICE FOR DIPROVIIIIIIS 'f0 YOUR
<br />PROPIR!Y. IF YOU IIJIIID '10 OB'fI11 iUIAIICIIG, COISULI IfIIH YOOR LllDIR OR All AnoRIBY BI10RB RICORDIIG YOUR DICE OF
<br />COHMIIICIHIN'f. JOBS UNDIR $2,500 II VALUI DO 1I00NBBD 'f0 RBCORD AID POS'f A IDlCE OF COIIIIIICIIIII!I.
<br />
<br />. ....
<br />
<br />SIGIA'fURI: (IfJIIR OR AGDI
<br />
<br />SIGUIURI: COIIfRAC'fOB
<br />
<br />Sf All OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />S'fAfE 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 oct-th.
<br />
<br />(Signature)
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stuped)
<br />ROTARY PUBLIC
<br />
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