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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'be undenigned understands that this pemit lay be subject to 'deed restrictions' wbieb laY be lOre restrictive than City
<br />regulations. tbe undersigned asSUles responsibility for cmpliance 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 wort, 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 c:nmer and contractor laY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for whieb 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 wishes you to sign
<br />as contractor that laY be an indication that he is not properly licensed and is not entitled to pemitting privileges in the
<br />City of Zephyrhills.
<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, bave been provided with a copy of 'Florida's Construction Lien Law - lkIIeoImer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOIIl!OIle other than the
<br />lowner", I certify that I bave obtained a copy of the above described docUJent and pr..ise in good faith to deliver it to the
<br />"owner" prior to co.enCeJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all IOrk will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developll!llt. .
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no IOrt or
<br />installation has co.IeDced prior to issuance of a pemit and that all work will be perfolJed to .Het standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDleDtal agencies lilY apply to the intended wort, and that it is
<br />Ii responsibility to identify wbat actions I lUSt tate to be in COIpliance. Sueb agencies include but are not luited to:
<br />t Departlent of EnvirOlll8Dtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water IWastewater 'l'reat:lent
<br />t Southwest Florida Water ManageJellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineen - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health i Rehabilitative Services, EnvirOlll8Dtal Health Unit - Wells, Wastewater 'l'reatlent, Septic 'l'ants
<br />t US EnviIODlelltal Protection Agency - Asbestos ahatl!lellt
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' or lA, etc.', it is understood that a drainage plan
<br />addressing a 'co.pensating volute' will be sublitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A penlit issued shall be construed to be a license to proceed with the IOrt and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a penlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued sball beCClle invalid
<br />unless the IOrt authoriled by sueb pemit is ~ced within slllOntbs of issuance, or if IOrt authoriled by the pertit is
<br />suspended or abandoned for a period of sillODtbs after the tile the wort is co.enced. One 90 day l!Itension of tile, lilY be
<br />allowed for the pemit with fee charge of $15.00. the l!Itension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abandoned.
<br />WARRING '1'0 (MER: YOOR FAILURE '1'0 RECORD A NOIICH OF C<IIMDCBIID'I' MAY RESUL'I' IN YOUR PAYING '!'IIICH FOR DIPROVIIID'I'S '1'0 YOUR
<br />PROPERlY. IF YOU IJIUIlD '1'0 08'1'111 FIIlUCIIG, CONSULt WID YOOR LEIIDER OR IN I'I"I'ORIIY BBFORI RECORDING YOUR DICH OF
<br /><mmNCEMEII'I'. JOBS UNDER $2,500 IN VALUE DO NOI NEED '1'0 RECORD AND POS! A -NOIICH OF ClJIIDCEIIBI'I'".
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<br />
<br />.~
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<br />
<br />StA!E OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this t 19____ by
<br />
<br />S'I'A!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 />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 />(Name 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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