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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'be undersigned understands that this penit laY be subject to 'deed restrictions' wbieb laY be .re restrictive tban City
<br />regulations. !be undersigned asSUIIeB responsibility for capliance with any applicable deec1 restrictiOll8.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, tbey 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 IIY be
<br />cited for a .isd_lDOr violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!leDts laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtbeIlore, if the OIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portiOll8 of the
<br />'Contractor Sections' of this application for whieb they will be responsible. If you, as the owner sign as tbe contractor,
<br />you are indicating that you, rather than tbe contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that laY be an indication that be is not properly licensed and is not entitled to penitting 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, tbe applicant, bave been provided with a copy of 'Plorida's construction Lien Law - lkIIeolmer's Protection
<br />Guide' prepared by tbe Plorida Departlent of Agriculture and COnsUler Affairs. If the applicant is SOleODe other than the
<br />'owner', I certify that I bave obtained a copy of the above described c10cUlent and prOlise in good faith to deliver it to the
<br />'owner' prior to co.nCelellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infOIlation in this application is.accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby Jade to obtain a peIlit to do work and installation as indicated. I certify that no work or
<br />installation bas ~cecl prior to i88uance of a penit and that all work will be perfoIJecl to leet stanc1ards of all 1_
<br />regulating construction, City codes, loning regulations, and land developll!llt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies IIY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lUst take to be in capliance. Sueb agencies include but are not lillted to:
<br />t Departaent of EnvlrODleDtal Regulation ,- Cypress Bayheads, Wetland Areas and Envlrouentally Sensitive Lands,
<br />Water /Wastewater 'freatlent
<br />t Southwest Florida Water Hanageent District - Wells, Cypress BayheadB, Wetland Areas, Altering Watercourses
<br />t lIlY Corps of Engineers - Seawalls, Docb, lavigable Waterways
<br />t Departlent of Health i Rebabilitative Senices, InviIOllleDtal Health Unit - Wells, Wastewater 'I'reatlent, Septic tanks
<br />t US Invironaental Protection Agency - Asbestos abatl!leDt
<br />I also certify that, if flllllterial is to be used in Flood ZOne 'A' or 'A, etc. " it is understood that a drainage plan
<br />addressing a 'CQIPeD8ating vol_' will be sublitteel whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance. . ,
<br />
<br />A penit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set asiele any provisiOll8 of tbe technical codes, nor sball i88uance of a peIlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in .plans, construction, or violations of any code. Bvery perlit i88Ued shall becme invalid
<br />unless the IIOrl authorlled by sueb perlit is ~ced within sil .nths of issuance, or if worl authoriled by the perlit is
<br />suspeneled or abandoned for a period of sil IOIlths after. the tile the worl is co.encecl. One 90 day utension of tile, IIY be
<br />allowed for the penit with fee charge of $15.00. 'fhe utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged eluring eaeb sil IODth PetiOcl, or the project will be considered abandoned.
<br />"ARlfING 'f0 omR: YOOR FAILURE TO ~RP, a, IOIICH OF ~ HAY RISUL'f II YOOI PIYIKG 'fIIICH FOR DIPROVIIIIDS 10 YOOI
<br />PROPU'1'Y. IF YOU IIDIID to OB'IAIJf 'PlilDCIKGi'COIISUL'I' II'I'D tOOR LDDIR OR AI A'1'!ORIIY BI10RI RICORDIIG fOOl JOIICB OP
<br />mumlCBMEtf'l. . JOBS URDU '2,500 II VALUI DO 10'1 RIBD '1'0 RECORD DO POSI A 'IOIICB OF aJIIIEIICBHDIl.
<br />
<br />.;;:-
<br />
<br />SIGHA'lURI: COO'RAC'lOR
<br />
<br />SIGIIA'fURB: 0IfIBR OR AGIII'1'
<br />
<br />SIA'I'B OP FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'fA'f1 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 lie or wbo has
<br />produced
<br />as identification and who did/did not
<br />take an oQ.th.
<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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