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<br />, CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this perlit tay be subject to 'deed restrictions. wbieb lay be lOre restrictive than City
<br />regulations. fbe undersigned asSUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIRler has hired a contractor or contractors to undertake work, they JaY 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 mmer and contractor lily be
<br />cited for a tisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguirelents JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherJlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for whieb they wiJI 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 wort. If the contractor wishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the'
<br />City of Zephyrbills.
<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 'Plorida's Construction Lien Law - BcIIeoImer's Protection
<br />Guide' prepared by the Florida DepartJent of Agriculture and Consuter Affairs. If the applicant is 8OIeODe other than the
<br />'owner', I certify that I have obtained a copy of the above described docutent and prOtise in good faith to deliver it to the
<br />lowner' prior to COllencetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is accurate and that all wort will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is bereby Iilde to obtain a pettit to do wort and installation as indicated. I certify that DO wort or
<br />installation bas CDleDced prior to issuance of a perJit and that all wort Ifill be perfol'led to _t staDilarda of alII..
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies lilY apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lUSt take to be in eotpliance. Sueb agencies include but are not litited to:
<br />I DepartJent of Envirolllental Regulation - Cypress Baybeads, lIetland Areas and Envirolllelltally Sensitive Lands,
<br />lIater/lfastewater freatJent
<br />I Southwest Florida lIater Hanagl!leDt District - lIells, Cypress Baybeads, lIetland Areas, Altering lIatercourses
<br />t Arty Corps of Engineers - Seawalls, Docks, liavigable lIaterways
<br />I DepartJent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - lIells, lIastewater freatlent, Septic ranks
<br />t US EnviIODlental Protection Agency - Asbestos abatl!lent
<br />I also certify that, if fill taterial is to be used in Flood ZOne lA' or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COJpeDsating volute' will be suhtUted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />. set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued sball beCOle invalid
<br />unless the wort authoriled by sueb pertit is cOlIBnced within sil IOnths of issuance, or if JOrt authoriled by the perJit is
<br />suspended or abandoned for a period of Sil IOnths after the tile the JOrk is C08eDced. One 90 day l!Itension of tile, Iill be
<br />allowed for the pettit Ifith 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 sil IOnth period, or the project Ifill be considered abandoned.
<br />IIARJ1IIiG fO 0IIIfIR: YOUR FAILURE fO RlCORD A 1i0rICE OF COHMIIfCBllllfr MAY RESULT Iii YOUR PAYIIiG niCE FOR IHPROVEHmS fO YOUR
<br />PHOPEm. IF YOU IIfIBID fO OBfAIlf FIJIAICIIIG, COIfSULI IIIrK YOUR LBlDER OR AX AnORUY BEFORE RECORDIIiG YOUR JlO'IICE OF
<br />COMKEIfCEHEIfr. JOBS UIiDER '2,500 III VALUE DO 1i000lfEED 10 RECORD AIfD POST A 'IiOTICE OF COHMIIfCBllllfr'.
<br />
<br />u~~
<br />
<br />
<br />SrAfl OF FWRIDA
<br />coom OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SrAR OF PWRIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />who is personally bown 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 118 or who has
<br />produced
<br />as identification and who did/did not
<br />take an oCJth.
<br />
<br />(Signature)
<br />(Hame ~ed, Printed or Stamped)
<br />HOTARY . PUBLIC
<br />
<br />(Signature)
<br />
<br />(Hame Typed, Printed or Stuped)
<br />HOTARY PUBLIC
<br />
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