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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this perait lay be subject to 'deed restrictiOll8' whieb lay be lOre restrictive thaD City
<br />regulatiOll8. !he undersigned asSUle& respousibility for co.pliance with any applicable deed restrictiOll8.
<br />
<br />B. UNLICENSED: CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIftler bajj" hired a contractor or contractors to undertake IOrt, they lay be required to be licensed in accordance with
<br />state and local reguJatiOll8. If the contractor is not licensed as reguired by law, both the 0IJler and amtractor ., be
<br />cited for a lisdellBaJlOr violation under state la". If tbe OIRler or intended contractor are uncertain as to lbat licensing
<br />reguiruents lay apply for tbe intended IOrt, they are advised to contact the City of Zephyrhills Building IJepartlent, (813)
<br />788.6611.
<br />
<br />Purtbenore, if tbe owner bas hired a contractor or contractors, he is advised to have tbe contractor(s) sign portiOll8 of tbe
<br />'Contractor Sections' of this application for whieb they will be responsible. If you, as tbe owner sign as the contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for tbe IOrt. If tbe contractor liaJ1es you to sign
<br />as contractor tbat laY be an indication that be is not properly licensed and is not entitled to pmitting 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, tbe applicant, have been provided witb a copy of 'Florida's COnstruction Lien Law - lkIIeoImer's Protection
<br />Guide' prepared by tbe Florida Departlent of Agriculture and ConsUIBI Affairs. If the applicant is 8OIl!OI18 other than the
<br />'OIRler', I certify that I bave obtained a copy of tbe above described docUIent and prOlise in good faitb to deliver it to the
<br />"OIner' prior to co.encuent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in tbis application is accurate and that all IOrt lill tie done in eotpliance litb all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby tade to obtain a perlit to do work and insWlation as indicated. I certify that DO IOrk or
<br />installation bas cmI8J1cecl prior to issuance of a pemit and that all work lill be perf OIled to _t stanc1ards of all 1_
<br />regulating construction, City codes, loning regulations, and land develoPMDt regulations in the jurisdiction. I also
<br />certify that I understand that tbe regulations of otber goveIDl8Dtal agencies lay apply to the intended IOIk, and that it is
<br />Ii responsibility to identify what actions I lUSt take to be in eotpliance. Such agencies include but are not lilitec! to:
<br />t Departlent of Invirollll8lltal Regulation - Cypress Bayheads, lIetland Areas and InviroDleDtally Sensitive Lands,
<br />lIater/llastewater freatlent
<br />t Southwest Florida lIater Hanaguent District - lIells, Cypress Baybea4s, lIetland Areas, Iltering lIatercourses
<br />t IrIy Corps of Engineers - Seawalls, Docts, Xavigable lIatenays
<br />t Departlent of Health' Rehabilitative Services, InvirOJll8Dtal Healtb Unit - ileUs, Wastewater rreatlent, Septic ranb
<br />t us InYiIODlBllW Protection Igency - Asbestos abatuent .
<br />I also certify that, if fill aaterial is to be used in Flood ZOne wA' or 'I,ete.', it is understood that a drainage plan
<br />addressing a 'COIpen8ating volUIB' will be saitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perait issued sball be construed to be a license to proceed witb the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official fa thereafter
<br />requiring a correcticm of errors in plans, construction, or violations of any code. Ivery perait issued shall becoIe invalid
<br />unless tbe IOrk authoriled by sueb perlit is ~ced ,itbin sUlODtbs of issuance, or if IOrk autboriled by the perait is
<br />suspended or abandoned for a period of sUIODtb8 after tbe tile the work is ~cecl. One 90 day 81tensiell of u., .y be
<br />allowed for tbe perait witb fee charge of $15.00. tbe 81tension shall be requested in writing to the Building Official. In
<br />approved inspection lUSt be logged during eaeb sil IODtb period, or the project will be considered abanc1oned.
<br />IIARRING to OIIDB: YOUR FIILURI to RECOBD A XOIle! OF CCIIMDCBIlBHf NAY RESULt IIf YOUR PIYIHG nle! FOR DIPROVIIIIIIS fO YOOR
<br />PROPlm. IF YOU DDIID to OBIIIX FIllUCIXG, COHSULr IIIrH YOUR LDDBR DB IX InomY BIFOBI RICOJIDIIG YOUR JOIlCE OF
<br />ClJIMINCBIlBHf. JOBS UNDIR $2,500 IX VILUlIlO XOI IfDD to RICOBD UD POSt I 'XOIIC! OF aJIIDCIIIDI'.
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<br />SIGJllfURB: OIIDB OR IGIHI
<br />
<br />SIGU'IURI: COJIRACfOB
<br />
<br />StArI OF FLORIDA
<br />CO11m' OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />Stili OF FLORIDA
<br />COOllY OF
<br />The foregoing instl'Ulllent 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 oCJtb.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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