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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this perlit JaY be subject to Ideed restrictions I which lay be lOre restrictive than City
<br />regulations. the undersigned assUJeS responsibility for ~liance 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 work, they laY be required to be licensed in accordance with
<br />state and local regulatiOll8. If the contractor is not licensed as required by law, both the owner and contractor JaY be
<br />cited for a lisdelleallOr violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!leIlts JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />lContractor Sectionsl of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that JOU, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that JaY be an indication that he is not properly licensed and is not entitled to perIIitting 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, have been provided with a copy of IFlorida's Construction Lien Law - lkIIeolmer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOJeOI1e other than the
<br />'owner', I certify that I have obtained a copy of the above c1escribed dOCUleDt and promse in good faith to deliver it to the
<br />'owner' prior to COIIeDCeJellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developll!llt.
<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 has CDIeIlced prior to issuance of a perlit and that all work will be perfoIJeC1 to Il!et standarda of all laws
<br />regulating construction, City codes, loning regulations, and land develO(llll!llt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies laY apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I lUSt take to be in COJpliance. Such agencies include but are not lilited to:
<br />t Departlent of InvirODJelltal Regulation - Cypress Baybuda, letlandAreas andlnviroDleDWly Sensitive Lands,
<br />later /1Iastewater !reatlent
<br />I Southwest Florida later Manag8leDt District - lells, Cypress Bayheac1s, Wetland Areas, Altering Watercourses
<br />I AIIY Corps of Inqineers - Seawalls, Docks, lavigable Waterways
<br />I DepartJent of Health & Rehabilitative Services, InvirODJelltal Health Unit - Wells, lastewater 'freatlent, Septic 'fanks
<br />I US Invi1'ODlleDtal Protection Agency - Asbestos abatl!lll!llt
<br />I also certify that, if fill Jaterial is to be used in Flood ZOne IAI or 'I,etc. I, it is understood that a drainage plan
<br />addressing a 'co.pensating vol_I will be sublitted Ihich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with 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 peIlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCCIIe invalid '
<br />unless the work authorized by such perlit is COIIeDCed within slllOnths of issuance, or if IOrk authoriled by the perlit is
<br />suspended or abandoned for a period of sil IODths after the tile the work is ~ced. One 90 day <ension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. 'file <ension shall be requested in Iriting to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
<br />MARlING 'fa omR: YOOR FAILURE 'fa RECORD I NO'fICE OF COMMBICBIID'f MAY RBSUL'f IN YOUR PAYIIG 'fIICE FOR IMPROVBIID'fS 'fa YOUR
<br />PROPmY. IF YOU IIImD 'fa OB'J'III FIDlCING, COJfSOL'f lID YOUR LBJIDIIt OR U IftOIIDY BEFORE RECORDING YOUR DICE OF
<br />COIIMBN . JOBS OlDER $2,500 IN VILUE DO 10'1 DID 'f0 RECORD IBD POS'f I 'IO'fICB OF aJIIDCBMBIl'f'.
<br />
<br />
<br />SIGJII'fUIUl: CON'fRlC'fOR
<br />
<br />S'fI'f1 OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />SIAn: 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 StallPed)
<br />NOTARY PUBLIC
<br />
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