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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />. !be uncfUsigned understands that tbis perlit lily be subject to .deed restrictions" wbieb lily be .re restrictive than City
<br />regulations. !be undersigned asSUlf!S responsibility for cmpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, tbey lilY be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lilY be
<br />cited for a lisdl!leanor violation under state law. If tbe olfller or intended contractor are uncertain as to wbat licensing
<br />requirl!leDts lilY apply for the intended work, tbey are advised to CQJltact tbe City 'Of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if tbe owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of tbe
<br />"Contractor Sections. of tbis application for whieb tbey will be responsible. If you, as tbe OIIDer sign as tbe contractor,
<br />you are indicating that you, rather tban tbe contractor, are responsible for tbe work. If tbe contractor wishes you to sign
<br />as contractor tbat lilY be an indication that be is not properly licensed and is not entitled to pertitting privileges in tbe
<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, have been provided witb a copy of .Florida's construction Lien Law - BcIIeolmer's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and Consuter Affairs. If tbe applicant is 8OI8OI1e otber than the
<br />"owner", I certify that I have obtained a copy of tbe above described docuIent and pIOlise in good faitb to deliver it to tbe
<br />"owner" prior to co.enceteJlt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe infolliltion in tbis application is accurate and that all work will be done in COIpliance witb all
<br />applicable laws regulating construction, zoning, and land develOpleJ1t.
<br />
<br />Application is hereby Iilde to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation baa CDleDced prior to issuance of a perlit and that alllOrk will be perfOIlled to _t standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developteJ1t regulations in the jurisdictiOll. I also
<br />certify tbat I understand tbat tbe regulations of other goverDleDtal agencies lilY apply to the inteDded wort, and that it is
<br />I}' responsibility to identify what actions I lUSt tate to be in COIpliance. Sueb agencies include but are not lilited to:
<br />t Departlent of EnvirOlll8lltal Regulation - Cypress Baybeads, Wetland Areas and EnvirOlllll!l1tally Sensitive Lands,
<br />Water /Wastewater '1reatlent
<br />t Southwest Florida Water Jlanagetent District - Nells, Cypress Baybea4s, Wetland Areas, Iltering Natercourses
<br />t Arty Corps of Engineers - Seawalls, Docks, Havigable Watenays
<br />t Deparf:lent of Healtb , Rehabilitative Servicesf lnvirODlelltal Healtb Unit - Wells, Wastewater '1reattent, Septic '1ants
<br />t US Bnvil'ODleJltal Protection Iqency - Asbestos abatetent
<br />I also certify that, if filllilterial is to be used in Flood ZOne "I" or "I, etc. ", it is understood that a drainage plan -
<br />addressing a .COIpeDSating volute" will be subUtted wbleb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A ~it issued shall be construed to be a license to proceed witb tbe work 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 f1'Ol thereafter
<br />requiring a correctiOll of errors in plans, construction, or violations of any code. Every pertit inued shall bec:aIe invalid
<br />unless the wort authorized by sueb petlit is co.enced lIitbin sillOllths of issuance, or if wort authoriled by the petlit is
<br />suspended or abandoned for a period of sillOlltbs after tbe tile the IOlt is ~ced. OJ1e 90 day atension of tile, lilY be
<br />allOlfed for the petlit witb fee charge of $15.00. !be atension 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 abandoned.
<br />WARHIIG '10 0VlfER: YOOR FAILORB '10 RECORD I HOllCE OF aJlMBICIIIIU lilY BESUL'I II YOUR PAYIIG nICE lOR DIPROVBIIBI!S '10 YOUR
<br />PROPBIIfY. IF YOU IIDID '10 OBfAIB FIIJICIIG, CONSUL'I WID YOOR LBIDBR 01 U AnomY BIFOBB RICORDIIG YOUR HO'lICE OF
<br />mlMBlCEHBIf. JOBS UlDIR '2,500 III VALUE DO 10'l1fEED '10 RECORD UD POSt A .DICE OF mIMBICBIIBIft'I.
<br />
<br />SIGIA!lJRB: (IOID OR IGm
<br />
<br />SIGII!lJRB: COftBIC!OR
<br />
<br />S'IIfi OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'II'II 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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