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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that tbis pecait laY be subject to 'deed restrictions' wbieb lilY be lOre restrictive tban City
<br />regulations. !be undersigned asSUIe& responsibility for capliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OIIIler bas hired 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 0IIIler and contractor lilY be
<br />cited for a aisdeJeallor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />requirlllellts lilY apply for tbe intended work, tbey are advised to CQJltact tbe City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtbeIlOre, if tbe 0IIIler has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of tbe
<br />'Contractor Sections' of tbis application for whieb tbey lIill be responsible. If you, as tbe OIIIler sign as tbe contractor,
<br />you are indicating that you, rather than tbe contractor, are responsible for tbe work. If tbe contractor lliabes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to perlitting pdvileges in tbe
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNBCTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided witb a copy of 'Florida's construction Lien Law - lIoIeolmer's Protection
<br />GuideN prepared by tbe Florida DepartJent of Igriculture and ConsUIeI Iffairs. If the applicant is 8OIeOI1a otber than the
<br />'mmerD, I certify tbat I bave obtained a copy of the above described dOCUJent and praise in good faitb to deliver it to tbe
<br />Nmmer' prior to co.enCelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe infoIliltion in tbis application is accurate and that all work ,ill be done in cmpliance witb all
<br />applicable lalS regulating construction, lOlling, and land developent.
<br />
<br />Application is hereby Jade to obtain a perlit to do 1I0rk and installation as indicated. I certify that no work or
<br />installation bas CDleDced prior to issuance of a pecait and that all lIOrk lIill be perfoIJed to IIl!et st:andards of all laws
<br />regulating construction, City codes, zoning regulations, and land develOpEDt regulations in tbe jurisdiction. I also
<br />certify that I understand that the regulations of other gGYeIDJeDtal agencies IliY apply to tbe intencJecJ vort, and that it is
<br />Ii responsibility to identify what actions I lUSt take to be in COIPliance. Such agencies include but are not lillited to:
<br />t DepartJent of Bnvirolllelltal Regulation - Cypress Baybeads, Vetland Ireas and BnviIODJeDtally Sensitive Lands,
<br />Vater /Wastewater !reatJent
<br />t Southwest Florida Vater llanagelellt District - Vells, Cypress Baybeads, Vetland Areas, Altering Vatercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Kavigable "atenays
<br />t DepartJent of Bealtb i Rehabilitative Senices, Bnvirouental Bealtb Unit - VeIls, Vastewater !reatJent, Septic !ants
<br />t US EnviIODllental Protection Agency - Asbestos abateJent
<br />I also certify that, if filllilterial is to be used in Flood Zone 'I' or 'A,etc.', it is understood that a drainage plan -
<br />addressing a 'COI1J8DSating volUlle' ,ill be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to pecait issuance.
<br />
<br />A ~it issued shall be construed to be a license to proceecJlIitb the lIOrt 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 tbe Building Official fnll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pecait issued shall becme invalid
<br />unless the IOrk authorized by sueb peIlit is ~ced witbin sillODtbs of issuance, or if work authoriled by the pecait is
<br />suspended or abandoned for a period of sillODtbs after tbe tHe the IOrk is ~ced. One 90 daJ extension of tille, IilJ be '
<br />al101led for tbe pecait witb fee charge of $15.00. tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODtb period, or the project will be considered abandoned.
<br />VAIUIUG 'fO omR: YOUR FAlLURE !O RECORD A KOIlCE OF C<IIMDCBIIIH! MAY RESULt III YOUR PIYIKG !VICE FOR DIPROVIIIII!S 'fO YOUR
<br />PROPBm. IF YOU mmm 'fO OB'fAII FlIlAHCIKG, COHSOL! VI!B YOOR LIlIDBR OR III AftOBDY BEFORE RICORDIKG YOUB IIO'fICH OF
<br />COIIIlEIICBMBII!. JOBS UlDER $2,500 III VALUE DO IO! IIBID 'f0 RECORD AID POS'f I wlIO!ICH OF C(JIMBtICBMBII!..
<br />
<br />SIGHA'fUHB: COIft'RAC!OR
<br />
<br />SIGJIl'l'URE: omR OR lGIH1
<br />
<br />SUfE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />StilE OF FLORIDI
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />who is personally know.o to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oct-th.
<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 />(Ra.e Typed, Printed or Sta.ped)
<br />ROTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Rame Typed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
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