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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />\'lie underalgaed -s_ tbat this P....1t .., be 8Ubject to 'deed RBtricti.... IIlIiclJ .., be .... restrictive than City
<br />regulations. rhe undersigned assutes responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the -. "'" hired a lXIDtractor or COIItractois to -tale _. they.., be required to be Ii_eel in _ 11th
<br />state sed loc:al regulati.... If the COIItraclor Is DOt Ii_eel as required by Iao. hoth the -. sed COIItraclor .., be
<br />cited for a IiadeIeaaor 'folatioo - state I... if the 0IIIJer or inteoclecl oootractor aro lllIC:eCtain as to ....t IiC8ll8iog
<br />reqo1'-ta .., apply for the int_ ""'t. they are ad.ised to CQlltact the City of lep/Jyrhlils Ilu.IIdiog IIeIJortaeot. (813)
<br />788-6611.
<br />
<br />FurtherJOre, if the 0lfDer has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />.llJotractor SectJoos. of this applicatioo for IIlIiclJ they ullbe Cl!8jlOOsihIe. if,.... as the lI8Ier up as the COIItractor,
<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 pemjtting 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, tbe applicant, have been provided with a copy of IFlorida's Construction Lien Law _ BoIeowner's Protection
<br />Guide- prepared by the Florida DepartJent of Agriculture and COD8Uler Affairs. If the applicant is so.eone other than the
<br />lownerD, I certify tbat I have obtained a copy of the above described docuJent and prcmse in good faitb to deliver it to the
<br />Downer- prior to co.enCBlellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infOrlation in this application is accurate and that all wort will be done in COIpliance witb all
<br />applicable laws regulating construction, loning, and land develDplent.
<br />
<br />Application is hereby lade to obtain a perJit to do wort and installation as indicated. I certify that no wort or
<br />installation has CDlenced prior to issuance of a PeIJi t and that all wort will be perforJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develoPIIBDt regulations in tbe jurisdiction. I also
<br />certify tbat I understand that tbe regulations of other goveIDlental agencies lily apply to the intended ut, and that it is
<br />If responsibility to identify what actions I lUSt tate to be in co.pliance. Such agencies include but are not luited to:
<br />t DepartJent of BnvilDlllelltal Regulation - Cypress BaYh8ads, Wetland Areas and Bnvirolllentally Sensitive Lands,
<br />Water/Wastewater rreatJent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AI'IJ Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t De t of Healtb & Rebabilitative Services BnvirOJ1leJ1tal Health Unit - Wells, Wastewater freatlent, Septic rants
<br />t US Bnvil'ODleDtal Protection Agency - Asbestos abatBlent
<br />I also certify that, if fill aaterial is to be used in Flood Zone -A- or -A,etc. I, it is understood that a drainage plan _
<br />addressing a lCOQensating vol.- will be sublitted "hich is prepared by a professional engineer registered in the State of
<br />Florida prior to peIlit issuance.
<br />
<br />A p,mit 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 peIlit prevent the Building Official fIlII thereafter.
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pemjt issued sball beCCIIe invalid
<br />unless the wort authoriled by such peIlit is co.enced within sillOllths of issuance, or if wort authoriled by the PeIJit is
<br />suspended or abandoned for a period of sillOlltbs after the tHe the uk is ~ced. One 90 day Bltension of tHe, lily be
<br />allowed for tbe perJit with fee charge of $15.00. rhe Bltension shall be requested in writing to tbe Building Official. .An
<br />approved inspection lUSt be logged during each sillODtb period, or the project will be considered abandoned.
<br />WARNING TO lMfIR: YOUR FAILURB fO RlCORD A DICK OF aJIIIDCIIlIft HlY RESULr II YOUR PIYDlG !lIICK FOR DfPROVBIrS TO YOUR
<br />~F YOU IIfIID TO OBtAII FWlCIIG, COBSULr WU'H YOUR LODER OR II AftORRIY BlFORI RICORDIIG YOUR DleI OF
<br />~.. -Ll1 JlIIS - fl.500 II VILllII 00 IIlr 181/)10 - lID · lit ClBICIIIar'.
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<br />
<br />SIGlAr .
<br />
<br />
<br />
<br />...-------
<br />
<br />srArI OF FLORIDA
<br />coum OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />srArl 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 1M! 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 Stuped)
<br />NOTARY PUBLIC
<br />
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