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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents JaY apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitting 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, bave been provided with a copy of 'Florida's Construction Lien Law - HOII!OIIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is SoteOne other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleDceaent.
<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 cOlpliance with all
<br />applicable laws regulating construction, loning, and land develo.-ent.
<br />
<br />Application is bereby lade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation bas COJIenced prior to issuance of a perait and that all work will be perforted to teet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUSt take to be in coapliance. Such agencies include but are not lilited to:
<br />t Departlent of EnviroDJental Regulation - Cypress Bayheads, Wetland Areas and Rnvironaentally Sensitive Lands,
<br />Water/Wastewater freatlent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Aray Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t DepartJent of Health , Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater freatJent, Septic fanks
<br />t US Environaental Protection Agency - Asbestos abateaent
<br />I also certify that, if' fill taterial is to be used in Flood Zone "A' or "A,etc.", it is understood that a drainage plan
<br />addressing a "coapensating volute I will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perait 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 perait prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
<br />unless the work authoriled by such perait is COJJenced within six IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tite the work is ~ced. One 90 day l!Itension of tite, tay be
<br />allowed for the perait with fee charge of $15.00. file l!Itension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each Sil JODth period, or the project will be considered abandoned.
<br />WARMING fO OWNER: YOUR FAILURK fO RECORD A IO'I'ICE OF C(JIHIRCEIIBHf MAY RESULT II YOUR PAYIIG TWICE FOR IHPROVBHmS fO YOUR
<br />PROPERfY. IF YOU IIfEMD TO OB'l'AII FIWCIIG, COMSULf 111m YOUR LEMDER OR AM AnomY BEFORE RECORDIMG YOUR MO'flCE OF
<br />COMHDCEHKNf JOBS UNDER ,500 II VALUE DO MO'I' MEED TO RECORD AKD "IO'fICR OF Cmlf".
<br />
<br />
<br />
<br />SfAfE OF FLORIDA ~
<br />coum OF . a t! tJ
<br />The foregoing ins~ent was acknowledged
<br />before me this f, 19-fr1iy
<br />
<br />SfAfE OF FLORIDA \ /J
<br />coum OF 'fi S ~ iJ
<br />The foregoing inst~t was a~9!!edged
<br />before me this ~ / f ,19 ~ by
<br />
<br />who is ~allY ~ to me or who has
<br />produce
<br />as identification and who did/did not
<br />
<br />U~~fY~~
<br />(S1 u)
<br />(Name Typed, print-Ad., " or'ustllilfMft'l
<br />.C-':" MyC~'CC487311
<br />NOTARY PUBLIC ,.{', * ExplreeMay.24.1.
<br />f(.' ' , Bonded by tW
<br />~ ~ i
<br />~,.~ OF f...!!j~~ 800-422.1_ ,)
<br />
<br />who i~rsonally kn~O me or who has
<br />producea- .
<br />as identification and who did/did not
<br />ta,~~ oat~ :;) / ~ y--
<br />(~atu~ ~
<br />
<br />(Name Typed, Prin~~tl or ~
<br />NOTARY PUBLIC ~'\~'(~ MyCom'nlll8lonCC48'7382
<br />*'fiiJf * ExpInIeMay.24.1889
<br />~W1. ~ Bonded by HAl
<br />'fA ...~ 800-422-1_
<br />.~D' ,..."
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