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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. '. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pel'lit JaY be subject to "deed restrictions" which Jay be lOre restrictive than City
<br />regulations. the undersigned asSUIBS responsibility for COIpliance with 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, they JaY 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 lisdeteallor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguiretents JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has hired 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 Jay be an indication that he is not properly licensed and is not entitled to pel'litting 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 "Plorida's Construction Lien Law - HOJeOI01er's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJeI Affairs. If the applicant is sOl8one otber than the
<br />"owner", I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COJJenCetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIJation in this application is accurate and that all work will be done in cOlpliance with all
<br />appliCable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pel'lit to do work and installation as indicated. I certify that no work or
<br />installation has COBenced prior to issuance of a pel'lit and that all work will be perforJed 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 governtental agenCies tay apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUSt take to be i11 COIpliance. Such agencies include but are not litited to:
<br />t DepartJent of EnvirODJeDtal Regulation - Cypress Bayheads, -Wetland Areas and Bnvirolllelltally Sensitive Lands,
<br />Water/lfastewater !reatJent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t Depart:Jent of Health i Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater !reat:Jent, Septic ranks
<br />t US EnvirODleDtal Protection lqency - Asbestos abatl!lent
<br />I also certify that, if fill taterial is to be used in Plood ZOne "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "C0Qen8ating volUJe" will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pel'lit issuance. '
<br />
<br />A pertit 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 pertit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued &ball beCOJe invalid
<br />unless the work authoriled by such pel'lit is COJJeJlced 1dthin six IOIlthS of issuance, or if work authoriled by the pel'lit is
<br />suspended or abandoned for a period of sil IOIlths after the tite the work is c.eoced. One 90 day l!Itension of tite, tay be
<br />allowed for the pertit with fee charge of $15.00. 'fbe l!Itension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillOllth period, or the project will be considered abandoned.
<br />WAIUlIHG 'l'O (MfER: YOUR FAILURE !O RECORD A lorICE OP COMMDCBIIBH MAY RESUL! II YOUR PAYING ftfICE FOR IMPROVIMElft'S 'f0 YOUR
<br />PROPERn. IF YOU IIIUIfD OB!IIH PIIAlfCIIIG, COISUL! WID YOUR LINDER OR 11 A'f'fORIIY BEFORE RECORDIHG YOUR HorICE OF
<br />COOIEICBMEII1'. JOBS ,500 II VALUE 00 NOt' NEED !O RECORD AID POS'f A "NorICE OF COMMEIlCBMEII1'".
<br />
<br />
<br />SIGHA!URE: COIl1'RAC'JOR
<br />
<br />
<br />S'fA'I'B OF FLORIDA
<br />COUIIfY 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 />.....~.;..... DOREEN L. WOOD
<br />/~~~~":... MY COMMISSI6N' cc 191575 EXPIRES
<br />~(~~~~ April 29. 1996
<br />'~;;'.....c'f..: BONDEDTHRUTROV FAIN INSURANCE,III:.
<br />1;;,RfIl~'"
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