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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands that this pemit lilY be subject to Ideed restrictions I wbich laY be lOre restrictive than City
<br />regulations. tbe undersigned asSUles 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 IfOrk, they lilY 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 lilY be
<br />cited for a lisdeJeanor violation under state law. If the mmer or intended contractor are uncertain as to wbat licensing
<br />requireJeDts laY apply for the intended IfOrk, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />nContractor Sections I 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 IfOrk. If tbe contractor wishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to pemitting privileges in the
<br />City of Zepbyrbills.
<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 IFlorida's Construction Lien Law - HOJeOWner's Protection
<br />GuideN prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJeOne otber tban the
<br />lowner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />R01IIIerll prior to co.aenCeJellt.
<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 developent.
<br />
<br />Application is hereby lade to obtain a pemit to do work and installation as indicated. I certify that no IfOrt or
<br />installation bas ~ced prior to issuance of a perlit and that all IfOrt will be perfoI'led 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 governJeDtal agenCies laY apply to the intended IfOrk, and that it is
<br />Iy responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnvirODleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water /Nastewater treatlent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health' Rebabilitative Services, BnviIODleDtal Health Unit - Wells, Wastewater 'l'reatlent, Septic 'l'ants
<br />t US EnvirODJental Protection Agency - Asbestos abateJeJlt
<br />I also certify that, if fill Iaterial is to be used in Flood Zone IIAI or "A,etc.l, it is understood tbat a drainage plan
<br />addressing a lCOIpeIlSating wllllel will be suitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit issuance.
<br />
<br />A pemit issued shall be construed to be a license to proceed with the IfOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pemit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall heCOle invalid
<br />unless the wort authoriled by such pemit is CDIIeDced within sil IOnths of issuance, or if wort authoriled by the pemit is
<br />suspended or abandoned for a period of sil JOntbs after the tile the IOrl is ~ced. One 90 day l!Itension of tile, laY be
<br />allowed for the perlit with fee charge of '15.00. !he l!Itension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each silJOnth period, or the project will be considered abandoned.
<br />WARlIlfG to OIINIR: YOORFAILURE '1'0 RECORD A NOTICE OF C(JIfDCEIIIIf MAY RESUL'I' IN YOUR PAYING TWICE FOR IMPROVEIfEIft'S '1'0 YOUR
<br />PROPER'I'Y. IF YOU II!E1fD to OBtAIJi FIKAJiCING, COKSUL'I' III'I'H YOUR LBliDBR OR D A'I'fORIEY BEFORE RECORDIJiG YOUR KOTICE OF
<br />COMMENCEMENT. JOBS UKDBR $2,500 IN VALUE 00 NOT NEED fO RECORD AKD POS'I' A -NOfICK OF COMMDCIDIEK!".
<br />
<br />~~~~~~
<br />~'I'URE: OIlIER OR AGm
<br />
<br />----
<br />
<br />SIGKA'I'UHE: 'COIf'l'RACfOR
<br />
<br />STA'I'E OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'I'AtE OF FLORIDA
<br />COUN'I'Y 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 o~th.
<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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