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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perJit lay be subject to Ideed restrictions" wbich laY be lOre restrictive than City
<br />regulations. rbe undersigned assUles responsibility for 'COIpliaoce 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 lay be required to be licensed in accordance witb
<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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />regoireJents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart:Jent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />IContractor Sections I of this application for whicb they will be responsible. If fou, 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 wisbes you to sign
<br />as contractor that laY 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 1'lorida1s Construction Lien Law _ HOIeOWDer1s Protection
<br />GuideR prepared by the Florida Departlent of Agriculture and Consl1ller Affairs. If the applicant is sOJeOne otber than the
<br />.owner", I certify that I have obtained a copy of the above described docuIent and prOJise in good faith to deliver it to the
<br />.ownerl prior to COlleDCeJeDt.
<br />
<br />E. CONTRACTOR1S/OWNER1S AFFIDAVIT
<br />I certify that all the infollation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developJeDt.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COIIeDced prior to issuance of a perJit and that all work will be perfoIJed to aeet 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 goVerDleDtal agencies JaY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Vastewater TreatJent
<br />t Southwest Florida Vater HanageJent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, lIavigable Vaterways
<br />t DepartJent of Health' Rebabilitative Services, EovirODJeDtal Health Unit - VeIls, Vastewater TreatJent, Septic ranks
<br />t US EovirODJeDtal Protection Agency - Asbestos abatl!llellt
<br />I also certify that, if fill laterial is to be used in Flood ZOne IAI or "A,etc.., it is understood that a drainage plan
<br />addresSing a NcOlpensating volUle. will be subJitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit 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 sball issuance of a perJit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball becOle invalid
<br />unless tbe work authorized by such perJit is COlleDced within sil IODthS of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tille the work is CDllenced. One 90 day eJtension of tile, Jay be
<br />allowed for the perJit with fee charge of '15.00. Tbe eJtension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb sillODth period, or the project will be considered abandoned.
<br />WAIDfING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COIIIIBIICBNiIll' HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMIlIII'S TO YOUR
<br />PROPERTY. IF YOU INTEIID TO OBTAIN FIIIAIICIIIG, COIISULT VITH YOUR LBIfDER OR 111 AftOHm' BEFORE RBCORDIIIG YOUR H'OTICE OF
<br />COMMENCEMENT. JOBS UNDER '2,500 III VALUE DO HOT IfDD TO RECORD lIID POST A .. OF C CBHIIII'I.
<br />
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />coom OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />srATE OF FLORIDA
<br />coom 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 oc,.th.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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