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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />~. NOTICE OF DEED RESTRICTIONS
<br />!he undersigned understands that this pecait tay be subject to 'deed restrictions' which tay be lOre restrictive than City
<br />regulations. the undersigned assUJeS responsibility for COIpliance 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 tay 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 JaY be
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirellents tay apply for the intended work, 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 />'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 tay be an indication that he is not properly licensed and is not entitled to pecaitting 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 'Florida's Construction Lien Law - H(II8OWJler's Protection
<br />Guide' prepared by the Florida DepartJent of Agriculture and COnsUler Affairs. If the applicant is soeone other 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 COlleDCl!lellt.
<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 developleDt.
<br />
<br />Application is hereby tade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COMenced prior to issuance of a pendt and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develOpll!llt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDleDtal agencies tay apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lillited to:
<br />· Departlent of EnviIOlllK!lltal Regulation - Cypress Bayheads, Wetland Areas and Envirol1lentally Sensitive Lands,
<br />Water /Wastewater treatJent
<br />I Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health & Rebabilitative Services, EnvirODJelltal Health Unit - Wells, Wastewater !reatlent, Septic rants
<br />I US EnvironJental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A' or "A,etc.', it is understood that a drainage plan
<br />addressing a 'cOlpeD8ating vol.' will be subJitted which 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 shall issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
<br />unless the work authorized by such perlit is COII8Ilced within six IODthS of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of six IODths after the tile the work is c.enced. One 90 day extension of tile, tay be
<br />allowed for the pecait with fee charge of $15.00. !be extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
<br />IIAlUlING !O OVHER: YOUR FllLURB !O RlCORD I NorICE OF <XIIMDCBIlD! MAY RlSUL! IN YOUR PlYING NICE FOR DIPROVIIIIIfS !O YOUR
<br />PROPEIlfY. IF YOU IIlmD 10 OB!AIII FIIWICIIIG, COIfSUL! WID YOOR LBJIDBR OR III AnoRIIBY BEFORB RlCORDIIIG YOUR lIorICB OF
<br />COHMINClMEN!. JOBS UllDBR $2,500 III VILUE DO lor mo ro RECORD IIID POST A 'HO!ICE OF COMHEIIClMEN!".
<br />
<br />~ ~"~ L
<br />~r!UANm- . t / I ~~
<br />
<br />SrArE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SrAD: OF FLORIDA
<br />COUN'fY 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 oath.
<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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