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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'be undersigned understands that tbis perlit JaY be subject to 'deed restrictions I wbieb JaY be lOre restrictive tban City
<br />regulations. !be undersigned assUIeB responsibility for COIPliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has bired a contractor or contractors to undertake work, tbey .ay be required to be licensed in accordance witb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor IlaY be
<br />cited for a .isdl!lleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lleRts IlaY apply for tbe intended work, they are advised to contact tbe City of Zepbyrhills Building Deparblent, (813)
<br />. 788-6611.
<br />
<br />FurtheIlOre, if tbe owner bas hired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
<br />.Contractor Sectionsl of tbis application for wbieb tbey will be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, ratber than the contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor tbat IlaY be an indication that he is not properly licensed and is not entitled to pmitting privileges in tbe
<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 tbat I, tbe applicant, bave been provided witb a copy of 'Florida's Construction Lien Law - BOIeOWDer's Protection
<br />Guide" prepared by tbe Florida Deparblent of Agriculture and ConsURI Affairs. If tbe applicant is SOIeOIle other than tbe
<br />'owner', I certify tbat I bave obtained a copy of tbe above described docuent and prOllise in good faitb to deliver it to tbe
<br />Downer' prior to COIEllceRllt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe infoIlition in tbis application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developElt.
<br />
<br />Application is hereby Ede to obtain a perlit to do work and installation as indicated. I certify tbat no work or
<br />installation bas ~ced prior to issuance of a perlit and that all work will be perfoIlled to lIeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in tbe jurisdiction. I also
<br />certify that I understand tbat tbe regulations of otber goverDlleRtal agencies IlaY apply to tbe intended work, and that it is
<br />~ responsibility to identify wbat actions I mISt take to be in cOllpliance. Sueb agencies include but are not li.ited to:
<br />t Deparblent of EnvirOlllleDtal Regulation - Cypress Baybeads, Wetland Areas and Envirouentally Sensitive Lands,
<br />Water/Wastewater 'l'reablent
<br />t Southwest Florida Water Kanagl!llellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Anly Corps of Engineers - Seawalls, Docks, Havigable Watenays
<br />t DeparUent of Healtb i Rehabilitative Services, Envirouental Healtb Unit - Wells, Wastewater !reablent, Septic Yanks
<br />t US EnviIOllleDtal Protection Agency - Asbestos abatl!lleJ1t
<br />I also certify that, if fill aaterial is to be used in Flood Zone lA' or 'I,etc.", it is understood tbat a drainage plan
<br />addressing a lCOQenSating volUlle' will be subJlitted wbieb is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perlit issuance.
<br />
<br />A perIIit issued shall be construed to be a license to proceed witb tbe 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 tbe Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pmit issued shall beCOle invalid
<br />unless tbe IIOrt authorized by sueb per.it is couenced witbin sillOntbs of issuance, or if work authorized by tbe perlit is
<br />suspended or abandoned for a period of sillODtbs after tbe tile tbe work is CQ8eDced. One 90 day eltension of tille, IlaY be
<br />allowed for tbe pmit with fee ebarge of $15.00. 'l'be eltension sball be requested in writing to the Building Official. An
<br />approved inspection ESt be logged during eaeb sillOntb period, or tbe project will be considered abandoned.
<br />WARJUJlG '1'0 OIlIER: YOUR FAILURE '1'0 RECORD A HO'l'lCE OF COMMDCEIlBH'l' KAY RESUL'I' IH YOUR PIYIHG filCH FOR IKPROVEKD'l'S '1'0 YOUR
<br />PROPER'lY. IF YOU IJI!BIID '1'0 OB'l'AIH FIHDCIIG, COHSUL'I' WI'l'H YOUR LBIIDER OR All AnOmY BEFORE RBCORDIHG YOUR 1I0000ICH OF
<br />COKKEIICBKIJI!. JOBS UNDER $2,500 III VALUE 00 110'1' REED 'l'O RECORD AIID POS'I' A "IIO'1'ICE OF COKMDCBKIII".
<br />
<br />_~OLOg'Q /LtL ~iI~
<br />
<br />SIGlAtuRE: OIftIIR OR AGEII1 ~;m:'. tOJl!RAC'l'OR
<br />~l1~~.
<br />t
<br />S'I'I'I'E OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'I'A'I'E OF FLORIDA
<br />coum 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 />
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