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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'I'be undersigned understands that this penU JaY be subject to 'deed restrictions' wbich JaY be lOre restrictive than City
<br />regulations. !be undersigned assUle& responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, they laY 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 lisdeleaJlOr violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelellts JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, 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 lilY be an indication that be is not properly licensed and is not entitled to peraitting 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 - lkIIeolmer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUlH!I' Affairs. If the applicant is 8OI8ODe other than the
<br />'owner', I certify that I have obtained a copy of the above described dOCUll!Dt and pIOlise in good faith to deliver it to the
<br />Downer' prior to Co.lel1CeJellt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, Joning, and land developlent.
<br />
<br />Application is hereby Iilde to obtain a penit to do work and installation as indicated. I certify that no work or
<br />installation bas CDIeJlced prior to issuance of a penit and that all work will be perforJed to Jeet standards of all laws
<br />regulating construction, City codes, zoning regulations~ and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agenCies laY apply to the intended IIOrk, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Departlent of InvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and InviIOllllentally Sensitive Lands,
<br />Water /Wastewater 'I'reatlent
<br />t Southwest Florida Water HanageJellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health i Rehabilitative Services, EnvirODllental Health Unit - Wells, Wastewater 'I'reatlent, Septic tanks
<br />t US EnviIODlental Protection Agency - Asbestos abatelellt
<br />I also certify that, if fill Iilterial is to be used in Flood Zone 'A' or DA,etc.', it is understood that a drainage plan
<br />addressing a 'COIpenSating volUle' will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to penit issuance.
<br />
<br />A ~it issued shall be construed to be a license to proceed with the wort 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 fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall becoIe invalid
<br />unless the IIOrt authorized by such penit is co.enced within sillODths of issuance, or if IIOrt authorized by the Perlit is
<br />suspended or abandoned for a period of sil IODths after the tile the IIOIk is co.enced. ODe 90 day IItension of tile, lily be
<br />allOlfed for the perIIit with fee charge of $15.00. !be IItension 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 />limING TO (MER: YOUR FAILURE TO RECORD A NO'lICE OF cmDIDCIIIIIf MAY RESUt! IN YOOR PAYIKG NICE FOR IHPROVIIIBI'I'S TO YOUR
<br />PROPER'I'Y. IF YOU IJft'1MD TO OB'I'm FIJrAIICIKG, COIISDL'I' WI'I'H YOUR LDDBR OR U IftORIBY BlFORB RICORDllfG YOUR 1000lCE OF
<br />allMENCEHD'I'. JOBS OlDER $2,500 II VALUI DO 110'I' MIlD TO RECORD AID POS! A 'NO'I'ICE OF C<IlHDCIMD'I'..
<br />
<br />
<br />~ M,<J.=S~
<br />SIGIA!URE: (IfJIIR OR IGIN'I' SIGHA'I'URE: COJ'I'RAC'I'OH
<br />
<br />sra!1 OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />....~~~;;. OFFICIAL SEAL
<br />lll' BARBARA A. HUPPERT
<br />: .. My Commission Expire,
<br />\. I Nov. 21,1996
<br />."~~~F~.. Comm. No. CC 240384
<br />.........
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