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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit aay be subject to 'deed restrictions" which lay be lOre restrictive than City
<br />regulations. the undersigned asSUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they aay 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 aay be
<br />cited for a .isdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (613)
<br />766-6611.
<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 aay be an indication that he is not properly licensed and is not entitled to perlitting 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 uFlorida's Construction Lien Law - Hoaeowuer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is so.eone other than the
<br />lowner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"owner' prior to cOlleDceJent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies aay apply to the intended work, and that it is
<br />,y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />t DepartJent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US Environaental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood ZOne "AI or "A, etc. ", it is understood that a drainage plan
<br />addressing a uCOlpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it 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 per.it prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of sillOnths after the tile the work is cOllenced. One 90 day 81tension of tile, laY be
<br />allowed for the perait with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil JOnth period, or the project will be considered abandoned.
<br />WARNING TO OVHER: YOUR FAILURE TO RECORD A NOTICE OF COOIEICEMBK'l' MAY RESULT IN YOUR PAYING !VICE FOR IHPROVEKBIl'l'S TO YOUR
<br />PROPERlY. IF YOU IIIl'EHD !O OBTAIN FlHAKCIHG, COlISULT WITH YOUR LINDER OR !JI AnORHEY BEFORE RECORDIHG YOUR JfOTlCE OF
<br />_. JOIlS 1IHDIIl12,500 IN VALIJ1lDO NO'IIIEED to RECllIID 1IID..1'RlUCIl OF COIlIlIIICIlIIE'.
<br />
<br />~ ~if-
<br />
<br />~R OR AGEH'l' '" :COH'l'RAC'l'OR ---
<br />
<br />
<br />who is personally
<br />produce
<br />as identification and who did/did not
<br />take~ ~_
<br />'-/v1 .
<br />(Signa ure)
<br />
<br />STArE OF FLORIDA Pc..
<br />COUH'l'Y OF ~
<br />The foregoing i~~t was aCknowledged
<br />before me this ~ ;;;, 19 ~ by
<br />
<br />_ ~~JJJnj j(~~
<br />(who is ~ersonally known to me' or who has
<br />produced
<br />as identification and who did/did not
<br />take ~Yh1.~~-
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />~A'
<br />*M'*
<br />'\~OFP.lfft-<1"
<br />
<br />or Stamped)
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />.fo....' ~t-
<br />.^ DONNA M SINCLAIR
<br />* *' M) CornmissionCC_
<br />..... F.xpires Jun. 14, 19Q8
<br />~fJfp.'
<br />
<br />DONNA M SINCLAIR
<br />My Commission CC382018
<br />Expires Jun. 14.19Q8
<br />
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