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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perait laY be subject to .deed restrictions I wbich lay be lOre restrictive than City
<br />regulations. 'he undersigned assUles 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 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 ower and contractor lilY be
<br />cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents aay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to bave 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 wort. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to peIlitting 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 - HOIe01fJ1er's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUlN!r Affairs. If the applicant is SOHone other than the
<br />.owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner I prior to coaenCl!lent.
<br />
<br />E. CONTRACTOR'SjOWNER'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, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COlleDced prior to issuance of a peIlit and that all work will be perforJed to teet 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 goveIDleDtal agenCies aay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUst take to be in colpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />WaterfWastewater 'reatlent
<br />t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnvirODleDtal Protection Agency - Asbestos abatl!lent
<br />I also certify that, if fill laterial is to be used in Flood ZODe IAn or "A,etc.", it is understood that a drainage plan
<br />addressing a uCqlpensating volDleN will be sublitted 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 perait prevent the Building Official frUl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
<br />unless the work authorized by sucb perait is COlleDCed within sil IOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of sil IOntbs after the tile the work is c~ced. One 90 day extension of tile, lily 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 six IOnth period, or the project will be considered abandoned.
<br />WAIUlING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF aJlMEKCEJfElft' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEllED'S TO YOUR
<br />PROPERTY.. IF YOU IJI'IEID 'l'O OB'IAIM FIMAIICIMG, COMSUL'I WI'IH YOUR LEIDER OR All AT'fORREY BEFORE RECORDIMG YOUR MOTICE OF
<br />COMMEMCEMElft'. JOBS UHDER $2,500 IN VALUE DO MOT MEED '10 RECORD AND POST A "NOTICE OF COMMEMCEMElft'".
<br />
<br />~~~
<br />
<br />SI~ATURE: OWNER OR A SIGMATURE: COIft'RAC'l'OR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'IATE 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 />(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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