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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rhe undersigned understands that this peClit laY be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. rhe 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 owner and contractor laY be
<br />cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireleDts lay 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 fOu, 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 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 - HOIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to co..encl!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, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a peClit to do work and installation as indicated. I certify that no work or
<br />installation has cOlleDCed prior to issuance of a peClit and that all work will be perf oIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJeDtal agencies laY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not Ulited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater rreatlent
<br />t Southwest Florida Water Managl!lellt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater rreatlent, Septic tanks
<br />t US EnviroDleDtal Protection Agency - Asbestos abatl!lellt
<br />I also certify that, if fill lateria1 is to be used in Flood Zone "A. or "A,etc.", it is understood that a drainage plan
<br />addressing a uCQlpensating VOIUleI' 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 peClit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued sball beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the peClit is
<br />suspended or abandoned for a period of six IOnths after the tae the work is cOllenced. One 90 day extension of tile, laY be
<br />allowed for the peClit with fee charge of $15.00. rhe extension shall be requested in writing to the Building Official. An
<br />approved inspection be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING '1'0 OWH . YOUR ILURB '1'0 RECORD A KorlCE OF COMMBKCEIlBlft' MAY RESut YO PAYING rvlCE FOR IMPROVEIIEIft'S '1'0 YOUR
<br />PROPER'l'Y.. IF au I '1'0 OBtAIK FIWCING, COKSULt IfIrH YOUR LEJfD A BEFORE RECORDIKG YOUR 1f0000ICE OF
<br />COMMEKCEMEKr. JO R $2,500 IH VALUE DO Kor NEED TO RECORD AIfD UK I OF COMMEIfCEMEIft'".
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COlOO'Y OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19____ by
<br />
<br />srArE OF FLORIDA
<br />COUH'l'Y 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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