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<br />CONDITI~NS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit aay be subject to Rdeed restrictions" which aay be lOre restrictive than City
<br />regulations. The undersigned assuaes responsibility for coapliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS .AND CONTRACTO~ RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake wort, 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 aisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents ~y apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813)
<br />788-6611.
<br />
<br />Furtheraore, 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 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 RFlorida's Construction Lien Law - HOIeOIfIler's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is SORODe other than the
<br />Bowner", I certify that I have obtained a copy of the above described dOCUllent and prOllise in good faith to deliver it to the
<br />"owner" prior to CODenceaent.
<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 coapliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby aade to obtain a perlit 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 aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent 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 />ay responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not liaited to:
<br />t DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater TreatleDt
<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, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fIll aaterial is to be used in Flood Zone RAR or "A,etc.", it is understood that a drainage plan
<br />addressing a "c~pensating voluae" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait issuance.
<br />
<br />A perait 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 perlit prevent the Building Official frOll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cD8lenced within sil aonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillOnths after the tiae the wort is ~ced. One 90 day extension of tiae, aay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection at be logged during each six _nth period, or the project will be considered abandoned.
<br />WARMING TO omR: YOUR FAILURE TO RECORD A NOTICE OF CQlMDCEJIBHf MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEllllfS TO YOUR
<br />PROPERTY. IF YOU INTEND Tf) OBTAIN FIIIAMCING,COISULT WItH YOUR LBJIDBR OR AN ArrORHBY BEFORE RECORDING YOUR DICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEIIIIf".
<br />
<br />SIGNATURE: OWNER OR AGBNT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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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