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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this petlit aay be subject to "deed restrictions" wbich aay be lOre restrictive tban City
<br />regulations. !he undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner has hired a contractor or contractors to undertake work, tbey aay be required to be licensed in accordance witb
<br />state and local regulations. If the contractor is not licensed as required by law, botb tbe owner and contractor lay be
<br />cited for a lisdeaeanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />requireaents laY apply for tbe intended work, tbey are advised to contact tbe City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, 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 tbis application for whicb tbey will be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, ratber than tbe contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor tbat lay be an indication tbat be is not properly licensed and is not entitled to perlitting privileges in tbe
<br />City of Zepbyrbills.
<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 tbat I, tbe applicant, bave been provided witb a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by tbe Florida DepartJent of Agriculture and CODSUIf!r Affairs. If tbe applicant is sOJeOne otber tban tbe
<br />"owner", I certify that I have obtained a copy of tbe above described docUJeDt and prOlise in good faitb to deliver it to tbe
<br />"owner" prior to coaenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforaation in tbis application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
<br />installation bas cOllenced prior to issuance of a petlit and tbat all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in tbe jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of otber govel11lental agenCies laY apply to tbe intended work, and tbat it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
<br />* DepartJent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Mavigable Waterways
<br />* DepartJent of Healtb & Rehabilitative Services, EnvirODlental Healtb Unit - Wells, Wastewater TreatJent, Septic ranks
<br />t US Environaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "cQlpensating volUlf!" will be subtitted which is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor sball issuance of a petlit prevent tbe Building Official frCl tbereafter
<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 such perlit is COIIenced witbin six IOntbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after tbe tile tbe work is c-.mced. One 90 day extension of tile, laY be
<br />allowed for tbe petlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six aonth period, or tbe project will be considered abandoned.
<br />WARMIMG TO OWtIER: YOUR FAILURE TO RECORD A MOTICH OF COMMEMCEMEtn' MAY RESULT 1M YOUR PAYIMG TWICE FOR IMPROVEMDl'S TO YOUR
<br />PROPERTY. IF YOU Itn'EMD TO OBTAIN FIIIAMCIMG, COIISULT WITH YOUR LlllDBR OR All AnOIlREY BEFORE RECORDING YOUR IIOTICH OF
<br />COMMEMCEMENT. JOBS UIIDBR $2,500 1M VALUE 00 MOT MEED TO RECORD AIID POST A "MOTICH OF COMMDCEMEJf1'".
<br />
<br />SIGNAtURE: OWNER OR AGED
<br />
<br />SIGNATURE: COtn'RAC'fOR
<br />
<br />STATE OF FLORIDA
<br />COUlfl'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUIItY 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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