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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands that this pel'lit laY be subject to .deed restrictions" which lay be lOre restrictive than City
<br />regulations. the 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 />requirelents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthel'lOre, if the owner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />RContractor 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 lay be an indication that he is not properly licensed and is not entitled to pemitting privileges in the
<br />City of ZephyrhiIls.
<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 - HDIeOWDer's Protection
<br />GuideR prepared by the Florida Deparl:lent of Agriculture and ConsUJer Affairs. If the applicant is sOJleOne other than the
<br />"owner", I certify that I have obtained a copy of the above described docUJent and pra.ise in good faith to deliver it to the
<br />"ownerR prior to COlleDcelent.
<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, loning, and land develoPEDt.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has c.enced prior to issuance of a perlit and that all work will be perforted to .et standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal agencies aay apply to the intended work, and that it is
<br />I}' responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not liJIited to:
<br />I Deparl:lent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />lIater /Wastewater treal:lent
<br />I Southwest Florida lIater Hanagelent District - lIells, Cypress Bayheads, lIetland Areas, Altering lIatercourses
<br />I Al'IJ Corps of Engineers - Seawalls, Docks, Havigable lIaterways
<br />I Deparl:lent of Health' Rebabilitative Services, EnvirOJ1lental Health Unit - lIells, Wastewater treatlent, Septic tanb
<br />I US EnvirDDleDtal Protection Agency - Asbestos abateleDt
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.R, it is understood that a drainage plan
<br />addressing a "cQlpensating 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 pel'lit prevent the Building Official fra. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued shall beCOle invalid
<br />unless the work authoriled by such pel'lit is cOllenced within sillODths of issuance, or if work authoriled by the pel'lit is
<br />suspended or abandoned for a period of sillODtbs after the tiJle the work is co.enced. One 90 day l!Itension of tiJle, lay be
<br />allowed for tbe pel'lit with fee charge of $15.00. tbe l!Itension 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 />IIARlfIHG to MER: YOUR FAILURE to RECORD A HOtlCE OF C<IIHElfCEllKlf'l' HAY RESULt IH YOUR PAYIHG twICE FOR IHPROVRIIBlfts to YOUR
<br />PROPERtY. IF YOU IIft'ElfD '1'0 OmUH FINAlfCIHG, COHSULt IIltH YOUR LEllDER OR Alf AnoRm BEFORE RiCORDIHG YOUR HOtlCE OF
<br />COMHEHCEHRlfT. JOBS UlfDER $2,500 IN VALUE DO HOt HEED TO RECORD AlfD POSt A RHOtICE OF COHMElfCIHElft'R.
<br />
<br />SIGHA'I'URE: OVIfER OR AGE1ft'
<br />
<br />SIGHA'I'URE: COlft'RACtOR
<br />
<br />S'I'A'I'E OF FLORIDA
<br />COUlft'Y OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />StAtE OF FLORIDA
<br />COUlft'Y OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />who is personaJ~lL knQWD to lIS o~~~'?~~S.l:r,....~ to me Dr ::.~
<br />produced'iloli/I"~"L p , , , '~"'IJn.-:H~"U!!!Il
<br />"'i~eIi"",t",,'ifica~,~~~,.an,}:,,d who didl~d ,Dot as ~UiCAtiOl1 aJtd,',U ,:u...~.;~:...,I~~~,',"" '" ',.,',.,.,.,."
<br />take 'C,~1ll.,",,,,, ."".~ > takraii"""o~th. ."~''''' ~:t~
<br />(Signature) (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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