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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pemit tay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations, 'l'he undersigned assUles responsibility for COIIpIiance 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 wort, they tay 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 />reguirl!lents 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 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 wisbes you to sign
<br />as contractor that.tay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrhills.
<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 provideciwith a copy of "Florida's Construction Lien Law - HoIIemmer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleOne other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUJent and protise in good faith to deliver it to the
<br />"owner" prior to COIleRCeleRt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation 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 bas cOllenced prior to issuance of a petlit and that all work will be perfoIJed to leet 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 goveIlllelltal agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not lillited to:
<br />* Departlent of EnviroRleRtal Regulation - Cypress Baybeads, Wetland Areas and EnviroRleRtally Sensitive Lands,
<br />WaterfWastewater 'l'reatlent
<br />* Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* AllY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic 'l'anks
<br />t US EnviIODlental Protection Agency - Asbestos abateleDt
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cQlpeDsating volDle" will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pemit issued sball 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 pemit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued sball beCOle invalid
<br />unless the work authorized by such pemit is COIIeIlced within sillOnths of issuance, or if work authorized by the pemit is
<br />suspended or abandoned for a period of six IOnths after the tille the work is ~ced. One 90 day extension of tille, lily be
<br />allowed for the pemit with fee charge of $15.00. 'l'he extension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sixlOnth period, or the project will be considered abandoned.
<br />WARHIHG TO OWHER: YOUR FAILURE TO RECORD A NOTICE OF COMHDCEIIBH'I' HAY RESULT IN YOUR PAYIHG TWICE FOR IHPROVEIIEII'I'S TO YOUR
<br />PROPER'I'Y. IF YOU III'I'EHD TO OB'I'AIH FIWCIRG, COlfSUL'I' WITH YOUR LlHDIR OR lIf AftORDY BEFORE RECORDIRG YOUR HO'I'ICK OF
<br />COMMEHCEMENT. JOBS UlfDER $2,500 IJf VALUE 00 ROT NEED TO RECORD lIfD POST A "ROTICK OF COHHIlRCEHENTII.
<br />
<br />SIGHAMI: OWIfER OR AGENT
<br />
<br />SIGRA'I'URE: CONTRAC'I'OR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'I'ATE 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 />(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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