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<br />"1"',-
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<br />CONDITIONS OF PERMIT ~FFIDAVIT
<br />A. 'NOTICE OF DEED RESTRICTIONS
<br />fbe und~Jgned understands that this penit lay be subject to 'deed restrictions' whieb lay be lOre restrictive than City
<br />regulations. !he undersigned asSUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OImer has hired a contractor or contractors to undertake work, 'they JaY be required to he licensed in accordaDce with
<br />state and local regulations. If the contractor is not licensed as required by law, botll the owner and contractor laY be
<br />cited for a liadeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents JaY apply for the intended work, tIIey are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, 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 this application for whieb they Ifill be responsible. If JOU, as the owner sign as the CCIltractor,
<br />you are indicating that you, rather than the contractor, are responsible for the vort. If the contractor wislles you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to penitting 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 - JDeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture,and ConsUl81' Affairs. If the applicant is SOJeODe other than the
<br />'owner', I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />'owner' prior tD COIIeDceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT,
<br />I certify that all the infonation in this application is accurate and that all wort will be done in COIpliance with all
<br />applicable laws regulating construction, laning, and land developilent.
<br />
<br />Application is hereby Jade to obtain a perlit ,to do wort and installation as indicated. I certify that DO IOd or
<br />iData1latiOJlIIas CDlencec1 prior to iuuance of a penit and that all wort will be perfOIJed to _t staDl1arda of all1als
<br />regulating construction, City codes, loning regulations, and land developlBDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other gov8IDIeDtal agencies .elY apply to the intended IIOIt, and that it is
<br />.y responsibility to identify what actions I lUst tale to be in cOJpliance. Sueb agencies include but are DOt lilited to:
<br />I Depart:lent of EnviroDlental Regulation - Cypress Bayheads, lIetland Areas and EnvirollJellta11y Sensitive Landa,
<br />Nater/llastewater freatlent
<br />I Southwest Florida lIater HanageJent District - lIells, Cypress Baybeada, lIetland Areas, Altering lIatercourses
<br />I Any Corps of Inqineers - Seawalls, Docks, Navigable lIatenays
<br />I Departlent of Health' Rehabilitative Services, EnvirODlental Health Unit - lIells, lIastewater freatJent, Septic fants
<br />· US EnviIODleDtal ProtectiOn Agency - Asbestos abateJent
<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 'cOlpensating volUle' will be sublitted whieb is prepared by a professional engineer registered iD the State of
<br />Florida prior to penit issuance.
<br />
<br />A penit issued shall be construed to be a license to proceed with the IOrt and not as authority to violate, cancel alter, or
<br />. set aside any provisions of the tecbnical codes, nor shall issuance of a penit prevent the BuilcJing Official fa thereafter
<br />requiring a correction of errors in plans" construction, or violations of any code. Ivery penit issued alJa11 beCClle invalid
<br />unless the wort authoriJed by sueb perlit is COlleJlced within sillOnths of issuance, or if IOrt authorized by tbepel'lit is
<br />suspended or abandoned for a periOd of siz IOnths after the tile the worl is COIIenced. One 90 day eztension of tile, lay be
<br />allowed for the penit with fee ebarge of $15.00. Tbe eztension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb siz IOnth period, or the project will be considered abandoned.
<br />IIARJ1IIG fa OIIKER: YOUR FAILURE fa RECORD A 1I0rICE OF ctIfIIDCIHUr HAY RESULf III YOUR PAYIIG DICK FOR IHPROVIIIBUS fa YOUR
<br />PROPBRrY. IF YOU IJlfIllD fO OHIlII FIWCIJlG, COJlSULf If IrK YOUR LBJIDIR OR All AnORHIY BEFORE RlCORDIJlG YOUR JOIICK OF
<br />C(JfIfEIfClHUr. JOBS UJDU$Z,SOO IN VALUE DO HOT NEED TO RICaRD AlfD POST A 'NOTICE OF COIIHEIfCEIIEJII'.
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<br />lUll: .
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<br />
<br />SrArE OF FLORIDA
<br />coom OF
<br />The foregoing instrument was acknowledged
<br />before me this " 19_ by'
<br />
<br />SfAfl OF FLORIDA
<br />coum OF
<br />The foregOing instrument wasoCac~ledged
<br />b,efore 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 oij.th.
<br />
<br />(Signature)
<br />
<br />(Kame '.\'}'ped, Printed or Stamped)
<br />KOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Kame Typed, Printed or Stamped)
<br />KOTARY PUBLIC
<br />
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