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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit 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 IfOrt, 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 tay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (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 />nContractor Sections. of this application for wbich 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 IfOrt. 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 pertitting 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, bave been provided with a copy of .Plorida's Construction Lien Law _ HOIeOMner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOleOne other than the
<br />"owner", I certify that I have obtained a copy of the above described dOCUleDt and protise in good faith to deliver it to the
<br />"owner" prior to COllenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all wort will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a pl!lllit and that all wort will be perfoI'led to teet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agenCies tay apply to the intended work, and that it is
<br />ty responSibility to identify what actions I lUSt take to be in coapliance. Such agencies include but are not litited to:
<br />t Departlent of EnviroDlel1tal Regulation - Cypress Bayheads, Wetland Areas and Invirolllelltally Sensitive Lands,
<br />Water /IIastewater Treatlent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of Ingineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, InvirODleDtal Health Unit - Wells, wastewater Treatlent, Septic Tants
<br />t US InvirODleDtal Protection Agency - Asbestos abateaent _
<br />r also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOlpeDsating volute" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official fCOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pl!lllit issued shall beCOle invalid
<br />unless the work authorized by such pertit is COllellced within sillOnths of issuance, or if IfOrt authOriled by the pertit is
<br />suspended or abandoned for a period ofsillOntbs after the tile the wort is ~ced. One 90 day eatension of tile, lily be
<br />allowed for the pertit with fee charge of $15.00. The eatension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each siXlODth period, or the project will be considered abandoned.
<br />WARNIHG TO om:R: YOUR FAILURE TO RECORD A NOTICE OF C<IDIIlfCBllENT MAY RESULT IH YOUR PAYING fIIICE FOR IHPROVEHDrS TO YOUR
<br />PROPERTY. IF YOU IIffEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR IN ArroRm' BEFORE RECORDING YOUR IfOfICE OF
<br />COHHEHCBHBIft'. JOBS UNDER $2,500 IN VALUE 00 IO! IUD TO RECORD AID POST A "NOTICE OF COHHEICBIlENT".
<br />
<br />~ 1A -, 1
<br />. d~ ~/ldt>
<br />SI. 00: IIIIIER OR C
<br />STATE OF FLORIDA
<br />COUNJ'Y OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19____ by
<br />
<br />SIGNATURE: COIffRACrOR
<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 oCJth.
<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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