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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this petlit lay be subject to -deed restrictions" whieb lay be lOre restrictive than City
<br />regulations. the undersigned assUles responsibility for COIpIiance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, they JaY 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguireJents 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 whieb 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 Jay be an indication that he is not properly licensed and is not entitled to petlitting 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 provided with a copy of -Florida's Construction Lien Law - HOII!OlIDer's Protection
<br />GuideR prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOJeODe other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to COIl8IlCeJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoflation in this application is accurate and that all work will be done in cOIpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is hereby lade to obtain a petlit to do work and installation as indicated. I certify that no work or
<br />installation has COIIeDced prior to issuance of a petlit and that all work will be perforJed to Jeet 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 goverJllelltal agencies laY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUst take to be in colpliance. Sueb agencies include but are not liJited to:
<br />.. DepartJent of EnviroDleDtal Regulation - Cypress Bayheacis, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health i Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnvironJental Protection Agency - Asbestos abateJent -
<br />I also certify that, if fill laterial is to be used in Flood Zone -AR or "A,etc.u, it is understood that a drainage plan
<br />addressing a UcOlpeDSating volUle" will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A petlit 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued sharI beCOJe invalid
<br />unless the work authorized by sueb perlit is COIIenced within six IOntha of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is co.enced. One 90 day extension of tile, laY be
<br />allowed for the petlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb six IODth period, or the project will be considered abandoned.
<br />WARRING TO MER: YOUR FAILURE TO RECORD A NorlCE OF COHMDCEllElft' MAY RESULT IN YOUR PAYING !IIICE FOR IMPROVBIIElft'S '1'0 YOUR
<br />PROPERTY. IF YOU ImlD TO OB'I'AIIf FlIAICING, CONSULT WID YOUR LDDIR OR AI AnORREY BEFORE RECORDING YOUR JfO'lICB OF
<br />COMMBNCEMEN'l'. JOBS UIDER $2,500 IN VALUE 00 NOT HEED 'l'O RECORD AID POST A lHOtlCE OF COOIEJfClMBll'l'I.
<br />
<br />SIGIIA!URE: OWIfER OR AGEN'l'
<br />
<br />SIGIIA'I'URE: CON'l'RACTOR
<br />
<br />STATE OF FWRIDA
<br />COUlft'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S'I'A'l'E OF FWRIDA
<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 didldid not
<br />take an oa.th.
<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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