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<br />.' "" CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this petlit laY be subject to -deed restrictions" whieb IaJ be lOre restrictive than City
<br />regulations. the undersigned assUJeS responsibility for lDpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ClImer has hired a contractor or contractors to undertake work, they lilY 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 0IJler 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 Zepbyrbills Building DepartJent, (813)
<br />, 788-6611.
<br />
<br />FurtherJOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />-Contractor Sections" of this application for Ihieb 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 peraitting 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 -Plorida's COnstruction Lien Law - JDeoImer's'Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Iffairs. If the applicant is SOJeODa other than the
<br />"owner", I certify that I have obtained a copy of the above described docUJent and prolise in good faith to deliver it to the
<br />"owner" prior to COIIeDCeJellt.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, zoning, and land developleDt.
<br />
<br />Application is bereby Jade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas coaenced prior to issuance of a perlit and that all work will be perforJed to Met standards of, all laws
<br />regulating construction, City codes, zoning regulations, and land develOpleJlt regulations in the jurisdiction. lal80
<br />certify that I understand that the regulations of other gDVeruental agencies laY apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lUst take to be in COIpliance. Sueb agencies include but are not liJited to:
<br />I DepartJent of EnvirOlllel1tal Requlation - Cypress Baybea4a, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water /Wastewater !reatJent
<br />I Southwest Florida Water JlanageJ8l1t District - Wells, Cypress Baybea4a, Wetland Areas, Iltering Watercourses
<br />I lIlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />I DepartJent of Health & Rebabilitative Services, EnvirODJelltal Health Unit - VeIls, Wastewater !reatJent, Septic rants
<br />I US EnvironJel1tal Protection Agency - Asbestos abateJent
<br />I also certify that, if fllllilterial is to be used in Flood ZOne "I- or "I,etc.', it is understood that a drainage plan
<br />addressing a -COJPllDSating volUJe- will be subJitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to peflit issuance.
<br />
<br />I Perlit issued shall be construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fIOl. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued sball bec;QIe invalid
<br />unless the work autborized by sueb perlit is co.enced within sillOnths of issuance, or if wort authoriled by the perait is
<br />suspended or abandoned for a period of sUlODtbs after the tile the wort is ~ced. ODe 90 day eltension of tile, lilY be
<br />allowed for the perlit with fee cbarge of $15.00. fhe eltensioo shall be requested in writing to the Building Official. In
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abaDdoned.
<br />VARlING !O lMfBR: YOUR FIILURE fO RlCORD I NO!ICE OF COIIIPCEIIII! MAY RBSULf III YOUR PAYING !VICE FOR IMPROVIIIII!S !O YOUR
<br />PROPmY. IF YOU IIIUID !O OB!11Jl PIlIlIfCIIG, COISULf WITH YOUR LIIDII OR 11 lftOJlDY BBPORI RICORDIJIG YOUR DICE OF
<br />COMMENCEMEH'l. JOBS OlDER $2,500 1M VALUE DO MO! IIDD !O RECORD AID POS! A -DICE OF C(JIMEIfCBIIDIII.
<br />
<br />SIGNATURE: OVIIIR OR lGEJIT
<br />
<br />SIGIIlTURl: COJI!RlC'fOR
<br />
<br />Sl'Afl OF FLORIDA
<br />coum OF
<br />Tbe foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STArl OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />wbo is personally known to me or who bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and wbo didldid not
<br />take an o~th.
<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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