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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perJit lay be subject to "deed restrictions" which JaY be lOre restrictive than City
<br />regulations. Tbe 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 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 what licensing
<br />requireJents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, 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 lay be an indication that he is not properly licensed and is not entitled to perJitting 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 - lfoIeowner's Protection
<br />GuideD prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJeOne 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 />"ownerR prior to cOlleDceJent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the infoflation 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 Jade to obtain a perJit to do work and installation as indicated. I certify that no work or
<br />installation has COIIeDced prior to issuance of a perJit and that all work will be perforJed to Jeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDJeDtal agenCies JaY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sueb agencies include but are not lilited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* AllY Corps of Engineers - Seawalls, Docks, lIavigable Waterways
<br />* DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnvirODlental Protection Agency - Asbestos abateJent .
<br />I also certify that, if fill laterial is to be used in Flood Zone RAR or "A,etc.D, it is understood that a drainage plan
<br />addressing a ucOlpensating volUJeR will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A 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 tecbnical codes, nor shall issuance of a petlit prevent the Building Official frQl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOJe invalid
<br />unless the work authorized by such perJit is cOlIBnced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is ~enced. One 90 day extension of tile, JaY be
<br />allowed for the petlit with fee ebarge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned.
<br />WARKING TO OWIlER: YOUR FAILURE TO RECORD A IIOTICE OF COOlDCEHm MAY RESULT III YOUR PAYlIIG TWICE FOR IMPROVEMmS TO YOUR
<br />PROPERTY. IF YOU IDEIID TO OBTAIII FIIWfCIIIG, CONSULT WITH YOUR LEllDER OR AIf AnORlEY BEFORE RECORDIIIG YOUR IIOTICE OF
<br />COMMEIICEMENT. JOBS UIIDER $2,500 III VALUE 00 lOT IIEED TO RECORD AIID POST A ulIOTICE OF COMHEHCEMEIft'N.
<br />
<br />SIGNATURE: COIft'RAC'fOR
<br />
<br />SIGNATURE: OWNIlR OR AGED
<br />
<br />STATE OF FLORIDA
<br />couny OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE 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 />(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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