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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fhe undersigned understands that this pertit Jay be subject to Ideed restrictionsH which Jay be lOre restrictive than City
<br />regulations. Ihe 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 .y be
<br />cited for a lisdelM!anor violation under state law. If the owner or intended contractor are uncertain as to IflJat licensing
<br />requirl!ll!Jlts JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurthellOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections I of this application for which 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 perlitting 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 IFlorida's Construction Lien Law - lbIeolmer's Protection
<br />GuideD prepared by the Florida DepartJent of Agriculture and Conslllel' Affairs. If the applicant is 8O.IBOI1e other than the
<br />lownerH, I certify that I have Dbtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
<br />"owner. prior to COIIBIlCl!leIlt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infollation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby .de to obtain a pertit to do work and installation as indicated. I certify that no IfOrt or
<br />insWlation has ~ced prior to issuance of a pertit and that all wort will be perfoI'll!d to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlleJlt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental agencies laY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of HnvirolllH!lltal Regulation - Cypress Bayheads, Wetland Areas and HnvirollleDtally Sensitive Lands,
<br />Water/Wastewater freatlent
<br />I Southwest Florida Water Hanagl!ll!Jlt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ACIJ Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />I Departlent of Health & Rehabilitative Services, HnviCOl1lBJ1tal Health Unit - Wells, Wastewater freatlent, Septic lants
<br />I US BnviCOl1lBJ1tal Protection Agency - Asbestos abatl!ll!Jlt
<br />I also certify that, if fill laterial is to be used in Flood Zone "AI or "A,etc.H, it is understood that a drainage plan
<br />addressing a "COIpeDSating vollllel will be subliUed which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A pBrlit 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 pertit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. EVBlJ peI'lit issued shall becoIe invalid
<br />unless the work authoriled by such pertit is COBeIlced within six lanths of issuance, or if wort authoriled by the pertit is
<br />suspended or abandoned for a period of six Iantha after the tile the IfOrk is co.enced. One 90 day extension of tile, .y be
<br />allowed for the pBrlit with fee charge of $15.00. fhe extension shaU be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sixlOnth period, or the project wiU he considered abandoned.
<br />WmIHG 'fO 0IfIfER: YOUR FAILURE fO RECORD A HOIlCE OF CXJIIIDCENm HAY RESULf IH YOUR PAYIHG NICE FOR IHPROVEIIDl'S 'fO YOUR
<br />PROPER'fY. IF YOU IIIBIfD 'fO OBtAIH FIIfAICIHG, COHSULf WlfH YOUR LEIDER OR U ArfORIEY BEFORE RECORDING YOUR NOIICE OF
<br />COMMEHCEMEII. JOBS UNDER $2,500 IH VALUE DO HOI NEED fO RECORD AHD POSf A HNOIlCE OF ClIIIEliCEllElfll.
<br />
<br />SIGHAIURE: (MIER OR AGm
<br />
<br />SIGHA'lURE: COIlRAC'fOR
<br />
<br />SfAfE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SfAfE 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 />(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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