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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />, A. NOTICE OF DEED RESTRICTIONS
<br />Ibe undersigned understands that this perlit lay be subject to 'deed restrictions' wbich lily be lOre restrictive tbiin 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 lilY be required to be lIceDIed in accorc1ance with
<br />state and local regulations. If the contractor is not liceDIed as required by law, both the mmer and contractor lilY he
<br />cited for a lisdueanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lilY apply for the intended work, ~ey are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611. '
<br />
<br />Furtheraore, if the OIIner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If JOu, as the owner sign as the CIIltractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wisJles you to sign
<br />as contractor that lilY be an indication that he is not properly liceDIed and is not entitled to pemitting 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 - lReoImer's Protection
<br />Guidell prepared by the Florida DepartJent of Agriculture and ConsUlel' Affairs. If the applicant is 8OIIeOII8 other than the
<br />lIowner', I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />lIownerll prior to COIIenCl!l8J1t.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this appl ication 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 lade to obtain a peIlit ~o do work and installation as indicated. I certify that no work or
<br />installation bas ~cec1 prior to issuiJQce of a pmit and that alllOrl will be perfotJed to .et stanc1ards of all IDS
<br />regulating construction, City codes, loning regulations, and land developl8Jlt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDl8lltal agencies lilY apply to the intended work, and that it is
<br />I}' responsibility to identify what actions I lust tate to be in COIpliance. Such agencies include but are not Haited to:
<br />t DepartJent of Env1roDlental Regulation - Cypress Bilyheads, Wetland Areas and Bnvir01llentally SeDlitive Lands,
<br />WaterjVastewater Ireatlent
<br />t Southwest Florida Water Hanagl!l8J1t District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AI'If Corps of Engineers - Seawalls, Docks, lIavigable Watervays
<br />t DepartJent of Health & Rehabilitative Senices, EnvirOJllental Health Unit - Wells, Wastewater Ireatlent, Septic lanka
<br />t US Env1roD1e11tal Protection Agency - Asbestos abateent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A- or IIA,etc.', it is understood that a drainage plan
<br />addressing a -COIpensating volDleIl will be suhlitted wbich 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 wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans" construction, or violations of any coele. Every perlit i88Ued shall beeme invalid
<br />unless the worl authorized by such perlit is COIIenced IIi thin 811 IODtbs of issuance, or if worl autboriled by the perlit is
<br />suspended or abandoned for a period of 811 IOnths after the tile the IOrk Is C08l!Jlced. One 90 day utension of tile, iii' be
<br />allowed for the perlit with fee charge of $15.00. 'fbe utension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandonec1.
<br />NAllHIlfG 10 OIIXBR: YOUR FAILURi TO RiCORD A 1l0TICH OF COHHBIfCEllBII1' HAY RiSULT III YOUR PAYIIIG DICE FOR IHPROVIIIBIfS 10 YOUR
<br />PROPERTY. IF YOU 11111IO 1'0 OB'lAlJl PIJWfCIJlG, COIfSULI WUH YOUR LBJIDER OR AJf AnomY BIFORi RICORDIJIG YOUI JOflCE OF
<br />COHIIEIICBHBHI. JOBS UJlDER $2,500 II V LUS DO IIOf IlEBD TO RiCORD AJfD POST A -IIOfICS OF COIIHBIICBIIEHI-.
<br />
<br />
<br />SrATE OF FLORIDA
<br />coom OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />~~\~~ "
<br />SIGlATlIRB: COHIRACrO~
<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 oct.th.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or StaEped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name ~ed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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