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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. Yhe undersigned assUles responsibility for cOlpliance 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 lay 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 Jay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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 Sectionsll 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<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 IIFlorida's Construction Lien Law _ HOIeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />lIowner", 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 couencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developllent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has CDIIeDced prior to issuance of a perlit and that all work will be perfOIJed to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developllent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llental 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. Such agencies include but are not lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />WaterfWastewater YreatJent
<br />t Southwest Florida W~ter Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater YreatJent, Septic Yanks
<br />t US EnviroDleDtal Protection Agency - Asbestos abat8lent
<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 uCOlpensating 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 perlit 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 per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perli! issued shall beCOJe invalid
<br />unless the work authorized by such perlit is cOlIBnced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillOnths after the tile the work is coaenced. One 90 day extension of tile, JaY be
<br />allowed for the perlit 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 each sixlOnth period, or the project will be considered abandoned.
<br />WARHING TO OVlfER: YOUR FAILURE TO RECORD A HOfICE OF COHHEHCEMEH'f MAY RESULT IN YOUR PAYING fIIICE FOR IMPROVEMENfS TO YOUR
<br />PROPERTY. IF YOU IH'fEIfD TO OB'fAIH FIIWfCIHG, COHSULT WITH YOUR LENDER OR AIf Anomy BEFORE RECORDIHG YOUR HOfICE OF
<br />COMMEHCEMEHT. JOBS UlfDER $2,500 IH VALUE DO HOf HEED TO RECORD AND POST A "HOTICE OF COMMEHC~
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<br />I?~ "E, ~ tJiifl r ~
<br />SIGJlAtURE: R OR AGEHT SIGHATU . COH'fRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUHTY OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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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