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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this pertit lay be subject to udeed restrictionsu which lay be lOre restrictive than City
<br />regulations. rhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (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 />UContractor Sections. 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 pertitting 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 uFlorida's Construction Lien Law _ HOIeOWDer's Protection
<br />GuideD prepared by the Florida Departlent of Agriculture.and Consuter Affairs. If the applicant is sOleDne other than the
<br />uowner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"ownerD prior to cOlllencetent.
<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, loning, and land developlent.
<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 cOlleDced prior to issuance of a pertit and that all work will be perf oIled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies laY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />t Departlent of Envirolllental Regulation - Cypress Bayheads, Wetland Areas and Envirolllentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, Envirantental Health Unit - Wells, Wastewater TreatJent, Septic ranks
<br />t US EnviroDJental Protection Agency - Asbestos abatetent .
<br />I also certify that, if fill laterial is to be used in Flood Zone "AU or "A,etc. D, it is understood that a drainage plan
<br />addressing a uCOlpensating volute" will be sublitted 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 pertit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOJe invalid
<br />unless tbe work authoriled by sucb perlit is cOIIenced within six IOnths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllellced. One 90 day l!Jtension of tile, JaY be
<br />allowed for the pertit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARlfING TO OWlfER: YOUR FAILURE TO RECORD A NOTICE OF COHMBlfCBJlElfT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVIIIBIft'S TO YOUR
<br />PROPERTY. IF YOU IIft'EHD TO OBTAIN FINANCING, CONSULT WITH YOUR LEItDER OR !If AnOmy BEFORE RECORDIItG YOUR IfOTICE OF
<br />COHHBNCBMBJft'. JOBS UlfDER $2,500 IN VALUE DO NO'l' NEED ro RECORD AlfD POST A "NO'l'ICE OF COHHBNCBMBIft'''.
<br />
<br />SIGNAfURE: OIflfBR OR AGE1ft'
<br />
<br />SIGNATURE: COIft'RACTOR
<br />
<br />STATE OF FLORIDA
<br />COUJft'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />srArE 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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