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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 Rdeed restrictions" wbich JaY be lOre restrictive than City
<br />regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner has bired 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 lilY be
<br />cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtbeIlOre, if the owner has hired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the
<br />.Contractor Sections II 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 tbe contractor wisbes you to sign
<br />as contractor that JaY be an indication that be is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zepbyrhills.
<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 - HOIl!OIfJler's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJeOne other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to COlllellCl!lellt.
<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, Joning, and land developaent.
<br />
<br />Application is bereby lade to obtain a perJit to do work and installation as indicated. I certify that no work or
<br />installation bas cOlleDced prior to issuance of a perJit and that all work will be perfoIJed to .eet standards of all laws
<br />regulating construction, City codes, Joning regulations, and land developlent 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 wbat actions I lUSt take to be in cOlpliance. Such agencies include but are not liJited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic ranks
<br />t US EnvironJental Protection Agency - Asbestos abateJll!Dt
<br />I also certify that, if fill Jaterial is to be used in Flood ZOne "AI or "A,etc.", it is understood that a drainage plan
<br />addressing a IcqlpeDsating volUJe" will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perJit issued sball 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 sball issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid
<br />unless the work authorized by such perJit is COIIeJlced within sillDDths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of sillOntbs after the tile the work is co.enced. One 90 day extension of tile, Jay be
<br />allowed for the perlit 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 sixlOnth period, or the project will be considered abandoned.
<br />WARHIlfG TO OIINER: YOUR FAILURE TO RECORD A NOtICE OF COMMDCEMEN! MAY RESULT IN YOUR PAYING TWICE FOR IMPROVIMD!S TO YOUR
<br />PROPERTY. IF YOU IJf!'mm TO OMAIN FIMAIlCING, COIfSULT WIrB YOUR LllfDER OR AN AftO ORDllfG YOUR lfO'fICE OF
<br />COMMEIfCEHENT. JOBS UNDER $2,500 IN VALUE 00 IfOt NEED TO RECORD AND POST A 'NOtICE
<br />
<br />
<br />~X~~,'~~
<br />SIGNATURE: OWNER OR AGEIfT
<br />
<br />
<br />STATE OF FLORIDA
<br />coum OF (i liP uS
<br />The foregoing in~rument was acknowledged
<br />before me thi.s t:. ~(). .' 19~ by ,
<br />
<br />K(()I'jK f r (l ~
<br />who is persona ly kno~o me or who has
<br />producecr---------.--..-.-..'.'---
<br />a~dentification and who did/did not
<br />
<br />S;k'l~~~ VP<<d<< f ~
<br />"'na e) a ~
<br />' ~~ l~ f../{,{) (wcc.C(
<br />(Name Typ d, Printed or Stamped)
<br />NOTARY PUBLIC'
<br />
<br />
<br />."M.::L.
<br />-~--
<br />
<br />JUDY M. COLWELL
<br />NDIalY P..lbllC. aa. oIAadda
<br />... CclmmllllOn EnNI DIe It, *'
<br />co.M\IIIIOn. CC .'0'.
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