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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that tbis pemit lay be subject to "deed restrictions" which laY be lOre restrictive tban City
<br />regulations. The undersigned assUles responsibility for cOlpliance witb 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 witb
<br />state and local regulations. If the contractor is not licensed as required by law, botb tbe owner and contractor IlaY be
<br />cited for a lisdeleanor violation under state law. If tbe owner or intended contractor are uncertain as to what licensing
<br />requiretents laY apply for tbe intended work, tbey are advised to contact tbe City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if tbe owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of tbe
<br />"Contractor Sections" of tbis application for which tbey will be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, ratber tban the contractor, are responsible for tbe work. If tbe contractor wishes you to sign
<br />as contractor tbat IlaY be an indication tbat he is not properly licensed and is not entitled to pemitting privileges in tbe
<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 tbat I, tbe applicant, have been provided witb a copy of "Florida's Construction Lien Law - HOIeOWner's Protection
<br />Guide" prepared by tbe Florida DepartJent of Agriculture and ConsUler Affairs. If tbe applicant is sOleOne otber than tbe
<br />"owner", I certify tbat I have obtained a copy of tbe above described docUleDt and prOlise in good faitb to deliver it to tbe
<br />"owner" prior to cOlleDcl!lent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all tbe inforaation in this application is accurate and tbat all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, zoning, and land developllent.
<br />
<br />Application is hereby lade to obtain a pemit to do work and installation as indicated. I certify tbat no work or
<br />installation has COIIenced prior to issuance of a pemit and tbat all work will be perfoIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify tbat I understand tbat tbe regulations of otber goverDIeDtal agencies laY apply to tbe intended work, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
<br />* Departlent of Environlental Regulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Healtb fr Rehabilitative Services, EnvirODJelltal HealtbUnit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US EnvirODlental Protection Agency - Asbestos abatetent
<br />I also certify tbat, if fill laterial is to be used in Flood Zone "AU or "A,etc.", it is understood tbat a drainage plan
<br />addressing a UcOlpBDsating volute" will be subtitted which is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a pemit prevent tbe Building Official frOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced witbin six IOntbs of issuance, or if work authorized by the pemit is
<br />suspended or abandoned for a period of six IOntha after tbe tile tbe work is cOlleDced. One 90 day extension of tile, IlaY be
<br />allowed for the PBI"lit witb fee charge of $15.00. the extension shall be requested in writing to tbe Building Official. An
<br />approved inspection lUst be logged during each sillOntb period, or tbe project will be considered abandoned.
<br />WARHING TO OWHER: YOUR FAILURE TO RECORD A NO!'ICE OF COMMENCEMEIft' MAY RESULt IN YOUR PAYING twICE FOR IMPROVBIIEII1'S TO YOUR
<br />PROPERty. IF YOU IIft'BIfD TO OBfAIH FINAHCING, CONSULT WITH YOUR LEIIDER OR AN AftOllREY BEFORE RECORDING YOUR DICE OF
<br />COMMENCEMEIft'. JOBS UNDER $2,500 IN VALUE DO NO!' NEED TO RECORD AIID POST A "NO!'ICE OF COHMENCEMEIft'II.
<br />
<br />SIGNAtURE: OIftIER OR AGENT
<br />
<br />SIGMATURE: CONTIIAC'rOR
<br />
<br />STATE OF FLORIDA
<br />COUIft'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUIft'Y 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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