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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat tbis perJit lay be subject to "deed restrictions" wbieb tay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired 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 bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor 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 wisbes you to sign
<br />as contractor that tay be an indication that be is not properly licensed and is not entitled to perJitting 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 'Florida's Construction Lien Law - HOIIe01IDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sllleone other than the
<br />uowner", I certify that I bave obtained a copy of the above described docuteJlt and prlllise in good faith to deliver it to the
<br />"owner" prior to cOlllencl!lel1t.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the infortation 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 bas CDIIeDced prior to issuance of a perJit and that all work will be perforJed to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies tay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not It.ited to:
<br />t Departlent of HnviroDlental Regulation - Cypress Baybeads, Wetland Areas and HnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departtent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />t US EnvirODlental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.I', it is understood that a drainage plan
<br />addressing a UcOlpeDsating volute" will be sublitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit 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 perlit prevent the Building Official frill thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
<br />unless the work authorized by such perJit is COllenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOnths after the tite the work is co.enced. One 90 day extension of tite, tay be
<br />allowed for the pe~t with fee charge of $15.00. Tbe extension sbal1 be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six IOI1th period, or the project will be considered abandoned.
<br />WARlHNG TO OWNER: YOUR FAILURE '1'0 RECORD A NO'I'ICE OF COHHEHCEHElft' HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMElft'S TO YOUR
<br />PROPERTY. IF YOU Ilft'BHD TO OBTAIN FINAKCING, CONSULT WITH YOOR LINDER OR AN AftORIIEY BEFORE RECORDING YOUR NO'I'ICE OF
<br />COMHENCHHElft'. JOBS UNDHR $2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NO'I'ICE OF COMMENCEMBlft'''.
<br />
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<br />~- \d~ 'L
<br />J( S~~."T - '~:C
<br />
<br />SIGNATURE: COlft'RAC'I'OR
<br />
<br />STATH OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this s-/r 3 , 19 1'- by
<br />
<br />STATH OF FLORIDA
<br />COUlft'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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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