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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this penit lay be subject to udeed restrictions" which Jay be lOre restrictive than City
<br />regulations. fhe undersigned assUles responsibility for COIpliance 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 .ay 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 .isdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, 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 wbich 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 lay be an indication that be is not properly licensed and is not entitled to penitting priVileges in the
<br />City of Zepbyrbills.
<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 _ HOJeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUlef Affairs. If the applicant is sOleOne otber than the
<br />-owner", I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"owner" prior to coaenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all tbe inforJation in this application is accurate and that all work will be done in cDlpliance with all
<br />appliCable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a penit and that all work will be perforaed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies JaY apply to the intended work, and that it is
<br />.y responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Nastewater 'l'reatJent
<br />t Southwest Florida Nater Hanageaent District - Wells, Cypress Baybeads, Netland Areas, Altering Watercourses
<br />t Any Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater 'l'reatJent, Septic fanks
<br />t US EnviroDlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A, etc. ., it is understood that a drainage plan
<br />addressing a uCDlpensating volllle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A penit 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 tbe technical codes, nor shall issuance of a penit prevent the Building Official frCl 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 penit is cOlleDced within six tonths of issuance, or if work authorized by the penit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is coaenced. One 90 day extension of tite, Jay be
<br />allowed for the peQlit with fee charge of $15.00. 'l'he 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 />WARNING '1'0 OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COHHBRCEIlElft' HAY RESUL'I' IN YOUR PAYING 'I'IIICE FOR IHPROVIMD'I'S '1'0 YOUR
<br />PROPERTY. IF YOU Ilft'EJID '1'0 OB'I'AIN FINJlRCING, CONSUL'I' WUH YOUR LEJlDER OR AN A'I"I'ORREY BEFORE RECORDING YOUR NOTICE OF
<br />COMHENCEHBHT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POS'I' A "NOTICE OF COHMENCEHElft'''.
<br />
<br />SIGlfA'I'URE: OWNER OR AGElft'
<br />
<br />SIGNA'I'URE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUlf7Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19~ by
<br />
<br />STATE 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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