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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pellit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOtpliance 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, tbey 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 JaY be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to Mhat licensing
<br />requiretents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills 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 />"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, ratber than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that Jay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrbills.
<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 "Florida's Construction Lien Law - HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOleOne other than the
<br />"owner", I certify that I have obtained a copy of the above described docutent and prOtise in good faith to deliver it to the
<br />"owner" prior to cottenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe infollation in this application is accurate and that all work will be done in cOtpliance with all
<br />applicable laws regulating construction, zoning, 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 COIIenced prior to issuance of a pellit and that all work will be perfoIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governteDtal agencies Jay apply to the intended wort, and that it is
<br />IY responSibility to identify what actions I lust take to be in cOipliance. Such agencies include but are not lilited to:
<br />t Departlent of Environtental Regulation - Cypress Baybeads, Wetland Areas and Bnvirontentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departtent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Vastewater Treattent, Septic Tanks
<br />t US EnvirODlental Protection Agency - Asbestos abatetent
<br />I also certiCy that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a .cDlpeDsating volute" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida p'rior to perlit, issuance.
<br />
<br />A pellit 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 tbe technical codes, nor shall issuance of a pellit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
<br />unless tbe work authorized by such pellit is cOlllellced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tite the work is coaenced. One 90 day extension of tite, lilY be
<br />allowed for the pellit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCEHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHBNTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FHfAXCING, CONSULT WITH YOUR LENDER OR AX AnORNBY BEFORE RECORDING YOUR IfO'fICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />SIGIIA'l'URE: OWNER OR AGENT
<br />
<br />SI GNA'l'URE : CONTRAC'l'OR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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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