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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to "deed restrictions" which aay 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 hired 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 lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!lents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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, 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 he is not properly licensed and is not entitled to perlitting 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, have been provided with a copy of "Florida's Construction Lien Law - HOJeOlfDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOJeQne other than the
<br />"owner", I certify that I have obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to couencl!lent.
<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, 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 pertit ann-that all work will be perforJed to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govetDIeDtal agenCies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in colpliance. Such agencies include but are not liJited to:
<br />t Departlent of EnviroDlental Requlation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />WaterfVastewater TreatJent
<br />t Southwest Florida Water HanaqeJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Al'If Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health i Rehabilitative Services, BnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatl!lent
<br />I also certify 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 .cOJpeDsating volDle" will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida p'rior 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 frOl 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 pertit is cOlleJlced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day extension of tile, laY be
<br />allowed for the pertit with fee charge of $15.00. The 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 />WARlfHlG '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICK OF COHHBNCEHBlft' HAY RESULT IN YOUR PAYING TlUCK FOR IHPROVEMBftS TO YOUR
<br />PROPER'l'Y. IF YOU Ilft'END TO OB'rAIN FIMAHCING, CONSULT WITH YOUR LENDER OR AN AnOIlRBY BEFORE RECORDING YOUR IfOTICK OF
<br />COMMENCBHBIfT. JOBS UNDER $2,500 IN VALUE 00 NOT HEED '1'0 RECORD AND POST A "NO'rICE OF COHHEIfCBHEIfTII.
<br />
<br />(Y)(01o~fuL rfi ' ~
<br />SIGIIA'lURE: OWNER OR AGEIfI
<br />
<br />SIGIIA'fURB: COlft'RACTOR
<br />
<br />STATE OF FLORIDA
<br />COUIfTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUIf'l'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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