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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A:- ,NOTICE OF DEED RESTRICTIONS
<br />fhe undersigned unde~stands that this peIlit lay be subject to "deed restrictions" which lay be IDre restrictive than City
<br />regulations. the undersigned assutes responsibility for cOJpliance witb 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 lilY be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents 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, be is advised to bave 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 lay be an indication that he is not properly licensed and is not entitled to peIlitting 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 - HOIeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuter Affairs. If the applicant is sOleOne other than the
<br />"owner", I certify that I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />"owner" prior to couencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developtent.
<br />
<br />Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
<br />installation has cOlleDced prior to issuance of a peIlit and that all work will be perf OIled to leet 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 goveI1llental agencies lilY apply to the intended IIOrk, and that it is
<br />If responsibility to identify what actions I lUst take to be in cotpliance. Such agencies include but are not lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Watellfays
<br />t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic tanks
<br />t US EnvirODlental Protection Agency - Asbestos abateaent
<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 uCOJpensating volute" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida p'rior to peIlit. issuance.
<br />
<br />A perlit 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 peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid
<br />unless the work authorized by such peIlit is cOllenced 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 Ute the IIOrk is cOllenced. One 90 day extension of tite, lily be
<br />allowed for the perlit 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 />WARMIHG TO MER: YOUR FAILURE TO RECORD A NOTICE OF COMHDCKHBM'I' HAY RESULf IN YOUR PAYING 'fWlCE FOR IHPROVEMENlS TO YOUR
<br />PROPERTY. IF YOU IM'I'BlfD TO OBtAIN FINAMCIIIG, COIISULf WITH YOUR LEIIDIR OR AM ATfORIIIY BEFORE RECORDING YOUR 1I000ICE OF
<br />COHHKIIClHEIIT. JOBS UllDER $2,500 III VALUE DO NO'I NEID fO RECORD AND POST A "NOTICE OF COMMENCEMlNI".
<br />
<br />SIGIIATURI: MER OR AGEM'I'
<br />
<br />SIGIIATURE: COIITRACTOR
<br />
<br />Sf ATE OF FLORIDA
<br />COUNIY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19__ by
<br />
<br />STArE OF FLORIDA
<br />COUIITY 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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