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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perlit aay be subject to "deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. the undersigned assUles responsibility for COIpliance 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 lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguirl!lents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtbeIlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbicb 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 wishes you to sign
<br />as contractor that aay be an indication that he is not properly licensed and is not entitled to peIlitting 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 - HOIeOf.Der's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConslJler Affairs. If the applicant is SOftOJ1e other than the
<br />"owner II , I certify that I have obtained a copy of the above described docUlellt and prOllise in good faith to deliver it to the
<br />lownerl prior to COIleDCeleDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />appliCable laws regulating construction, zoning, and land develoPftllt.
<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 c~ced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govetnleDtal agencies laY apply to the intended work, and that it is
<br />If responsib,ility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not li8ited to:
<br />t Departlent of EnviroDl8Dtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />WaterjVastewater TreatJent
<br />t Southwest Florida Water Managl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Watellfays
<br />t DepartJent of Health & qebabilitative Services; EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, 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 IA,etc.", it is understood that a drainage plan
<br />addressing a .cOlpeDsating volUlen will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. 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 sball 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 perlit issued shall beCOle invalid
<br />unless tbe work authorized by such peIlit is COlleDced within six IOnths of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is co.enced. One 90 day extension of tile, lily be
<br />allowed for the peIl~.twith fee charge of $15.00. Tbe extension sball 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 />WARMING TO OWNER: YOUR FAILURE TO RECORD A NorICE OF ClJDIENCBIIENT MAY RESULT IN YOUR PAYING 'NICE FOR DIPROVEMII1'S 'to YOUR
<br />PROPERTY. IF YOU INTElfD TO OBTAIN FIIWICIlfG, CONSUL! WITH YOUR LODER OR IN Al"lORIJEY BEFORE RBCORDIIG YOUR NOTICE OF
<br />COMMENCEMEHT. JOBS UNDER $2,500 II VALUE DO NOT NEED '1'0 RECORD AND POSf A "NorICE OF COMMEICEMEH'lN.
<br />
<br />SIGHAIURI: OWIIER OR AGENT
<br />
<br />~l> ;1~
<br />SI : ONTRAC'tOR
<br />
<br />S'l'A'fE OF FLORIDA
<br />coum OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19 by
<br />--
<br />
<br />Sf ATE 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 />(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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