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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to Ddeed restrictionsD whieb lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance 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 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 mmer and contractor JaY be
<br />cited for a .isdeaeanor violation under state law. If the mmer or intended contractor are uncertain as to what licensing
<br />requireJents 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 OIner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />DContractor Sectionsll of this application for whieb they will be responsible. If you, as the mmer 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 lay be an indication that he is not properly licensed and is not entitled to perJitting 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 - HOJeOlfJler's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOJeOne other than the
<br />ummer", 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 coaenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit 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 governtental agenCies JaY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Sueb agencies include but are not lilited to:
<br />t DepartJent of Environtental Regulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />t Departlent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater TreatJent, Septic ranks
<br />t US Environtental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill taterial is to be used in Flood ZOne IIA" or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOlpensating volute" will be subJitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<br />A perJit 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 per.it prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOJe invalid
<br />unless the work authorized by sueb perlit is co_need within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOnths after the till! the work is cOllenced. One 90 day extension of tite, lilY be
<br />allowed for the perJit 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 eaeb six IOnth period, or the project will be considered abandoned.
<br />WARIlING TO OWNER: YOUR FAILURE TO RECORD A KOTICE OF COIIMEKCEHEHr HAY RESULT IN YOUR PAYING 'NICE FOR IMPROVEHDIS TO YOUR
<br />PROPERfY. IF YOU IHrEHD TO OBtAIN FIIWfCING, CONSULT WI'fH YOUR LEHDER OR AN AnOIlBlY BEFORE RECORDING YOUR NOTICE OF
<br />COMHENCEHEHr. JOBS UlfDER $2,500 IN VALUE 00 NOT HIED TO RECORD AND POST A "NOTICE OF COHMINCEHDI".
<br />
<br />SIGJlArURE: OWNER OR AGHHr
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<br />
<br />~
<br />
<br />SIGKATURE: COHrRACTOR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19~ by
<br />
<br />STATE OF FLORIDA
<br />COmrry 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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