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<br />.. . . CONDITIONS OF PERMIT AFFIDAVIT' '.
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ undereigned understands that this peIlit lay be subject to "deed restrictions" which laY be lOre restrictive than City
<br />regulations. rhe undersigned assutes 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 owner and contractor laY be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />188-6611.
<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 />DContractor 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 wisbes you to sign
<br />as contractor that tay be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the
<br />City of Zepbyrhills.
<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 nFlorida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />nowner", I certify tbat I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />"ownerD prior to couencetent.
<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 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 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 governtental agenCies laY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />· Departtent of EnviroDlental Regulation - Cypress Bayheads, Netland Areas and EnviroDlentally Sensitive Lands,
<br />Nater/Nastewater Treatlent
<br />t Southwest Florida Nater HanageJent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses
<br />· Arty Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t Departlent of Health & Rehabilitative Services, InvirODlental Health Unit - NeIls, Nastewater TreatJent, Septic 'anks
<br />· US Environtental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone "An or "A, etc. " it is understood that a drainage plan
<br />addressing a 'cOlpensating voluteD will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida p'rior to peIlit. issuance.
<br />
<br />A pmit 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. Ivery periit issued shall becOle invalid
<br />unless the work authorized by such perlit is COlltlDced within six IOnths of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cc.-enced. One 90 day extension of tite, laY be
<br />allowed for the peIlit 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 />NARlfIMG TO OWNER: YOUR FAILURE '0 RECORD A NOTICE OF COMHIHCEHllfT HAY RESUL! IN YOUR PAYING !NICE FOR IHPROVIHII'lS TO YOUR
<br />PROPERTY. IF YOU IlfTEND '0 OB'AIN FINANCING, CONSUL' NUH YOUR LINDER OR AM ATTORNEY BEFORE RECORDING YOUR MOTICE OF
<br />COMHINCEHllfT. JOBS UNDER $2,500 1M VALUE DO NOT NEED TO RECORD AND POSt' A "NOTICE OF COHMDCEHIlfT".
<br />
<br />SIGJ/AfURi: ONHER OR AGElfT
<br />
<br />SIGNATURE: COlfTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUlfTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19~ by
<br />
<br />STATE OF FLORIDA
<br />coum 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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