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<br />, . CONDITIONS OF PERMIT AFFIDAVIT .
<br />A. NOT1CE OF DEED RESTRICTIONS . _
<br />The undersigned understands that this peIlit lay be subject to "deed restrictions" whiCh lay be IOre'restrictive than City
<br />regulations. 'he undersigned assUleS responsibility for COIpliance 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 tbe 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 olDer 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 bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbich 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 lay be an indication that he is not properly licensed and is not entitled to perlitting 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, bave been provided with a copy of 'Florida's Construction Lien Law - HoteDWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOIeone 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 couencetent.
<br />
<br />E. CONTRACTOR'SjOWNER'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 perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a peIlit and that all work will be perforJed 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 tay apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />· DepartJent of EnviroDlental Regulation - Cypress Bayheads, Netland Areas and Environtentally Sensitive Lands,
<br />Nater/Nastewater Treatlent
<br />· Southwest Florida Nater Hanagetent District - NeIls, Cypress Baybeads, Netland Areas, Altering Natercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t DepartJent of Health & Rebabilitative Services, Environtental Health Unit - Wells, Wastewater TreatJent, Septic ,ants
<br />· US EnvironJental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill laterial is to be used in Flood Zone "An or "A, etc. n, it is understood that a drainage plan
<br />addressing a uCOlpensating volute" will be subtitted wbich is prepared by a professional engineer registered in the State of
<br />Florida p'rior to perlit. issuance.
<br />
<br />A peIlit issued shall be construed to be a license to proceed with tbe 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 perlit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tite, laY be
<br />allowed for the peIlit with fee charge of $15.00. the 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 />NARlfING TO ONHER: YOUR FAILURE TO RECORD A NOTICE OF COHHIHCEHIlfT HAY RESULT IN YOUR PAYING !NICE FOR IHPROVEMmS TO YOUR
<br />PROPERTY. IF YOU IlfTEND '0 OBTAIN FINAlfCING, CONSULT NIfH YOOR LENDER OR AM AnORRIY BEFORE RECORDING YOUR NOTICE OF
<br />COMHINCEHEH'l. JOBS UNDER $2,500 IN VALUE DO NOT HIED TO RECORD AND POS! A "NOTICE OF COMHINCEHIlfT".
<br />
<br />SIGNA'URE: ONHER OR AGElfT
<br />
<br />SIGNATURE: COlfTRACfOR
<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 />COUlfTY 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 o~th.
<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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