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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fhe undersigned understands that this pemit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. rhe undersigned assUles responsibility for cOlpliance with 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 witb
<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 wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (813)
<br />788-6611.
<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 />"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 wishes you to sign
<br />as contractor that lily be an indication that he is not properly licensed and is not entitled to pemitting 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 _ HOIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
<br />"owner" prior to co_ncetent.
<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 ohtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COllenced prior to issuance of a pemit and that all work will be perfocted 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 goveI11lental agencies lilY apply to the intended work, 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 Environlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater rreattent
<br />* Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Amy Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departtent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater freatlent, Septic ranks
<br />* US EnviroDlental Protection Agency - Asbestos abatetent
<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 "cOlpensating volute" 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 shall issuance of a pemit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued shall becOle invalid
<br />unless the work authorized by such perlit is couenced within six IOnths of issuance, or if work authorized by the pemit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tite, lilY be
<br />allowed for the pemit with fee charge of $15.00. The .extension shall be requested in writing to tbe Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING ro OWNER: YOUR FAILURE TO RECORD A NOrICE OF COHMBHCBMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMmS '1'0 YOUR
<br />PROPERTY. IF YOU IlfEIfD fO OBTAIII FIIIAlfCIIIG, COIISOLT WITH YOUR LBIDBR OR All AnORHBY BBFORE RBCORDIIIG YOUR lIarICB OF
<br />COHHEIICEHRNT. JOBS UIfDER $2,500 1M VALUE DO IIOT IIEBD TO RECORD AIfD POST A "IIOfICE OF COHHEIICEHRNT".
<br />
<br />SIGIIATURE: OWNER OR AGENT
<br />
<br />SIGIIATURE: COIITRACfOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STAT~ OF FLORIDA
<br />COllNfY 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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