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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pemit lay be subject to "deed restrictions" which laY be lOre restrictive than City
<br />regulations. The undersigned assOles 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 lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requir8lents laY apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (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, ratber 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 Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify tbat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOw.Der's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsOler Affairs. If the applicant is sOftone other than the
<br />"owner", I certify that I bave obtained a copy of the above described docUlent and prOllise in good faith to deliver it to the
<br />"owner" prior to couenc8lent.
<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 cOllenced prior to issuance of a pemit and that all work will be perfoIled 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 goverDIeDtal agencies laY apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />* DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater 'I'reatlent
<br />* Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic 'fanks
<br />* US Environlental Protection Agency - Asbestos abatBlent
<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 .cOllpensating volOle" 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 perlit prevent the Building Official frCl 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 autborized by such perlit is cOllenced 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 tile, 1Iil' be
<br />allowed for the pemit 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 />WARNING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCEHENT HAY RESULT IN YOUR PAYING 'l'WICE FOR IMPROVEMEMrS '1'0 YOUR
<br />PROPERTY. IF YOU INTElfD '1'0 OB'I'AIH FINANCING, CONSULT WITH YOUR LElfDER OR AN ATTORNEY BEFORE RECORDING YOUR HO'l'ICE OF
<br />COHHIiHCKHENT. JOBS UNDER $2,500 IH VALUE DO NO'l' HEED '1'0 RECORD AND POST A .NOTICE OF COHHDCEMBN'l'''.
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<br />SIGJlA'fURE: OWIfER OR AGENT
<br />
<br />SIGHA'I'URE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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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