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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />. A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perlit lay be subject to "deed restrictions" whieb la, be lOre restrictive than City
<br />regulations. !he 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 owner and contractor la' be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for tbe intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtheI'lOre, if the owner bas hired a contractor or contractors, he is advised to bave 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 tban the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to peIlitting 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 - HOIIeOImer's Protection
<br />Guide" prepared by tbe Florida Depart:lent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />Rowner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOlleDcelent.
<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 c~liance 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 perlit and that all work will be perforJed 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 governJental agenCies JaY apply to the intended work, and that it is
<br />Ii responsibility to identify what actions I lUst take to be in cOlpliance. Sueb agencies include but are not lilited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands,
<br />Water/Wastewater !reat:lent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways -
<br />t Depart:lent of Health & Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater rreatJent, Septic !anks
<br />t US BnvirODlental Protection Agency - Asbestos abateJeDt
<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 RcOlpeDsating volllle" will be sublitted whieb is prepared by a professional engineer registered in the State of
<br />Florida p'rior to perlit. i~suance.
<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 frOl thereafter
<br />reguiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball becOle invalid
<br />unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is c~enced. One 90 da, extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. rhe 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 />WAMING TO OWHBR: YOUR FAILURE TO RECORD A NOt'ICE OF COMMENCEMENT MAY RESULr IN YOUR PAYING !liICE FOR IHPROVBJID!S ro YOUR
<br />PROPERTY. IF YOU INTEIm 'f0 OBIIIK FIIWICING, COHSUL'f WUB YOUR LEimER OR All A'f'fORIfEY BEFORE RECORDIHG YOUR HOt'ICE OF
<br />COMHENCEMENr. JOBS UlfDER $2,500 IN VALUE DO HOt' NEED 'f0 RECORD AIfD posr A "NOt'ICE OF COMMEIfCEHENTH.
<br />
<br />CJ~aP
<br />
<br />SIGlIA'lURE: OWJIER OR AGENT
<br />
<br />~) ~
<br />S AifA!~ CO~'lOR
<br />
<br />S!ArIl OF FLORIDA 9
<br />coum OF ~ ~~Cr)
<br />The foregoing i~rument was acknowledged
<br />before me this ~~ ~ , 19~ by
<br />
<br />(\ [\,j.[ll~ \. Q ~~
<br />who is pers~~ ~ to me or who has
<br />produced _ ~ ~ \J-
<br />as identification and who did/did not
<br />take an oath~~.
<br />
<br />(Signature)
<br />
<br />STATE OF FLORIDA Q
<br />COUNTY OF ~~ c c;)
<br />The foregoing i~rument was acknowledged
<br />before me this ~"" , 19"\.( by
<br />
<br />~~~u\W~~~
<br />who is per~y klwwn tt me or who has
<br />produced _~F-~ \c---
<br />as identification and who did/did not
<br />take ~~/
<br />
<br />(Signat e)
<br />
<br />
<br />(Name Typed, Print
<br />NOTARY ILUAM E. MCc,-e'on\11:
<br />eSTATE 'r rL n
<br />NOT ARY PUBLI EXP, FEB 8 199('
<br />MY COMM. Cc 43-")C\~
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