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<br />- . CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEE]} RESTRICTIONS
<br />The undersigned understands that this peIlit lay be subject to .deed restrictionsN which aay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cO.pliance 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />'requireaents aay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />188-6611.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />UContractor 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 lay be an indication that he is not properly licensed and is not entitled to perJitting 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 - Hoaeowner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and ConsUler Affairs. If the applicant is soaeone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and proaise in good faith to deliver it to the
<br />"owner" prior to COMenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />appliCable laws regulating construction, zoning, and land developaent.
<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 bas cOlleDced 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 developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies aay apply to the intended work, and that it is
<br />ay responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Departaent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />WaterfWastewater Treatlent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t Departlent of Health & Rebabilitative Services, Bnvironaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environaental Protection Agency - Asbestos abateaent
<br />I also certify that, if filllaterial is to be used in Flood Zone BAB or "A, etc. B, it is understood that a drainage plan
<br />addressing a Dcoapensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida ~rior to perlit. issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the wort 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 trOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball becoae invalid
<br />unless the wort authorized by such peIlit is COMenced within six aonths of issuance, or if wort authorized by the peIlit is
<br />suspended or abandoned for a period of six aonths after the tiae the work is coaenced. One 90 day extension of tile, aay 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 />IIARlHNG TO OWNER: YOUR FAILURE TO RECORD A NO'l'ICE OF COMHEJrCENElfT HAY RESULT 1M YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOO IlfTElfD TO OBTAIN FIN'AlfCING, COItSULT IIIrH YOUR LEIfDIR OR AN' AnoRBEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCENEHT. JOBS OMOER $2,500 1M VALUI 00 1t0'l' ItEEO TO RECORD AIfD POST A NNO'l'ICE OF COHHEN'CEHElfTN.
<br />
<br />SIGNAtURE: OWIfER OR AGElfT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUH'fY OF
<br />The for~going instrument was acknowledged
<br />before me this , 19_____. by
<br />
<br />STATE OF FLORIDA
<br />COOlfTY 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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