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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit lay be subject to "deed restrictions" which Jay be lOre restrictive than City
<br />regulations. Tbe 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 wort, 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparblent, (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 whicb 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 Zephyrhills.
<br />
<br />C" TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D" CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AM.8NDED)
<br />I certify that I, the applicant, have been provided with a copy of RFlorida's Construction Lien Law _ HOJeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SORone other than the
<br />.owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to couenCeJent.
<br />
<br />E" CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation 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 has cOIIenced prior to issuance of a perJit and that all work will be perfOrJed to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDlental agencies JaY 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 li.ited to:
<br />· DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />· Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· DepartJent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />· US EnviroDlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "AR or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOlpensating volUJe" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />A perlit issued shall he construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOJe invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is cOllenced. One 90 day extension of tile, JaY be
<br />allowed for the perJit 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 TO OIUfER: YOUR FAILURE TO RECORD A NOTICE OF COHHElfCEMElft' MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEJIm'S TO YOUR
<br />PROPERTY. IF YOU Ilft'EIlD TO OBTAIN FIMAlfCING, CONSULT WUH YOUR LENDER OR AN AnORm BEFORE RECORDING YOUR NO'rICE OF
<br />COHMENCEHRlft'. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COHHDCEHRNf".
<br />
<br />~.~" ..
<br />~~~~
<br />
<br />SIGNATURE: COlft'RACTOR
<br />
<br />STATE OF FLORIDA
<br />COUlft'Y 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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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