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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit lay be subject to "deed restrictionsn whichlilr be lOre restrictive than City
<br />regulations. the undersigned assutes 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 tbe 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 lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
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<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, bave been provided with a copy of nFlorida's Construction Lien Law - HOJeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is sOJeOne other than the
<br />.....- nlMler", I certify that I have obtained a copy of the above described docutent and prOJise in good faith to deliver it to the
<br />"owner" prior to cOJJenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all work will be done in cOJpliance with all
<br />applicable laws regulating co~truction, 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 COJJeDced prior to issuance of a peIlit and that all work will be perforted to teet 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 ~ regulations of other governaental agencies JaY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* DepartJent of Environtental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Maviqable Waterways
<br />* DepartJent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater treatJent, Septic tanks
<br />* US EnviroDlental Protection Agency - Asbestos abateJent
<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 .cOJpensating volute. will be subtitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit_ issuance.
<br />
<br />S FLORIDA
<br />COUHTY OF
<br />The foregDing instrument was acknowledged
<br />before me this , 19~ by
<br />
<br />A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor sball issuance of a peIlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOJe invalid
<br />unless tbe work authorized by such peIlit is cOJJeDced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOnths after the tite the work is COIIenced. One 90 day extension of tite, lilY be
<br />allowed for tbe peIliA: with fee charge of $15.00. tbe 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 />WARN'IHG 'l'O OIIMER: YOUR FAILURE TO RECORD A MOTICE OF COHHBMCEIIEH'l' HAY RESULt 1M YOUR PAYIMG twiCE FOR IHPROVEIIDl'S to YOUR
<br />PROPERTY. IF YOU IHTEHD to OBtAIM FHIAIICIMG, COMSULt WItH YOUR L1~HDER OR All AttORNEY BEFORE RECORDIHG YOUR HOTICB OF
<br />COHHENCEHBHT. JOBS UNDER $2,500 1M VALUE DO NOT NEED TO RECORD AHD POST A "NOTICE OF COHMEHCEIIEH'l'".
<br />
<br />
<br />~?z-
<br />SIG E' COHTIIAC'l'OR I
<br />
<br />
<br />StATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />
<br />I
<br />~-
<br />
<br />WhD 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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