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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that tbis peClit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The 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 lilY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections II 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 tbe work. If the contractor wishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to peClitting 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 -Plorida's Construction Lien Law - HDIeOw.Der's Protection
<br />Guidell prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sDleOne other than the
<br />"owner II , I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />lIowner" prior to couencelent.
<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 deveIopllent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
<br />installation bas cOlleDced prior to issuance of a peClit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in th~ jurisdiction. I also
<br />certify that I understand that the regulations of other goveCDIeDtal agencies lilY 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 lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Plorida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tants
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Plood Zone IIA" or IIA,etc.", it is understood that a drainage plan
<br />addressing a "cOlpeDsating volUle" 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 peClit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllBnced within six IOnths of issuance, or if work authorized by the peClit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOlleDced. One 90 day extension of tile, laY be
<br />allowed for the peClit 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 />WAIUlHlG '1'0 MER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEtn' HAY RESULT IN YOUR PAYING TIIICE FOR IHPROVEMEtn'S TO YOUR
<br />PROPERTY. IF YOU Itn'EIm TO OBTAIM FINAXCING, CONSULT WITH YOUR LEImER OR AM A'I''fOIUlEY BEFORE RECORDING YOUR Il'OTICE OF
<br />COHHENCEMEtn'. JOBS UMDER $2,500 IN VALUE 00 NOT NEED '1'0 RECORD Arm POST A "NOTICE OF COMMEMCEMEtn'".
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<br />SIGNATURE: OWIfER OR AGEtn'
<br />
<br />7-A~ d~
<br />SIGNATURS: COtn'RAC'fOR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUM'I'Y 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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