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<br />CONDITIONS OF PERMIT AFFIDAVIT.
<br />A. NOTICE OF DEED RESTRICTIONS . ....
<br />Tbe undersigned understands that this perlit lay be subject to 'deed restrictions' wbich lay be lOre restrictive than City
<br />regulations. fbe undersigned asSUles responsibility for COIpliance 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 mmer and contractor .y be
<br />cited for a Iisc1eleanor violation under state law. If the owner or intended contractor are uncertain as to what lic_ing
<br />requirl!lents .y apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, 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 which they will be responsible. If you, as the OIfJ1er Sign as the c:oatractor,
<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 .y be an indication that he is not properly licensed and is not entitled to pemitting 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 AMBNDED)
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - 1ReoImer'. Protection
<br />Guide' prepared by the Florida DepartJent of Agriculture and COnsUIeI Affairs. If the applicant is SOl8Oll8 other than the
<br />'owner', I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />'owner' prior to COIIeDCeJeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIJation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, Joning, and land developleJlt.
<br />
<br />Application is hereby Jade to obtain a perlit ~o do work and installation as indicated. I certify that DO work or
<br />installation has CDleDcec1 prior to issuence of a pemit and that all work ,ill be perfOlled to _t staDdarda of alllan
<br />regulating construction, City codes, loning regulations, and land develo(ll8Dt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDl8Dtal agencies laY apply to the intended 1IOf1, and that it is
<br />If responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are DOt lilitec1 to:
<br />t DepartJent of Envirolll8l1tal Regulation - Cypress Bayheads, lIetland Areas and EnviroDleDtally Sensitive Lands,
<br />lIater/llastewater TreatJent
<br />t Southwest Florida lIater NanageJent District - lIells, Cypress Bayheads, lIetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, lIavigable lIaterways
<br />t DepartJent of Health & Rebabilitative Services, BnvirODleDtal Health Unit - lIe1ls, lIastewater TreatJent, Septic fants
<br />t US EnviIODleDtal Protection Agency - Asbestos abatl!lel1t
<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 'COIpensating 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 PeIlit 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 fa thereafter
<br />requiring a correction of errors in plans,. construction, or violations of any code. Ivery pmit issued shall beCClle invalid
<br />unless the IIOrk authoriled by such perlit is COIEJlced within sil IOnths of issuance, or if work autboriled by the perlit is
<br />suspended or abandoned for a periOd of sil IOnths after the tile the IIOrk Is c.encec1. One 90 day eztension of tile, laY be
<br />allowed for the PeIlit lith fee charge of $15.00. fbe eztension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be loggec1 during each sillOnth period, or the project ,ill be considerec1 abandoned.
<br />IIAR11IIIG fO OWIIBR: YOUR FAILURE TO RECORD A 1I00ICH OF COHHEICEHBBf HAY RESULT III YOUR PAYIIIG nICH FOR IHPROVBIIBIIl'S TO YOUR
<br />PROPERTY. IF YOU IJIIBND TO OBIAIJf FIIWICIIIG, COHSULT NITH YOUR LBNDU OR All AnOlUlEY BBFORB RBCORDIIIG YOUR 1I00ICH OF
<br />COfIMEIICBHBH!. JOBS UXDU $2,500 111 VALUE DO HOI HIED fO RECORD MID POST A 'HOIICH OF C<HIBIfCBllD!'.
<br />
<br />~~7J
<br />SI : 0IfJIIR 0 '.
<br />
<br />
<br />STAfB OF FLORIDA
<br />coum OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19__ by
<br />
<br />U~1~
<br />/SIGJiATURE: C II! R
<br />
<br />STATB 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 oct-tho
<br />
<br />(Signature)
<br />
<br />(Nue Typed, Printed or Stuped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name 'J;yped, Printed or Stamped)
<br />ROTARy'PUBLIC
<br />
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