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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 odeed restrictions" which lay be lOre restrictive than City
<br />regulations. 'he undersigned assOles responsibility for coapliance with any applicable deed restrictions.
<br />
<br />B. UNLIC,ENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITJ:ES. ".
<br />If the owner has lJired' 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 asrequiJ:ed. by law;. both .the"01ftle{ and contractor lay be
<br />cited for a lisdeaeanor violation under state law. If the owner oC.Intended contractor are uncertain as to what licensing
<br />requireaents laY apply for the intended work, they are advised to contact the City of Zephyrhills B~ilding. Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractQr(s) sign portions of the
<br />DContractor Sections. of this application for which they will be responsible. If you, as l,be QOeraign"aa 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 oLAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of DFlorida's Construction Lien Law - HD*!owner's Protection
<br />Guideo prepared by the Florida DepartJent of Agriculture and ConsUleI' Affairs. If the applicant is sOJeOl1e other than the
<br />Downer", I certify that I have obtained a copy of the above described docUlent and prOJlise in good faith to deliver it to the
<br />"ownerO prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT, . '. '. ....
<br />I certify tl)at all the'infomtitm in this application is accurate' and that all 'work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, aftdland develo~ent.
<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 perlit and that all work will be perforaed to teet 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 laY apply to tbe'intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />t DepartJent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tants
<br />t US Bnvironaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone oAo or "A,etc.", it is understood that a drainage plan
<br />addressing a "coapensating volOle" will be subtitted 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perJit issued shall beCOle invalid
<br />unless the work authorized by such perJit is cOllellced 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, lily 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 />WARNIHG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMBHCEMBNT HAY RESULT IH YOUR PAYING TWICE FOR IHPROVIHBNIS TO YOUR
<br />PROPERTY. IF YOU INTBHD TO OBTAIH FIHAJlCIHG, COHSULT WITH YOUR LBNDER OR AN AftORREY BBFORE RECORDIHG YOUR JlO'IICB OF
<br />COHHEHCEHBNT. JOBS UNDER $2,500 IH VALUE DO HOT NEED TO RECORD AND POST A "NOTICE OF COHMRHCDEHT".. .' , .
<br />
<br />SIGJlAfURE: omR OR AGENT
<br />
<br />SIGJlATURE: CONTRACTOR
<br />
<br />'. ,
<br />
<br />STATE OF FLORIDA
<br />COUN'lY OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUHTY 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 bas
<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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