<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this peIlit .ay be subject to "deed restrictions. wbich Jay be lOre restrictive than City
<br />regulations. Ybe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe owner bas hired a contractor or contractors to undertake work, they .ay 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 JaY be
<br />cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents aay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
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<br />FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to bave 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 be is not properly licensed and is not entitled to perJitting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOJIl!OIOler's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and ConsUll!r Affairs. If the applicant is sOJeOnf ather than the
<br />.owner", I certify that I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllenCetent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is bereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation bas cOIIenced prior to issuance of a perlit and that all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIental agencies laY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I .ust take to be in co.pliance. Sucb agencies include but are not lilited to:
<br />* Departtent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water {Wastewater Yreattent
<br />* Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departtent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater 'reattent, Septic Yanks
<br />* US Environtental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill .aterial is to be used in Flood ZOne NA" or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOlpensating volute" will be sublitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
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<br />.A peIlit issued sball 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 sball issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball beCOle invalid
<br />unless tbe Ifork authorized by sucb pertit is cOIIenced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is CQIIeDced. One 90 day extension of tile, lilY be
<br />allowed for the per.it with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARlUHG YO 0IUfER: YOUR FAILURE TO RECORD A HO'l'ICE OF COIIMDCEMBD' MAY RESULT IN YOUR PAYING BICE FOR IMPROVEIlED'S '0 YOUR
<br />PROPERrY. IF YOU ID'EHD TO OBTAIH FIlWfCIHG, COHSULY WUII YOUR LEIDER OR AM AT'fORIEY BEFORB RECORDING YOUR HO'l'ICE OF
<br />COHMEHCEMBD' . JOBS UNDER $2,500 IN VALUE 00 NO'l' NEED TO RECORD AND POSY A "HO'l'ICE OF C
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<br />,2
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<br />SIGJlAYURB: OIftIER OR AGED'
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<br />SIGHAYURB:
<br />
<br />
<br />SYATE OF FLORIDA
<br />COUD'Y OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />S'AYE 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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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