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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait lay be subject to "deed restrictions II which JaY be lOre restrictive than City
<br />regulations. fhe 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 JaY be
<br />cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtbeIlOre, if the owner bas hired 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 tbe contractor wishes you to sign
<br />as contractor that JaY be an indication that he is not properly licensed and is not entitled to peraitting 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, bave been provided with a copy of -Plorida's Construction Lien Law - HOJeOIDer's Protection
<br />Guide" prepared by the Plorida DepartJent of Agriculture and Conslller Affairs. If the applicant is SOJeOJle other 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 cOlleDcelent.
<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 developllent.
<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 bas cOlleDced prior to issuance of a perait and that all work will be perfolled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJeDtal agencies JaY apply to the.intended wort, 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 />I DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater freatJent
<br />t Soutbwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnviroDJeDtal Health Unit - Wells, Wastewater Treatlent, Septic Tants
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill Jaterial is to be used in Flood Zone "A. or "A,etc.., it is understood tbat a drainage plan
<br />addressing a .cOJpeDsating volllle" will be subJitted wbich 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 perait prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or VIolations of any code. Every perJit issued sball beCOle invalid
<br />unless the wort authorized by such perlit is COllel1ced within six IOnths of issuance, or if wort authorized by the perait is
<br />suspended or abandoned for a period of six IOnths after the tile the wort is couenced. One 90 day I!Itension of tile, JaY be
<br />allowed for the perait 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 IOntb period, or the project will be considered abandoned.
<br />WARlHNG TO OWHER: YOUR FAILURE TO RECORD A NOTICE OF COIlMENCKMHH1' MAY RESULT IN YOUR PAYING fIIlCE FOR IMPIlOVEMENl'S TO YOUR
<br />PROPERTY. IF YOU IH1'EHD TO OBTAIH FIlWlCIHG, CONSULT WIm YOUR LEHDER OR AM AnDRJlEY BEFORE RECORDING YOUR MOTICE OF
<br />COMMENCEMEliT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AIfD POST A "NOTICE OF COIlMENCEMEH1'".
<br />
<br />SIGJlATURE: OVIIER OR AGEH1'
<br />
<br />SIGMATURE: COH1'RAC'fOR
<br />
<br />STATE OF FLORIDA
<br />COIJN1'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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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