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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'l'be undersigned understands that this perait lay be subject to "deed restrictions" which tay be lOre restrictive than City
<br />regulations. rhe 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 wort, they tay 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 tay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (813)
<br />788-6611.
<br />
<br />FurthertOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions uf 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 'r
<br />as contractor that lay 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 ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - H(lM!(JWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is soteane- 3ther than the
<br />.owner", I certify that I have obtained a copy of the above described docutent and protise in good faith to deliver it to the
<br />"owner" prior to cOllellcetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all work will be done in cotpliance with all
<br />applicable laws regulating construction, zoning, and land developteDt.
<br />
<br />Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet 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 goverotental agencies tay apply to the intended wort, and that it is
<br />If responsibility to identify what actions I lUSt take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Departlent of Environtental Regulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater freatlent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departtent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater freattent, Septic ranks
<br />t US EnvirODlental Protection Agency - Asbestos abatetent
<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 .cOlpeDsating volnte" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait. issuance.
<br />
<br />.A pertit 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 frot thereafter
<br />requiring a correction of errors in plans, construction, or VIolations of any code. Every perait issued shall beOOle invalid
<br />unless the work authorized by such perait is coaenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tite the work is cOlleDCed. One 90 day extension of tite, tay be
<br />allowed for the perait with fee charge of $15.00. fhe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sixlOnth period, or the project 1Iill be considered abandoned.
<br />WARMING TO OIfNER: YOUR FAILURE TO RECORD A NOTICE OF C(JfMENCIMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEIlmS TO YOUR
<br />PROPERTY. IF YOU IJlTEND TO OBTAIN FIlWfCING, CONSULT WITH YOOR LENDER OR AN AnORDY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMBH'J.'. JOBS UNDER $2,500 IN VALUE DO NOT NEED 'l'0 RECORD AND POST A "NOTICE OF COMMENCEMBH'J.'''.
<br />
<br />SIGlfAfURE: OWIfER OR AGEH'J.'
<br />
<br />SIGNA'fURE: COH'J.'RACfOR
<br />
<br />SfAfE OF FWRIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19__ by
<br />
<br />SfA'l'E OF FLORIDA
<br />COUH'J.'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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