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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to "deed restrictions" which Jay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents JaY apply for tbe intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for whicb 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 wisbes you to sign
<br />as contractor that JaY 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 LAW (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 - HOJeOWDer's Protection
<br />Guiden prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOJeOne other than the
<br />nowner", I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOll8llceJent.
<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 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 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 develo.-ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1lleDtal 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 />* Departaent of EnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />* Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tants
<br />* US EnvirODlental Protection Agency - Asbestos abateJent
<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 .cOlpensating VOlUlen will be subJitted whicb is prepared by a professional engineer registered in the State of
<br />Florida p'rior 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 />Bet aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
<br />unless tbe work authorized by such pertit is cOllenced lIithin six IOnths of issuance, or if 1I0rk authorized by tbe perlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the IIOrk is co.enced. One 90 day extension of tile, JaY be
<br />allowed for the pertit with fee charge of $15.00. The extension shall be requested in IIriting to tbe Building Official. An
<br />approved inspection lUst be logged during each sil IOnth period, or the project lIill be considered abandoned.
<br />NARHIHG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMBMI HAY RESULT IN YOUR PAYING NICE FOR IHPROVBMmS TO YOUR
<br />PROPERTY. IF YOU IlffElfD TO OBTAIN FINAHCIHG, CONSULT WITH YOOR LIlfDER OR AI AnoRm BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEHRlfT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED '1'0 RECORD AJfD POST A "NOTICE OF COHHBHCEHElff".
<br />
<br />SIGNATURE: OIIHER OR AGElff
<br />
<br />SIGNATURE: COlffRACTOR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE 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 />producednas 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 />(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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