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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this pecait .ay be subject to "deed restrictions" wbich tay be lOre restrictive than City
<br />regulations. Ybe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, tbey .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 .ay be
<br />cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
<br />requiretents .ay apply for the intended work, they are advised to contact tbe City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to bave tbe 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 tban the contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor that .ay be an indication that be is not properly licensed and is not entitled to peClitting privileges in the
<br />City of Zepbyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN bAW (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 - HOIeOWJler's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other tban the
<br />Downer", I certify that I have obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the
<br />"owner" prior to cOlleDcetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in cQlpliance with all
<br />applicable laws regulating construction, zoning, and land developllent.
<br />
<br />Application is bereby .ade to obtain a peClit to do work and installation as indicated. I certify that no work or
<br />installation bas couenced prior to issuance of a per.it and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in th~ jurisdiction. I also
<br />certify that I understand that the regulations of other goveIlllental agencies tay apply to the intended work, and that it is
<br />If responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />* Departlent of Bnvirontental Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArtY Corps of Engineers - Seawalls, Docks, Mavigable Waterways
<br />* Departlent of Health & Rebabilitative Services, Environtental Health Unit - Wells, Wastewater Yreatlent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood ZOne "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a DCOlpensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<br />. A peIlit issued sball be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball beCOle invalid
<br />unless the work authorized by sucb peClit is cOllenced within six IOntbs of issuance, or if work authorized by the peClit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllellced. One 90 day extension of tile, tay be
<br />allowed for the peIlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during eacb six IOnth period, or the project will be considered abandoned.
<br />WARMING YO OWMER: YOUR FAILURE YO RECORD A MorICE OF COMMEICEMIlIn' MAY RESULT 1M YOUR PAYING NICE FOR IMPROVEMIllft'S YO YOUR
<br />PROPE1m'. IF YOU IIn'EIfD YO OBYAIN FIlfANCIIG, CONSULY WITH YOUR LINDER OR AN AnOmY BEFORE RECORDING YOUR NorICE OF
<br />COMMENCEMEIfT. JOBS UNDER $2,500 IN VALUE DO lor MEED TO RECORD AND POSY A "MorICE OF COMMEIfCEMIlIn'".
<br />
<br />SIGJfATURE: OIINER OR AGBIn'
<br />
<br />
<br />
<br />STATE OF FLORIDA
<br />COUIn'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 "nstrument 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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