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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this peIlit lay be subject to .deed restrictions" wbicb lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for coapliance witb 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, 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 laY be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents laY apply for the intended work, they are advised to contact tbe City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />.Contractor Sections. of this application for wbich 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 laY be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the
<br />City of Zephyrbills.
<br />
<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 - HoIeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is sQJeOne other than the
<br />.owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />.owner" prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is bereby 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 peIlit and that all work will be perforJed to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies tay apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Departlent of Environaental Regulation - Cypress Baybeads, Vetland Areas and Environaentally Sensitive Lands,
<br />Vater/Vastewater Treatlent
<br />* Southwest Florida Vater Managelent District - VeIls, Cypress Baybeads, Vetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departaent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treataent, Septic Tanks
<br />* US EnvirODlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone HA" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a .cQlpensating volUle" will be subaitted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit, issuance.
<br />
<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 tbe technical codes, nor shall 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 shall beCOle invalid
<br />unless tbe work authorized by such perlit is cOllBDced within sil IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of sillOntbs after the tile the work is co.enced. One 90 day extension of tite, laY be
<br />allowed for the peIlit with fee charge of $15.00. tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each sillOnth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR PAl LURE to RECORD A NOtICE OF COMMDCBMIlft' MAY RESULt IN YOUR PAYING nllCE FOR IMPROVIIIIIft'S to YOUR
<br />PROPERTY. IP YOU INfEND TO OBtAIH PlNAlCING, COIfSULT VITH YOUR LENDER OR AIf AnoRIfEY BEFORE RECORDING YOUR HOfICK OF
<br />COMMEIfCKMBNf. JOBS UNDER $2,500 IN VALUE DO NOf NEED TO RECORD AND POST A "NOfICE OF COIIIEHCEMEIft'''.
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<br />SIGNATURI: OIfNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUIfTY 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 o~th.
<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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