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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />the undersigned understands that this perlit lay be subject to Ddeed restrictionsD which lay 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 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 lilY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherJOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions uf the
<br />DContractor SectionsD 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 perlitting 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 _ HOIeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOleone- Olher than the
<br />Downer", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"ownerD prior to couenceJent.
<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 developlent.
<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 COIIenced 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 developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governJental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />* DepartJent of EnviroDJental Regulation - Cypress Bayheads, Netland Areas and EnvironJentally Sensitive Lands,
<br />Nater/Nastewater TreatJent
<br />t Southwest Florida Nater HanageJent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t DepartJent of Health & Rehabilitative Services, Environaental Health Unit - NeIls, Nastewater TreatJent, Septic tanks
<br />t US EnvirODJental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill lateria1 is to be used in Flood ZOne "AD or "A,etc.., it is understood that a drainage plan
<br />addressing a .cOJpeDsating valUle. will be subJitted which 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 perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or VIolations of any code. Every perlit issued shall beCOJe invalid
<br />unless the work authorized by such perlit is cOJJenced 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 tie the work is COllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit 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 IOnth period, or the project will be considered abandoned.
<br />NARNING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCBHElf! MAY RESULT IN YOUR PA lfG ICE FOR IMPROVEMBrS TO YOUR
<br />PROPERTY. IF YOU Ilf!ElID 1'0 OBTAIN FINAlCING, CONSULT WITH YOUR LElIDER OR AN ATTORIEY HE CORDING YOUR NOtICE OF
<br />COHHBNCEHBlf!. JOBS UlIDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A RNOTICE "
<br />
<br />SIGIfATURE: OIfIfER OR AGED
<br />
<br />SIGIfATURE:
<br />
<br />
<br />STATE OF FWRIDA
<br />coom OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FWRIDA
<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 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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