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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit JaY be subject to 'deed restrictionsH whieb JaY be lOre restrictive than City
<br />regulations. 'he undersigned assDles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CO~TRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to undertake work, tbey lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor i!J not licensed as required by law, both the owner and contractor JaY be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJeDts JaY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (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 of the
<br />HContractor 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
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to perJitting privileges in the
<br />City of Zepbyrhills.
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<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 HFlorida's Construction Lien Law - HOJe01IJIer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOHOne other than the
<br />Hovner", I certify that I have obtained a copy of the above described docUEDt and prOllise in good faith to deliver it to the
<br />Howner" prior to coaenCeJeDt.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation 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 />i
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<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 perJit and that all work will be perfoIJed 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 goveInJental agenCies JaY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* DepartJent of KnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and BnviroDJeDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic 'anks
<br />* US BnvirooJental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill .aterial is to be used in Flood ZOne "A' or "A,etc.', it is understood that a drainage plan
<br />addressing a 'cOJpensating voluteN will be subJitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perJit, issuance.
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<br />. A petlit 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 is~uance of a perlit prevent the Building Official frOll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall becOJe invalid
<br />unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of sillOnths after the tile the work is c_enced. One 90 day extension of tile, lilY be
<br />allowed for the perJit 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 eaeb sillOnth period, or the project will be considered abandoned.
<br />WAMING TO OWNBR: YOUR FAILURB TO RECORD A NOTICE OF COMMBKCBllENT MAY RESULT IN YOUR PAYING !VICE FOR IMPROVBIIEIl'S TO YOUR
<br />PROPER'l'Y. IF YOU IlfIBND TO OBTAIN FIIlAMCING, CONSULT WITH YOUR LBNDER OR AN AftORJIBY BlFORE RECORDING YOUR HOfICE OF
<br />COMMBNCBMRlfI. J BS UNDBR $2,500 IN VALUE DO NOT IBBD TO RECORD AND POST A uNOTICE OF COMMBJfCBMBNT".
<br />
<br />
<br />SIGNATURE: COmmCTOR
<br />
<br />STATB OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATB 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 />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 />(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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