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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 "deed restrictionsn which .ay be lOre restrictive than City
<br />regulations. The undersigned assUles respon8ibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B" UNLICENSED CONTRACTORS AND CON'l'RAC'l'on RESPONSIBILI1.'IES
<br />If the ONner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with
<br />state and local regulations. If the contractor i8 not licensed as required by law, both the owner and contractor lay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!Jlents lay apply for tile intended work, they are advised to contact the City of ZephyrhiIJs Building Depart.ent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections. of this application for which they will be responsible. If you, as the ONDer sign as the contractor,
<br />you are indicating that you, rather than tIle contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor tbat lay be an indication that he is not properly licensed and is not entitled to perlitting privilegl8 in the
<br />City of Zephyrhills.
<br />
<br />C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ,~
<br />
<br />D, ~ONS'l'RUC'l'ION LIEN LftW (CIIAP'l'ER 713, FLOIUDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleDne other than the
<br />.owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
<br />"owner" prior to couencl!Jlent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all tbe inforlation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I \
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no wor1 or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perfolled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber govefRIental agencies lay apply to tbe 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 />* Departlent ot EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Soutbwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater Treallent, Septic rants
<br />* US BnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fIll laterial is to be used in Flood Zone nA" or nA,etc.., it is understood that a drainage plan
<br />addressing a .colpensating volUleR will be sublitted which is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perlit, issuance.
<br />
<br />. A perlit 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 sball issuance of a perlit prevent the Building Official frUl thereafter
<br />requiring a correction of errors in plans, construction, or vioiations of any code. Every perlit issued shall beCOle iDvalid
<br />unless the work authorized by sucb perlit is cOllenced witbin six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lanths after the tile the work is c..enced. One 90 day utension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension sbal1 be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb six IOntb period, or tbe project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURK TO RKCORD A HOTICK OF COHIfEHCKHKHT HAY RBSULT IN YOUR PAYlHG TWICE FOR IHPROVIIIDrS TO YOUR
<br />PROPBRfY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDBR OR AN ATTORIIY BIFORI RlCORDIMG YOUR MO'lICE OP
<br />COHHHNCEHKNT. JOBS UNDER $2,500 IN VALUR DO NOT NEID TO RICaRD AND POST A .NOTICK OF COMMRNCIMIHT..
<br />
<br />SIGNArURB: OWNIR OR AGINT
<br />
<br />, I
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STArl OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATK OF FLORIDA
<br />COUNTY 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 bas
<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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