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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 restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assWles 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 laY be
<br />cited for a aisdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (BIl)
<br />788-6611,
<br />
<br />Furtheraore, 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 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 wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and Is not entitled to peraitting priVileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND U'l'ILITY CONNECTION FEES t'~
<br />
<br />D. CONSTRUC'l'ION LIEN Lf\W (CHAPTER '113, FLORIDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ Hoaeowoer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs, If tbe applicant is SOIeOne other tban the
<br />"owner", I certify that I have obtained a copy of the above described daculent and prolise in good faith to deliver it to the
<br />"owner" prior to COll8nceaent,
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the inforlatlon in tbis application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, laning, and land developlent,
<br />1\
<br />
<br />Application is hereby lade to obtain a perlit to do work and instaliation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to aeet standards of all IBl8
<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 goveCDIental agencies lay apply to the intended .arl, 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 />* Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />* Departlent of Health , Rehabilitative Services, BnviroDlental Healtb Unit - Wells, Wastewater Trealtent, Septic !anls
<br />* US Environaental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A perlit 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 the technical codes, nor shall issuance of a perait prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or vloiations of any code. Bvery peIlit issued shall beCOle invalid
<br />unless the work authorized by such perait is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOnths after the tiae the work is cOIIenced. One 90 day eltension of tile, I8J be
<br />allowed for the perait 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 IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWIER: YOUR FAILURE TO RECORD A HOTICE OF COHHENCEHEIT HAY RESULT IN YOUR PAYIIG TWICE FOR IHPROVBllDTS TO YOUR
<br />PROPERTY, IF YOU INTEND TO OBTAII FIIAICIHG, COISULT WITH YOUR LEHDER OR AN AnORIISY BEFORE RECORDING YOUR HarICE OF
<br />COHHENCEHEIT. JOBS UNDER $2,500 IH VALUE DO lOT HRRD TO RRCORD AHD POST A "HOTICE OF COHHBNCEHENT".
<br />
<br />SIGIATURE: ONHER OR AGEHT
<br />
<br />, I
<br />
<br />SIGNATURE: COHTRACTOR
<br />
<br />STATE 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
<br />before me this
<br />
<br />was acknowledged
<br />, 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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