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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perlit lay be subject to "deed restrictions" wbicb laY be lOre restrictive than City
<br />regulations. !be undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS 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 is not licensed as required by law, both the owner and contractor laY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />RContractor Sections" of this application for wbicb 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 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 RFlorida's Construction Lien Law - HOIeowner's Protection
<br />GuideR prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleOne other than the
<br />'owner", I certify tbat I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to coaenCl!Ient,
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cDlpliance 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 bas COIIenced prior to issuance of a perlit and that all work will be perf oIled 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 governleDtal agenCies laY apply to the 'intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not li1ited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater !reatlent
<br />t Southwest Florida Water ManageleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Healtb & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDleDtal Protection Agency - Asbestos abateleDt
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOlpensating volUle" will be sublitted wbich 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOlIBnced within six IQnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is c-.mced. 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 IODth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMBRCEMBlft' MAY RESULT IN YOUR PAYING !VICE FOR IHPROVEMElft'S TO YOUR
<br />PROPERTY. IF YOU Ilft'EID TO OBTAIN FINANCING, CONSULT WITH YOUR LEIDER OR All A!!ORNEY BEFORE RECORDING YOUR MOTICR OF
<br />COMMEMCEMBlft'. JOBS UIDER $2,500 1M VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENC lft'''
<br />
<br />
<br />STATE OF FLO~ ~
<br />coum OF ~
<br />The fore.g.oing i~~~tf. as ~~owledged
<br />before me this~, 19LL.- by
<br />
<br />~~. --/~
<br />
<br />wQiYis P~~~lliJl1l' known to me or who has
<br />produced
<br />as identification
<br />ta e a h
<br />
<br />
<br />C?
<br />(s;!4-aYTJ/;!zE/V' //-. Cll-P'
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />'I'
<br />
<br />KATtLEEN A. CAP
<br />Sate of Florl:!a
<br />tJiC:Ol'lln.Ext :", ',' 1~:3
<br />Cor!\m.;Ie ;'::T,
<br />
<br />
<br />r--.
<br />
<br />/
<br />/
<br />S OF FLORIDA
<br />C m 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 o~th.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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