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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 assOles 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 QWDer 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 Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wllicb they wiU be responsible. If you, as the OIfDer sign as the contractor,
<br />you are indicating that you, ratber tllan the contractor, are responsible for the work. If tbe contractor wishes you to sign
<br />as contractor tbat lay be an indication tbat be is not properly licensed and Is not entitled to perlitting priVileges in the
<br />City of Zephyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES I~
<br />
<br />D. ~ONSTRucrlrION LIEN fA\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeONDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone 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 COllenCelent.
<br />
<br />E. CONTRACTOR I S/OWNER I S AFFIDAVI'l'
<br />I certify that all the inforlation in tbis application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regUlating construction, loning, and land developlent.
<br />1(
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
<br />. installation bas cOllenced prior to issuance of a perlit and that all work will be perf OIled to Jeet 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 other goverDlental agencies lay apply to the 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 />t Deparllent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable WateClfays
<br />t Deparllent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treallent, Septic lanks
<br />t US InviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill lateriaI is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "colpensating volOle" 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 shall be construed to be a license to proceed with 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or vioiations of any code. Ivery per.it issued shall heCOle invalid
<br />unless the work authorized by sucb perlit is cOllenced within six IOntbs of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day 81tension of tile, lIy be
<br />allowed for the perlit wIth fee cbarge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eacb six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OIINIR: YOUR FAILURE TO RECORD A NOTICE OF COHHENCRHENT HAY RBSULT IN YOUR PAYING TlUCI FOR IHPROVEJIDIS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CO~SULT WITH YOUR LENDER OR AN AnOMEY BEFORB RBCORDING YOUR JfOlICB OF
<br />COHMHNCBHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEBD TO RBCORD AND POST A "NOTICE OF COHIIBNCHMKNT".
<br />
<br />SIGNATURE: OIIIlER OR AGENT
<br />
<br />, I
<br />
<br />SIGNATURE: CONTRACTOR
<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 />STATE 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 has
<br />produced
<br />as identification and who did/did Dot
<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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