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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. rhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRAC'I'On 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 aay be <br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing <br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (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 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. CONSTRUC'I'ION LIEN L'.I\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) <br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HoIeowner's Protection <br />Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the <br />"owner", I certify that I have obtained a copy of the above described docolent and prolise in good faith to deliver it to the <br />"owner" prior to COMenCelent. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all <br />applicable laws regulating construction, laning, and land developlent. <br />I <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 has cOllenced prior to issuance of a perlit and that all work will be perforted 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 governlental agencies lay apply to tbe intended worl, and that it is <br />Iy responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not 11lited to: <br />I Deparllent of Bnvironlental Regulation - Cypress Bayheads, Metland Areas and EnviroDlentally Sensitive Lands, <br />Nater/Mastewater Treallent <br />t Southwest Florida Mater Hanagelent District - Mells, Cypress Bayheads, Netland Areas, Altering Watercourses <br />t ArlY Corps of Engineers - Seawalls, Docks, Kavigable Materways <br />t Deparllent of Healtb & Rehabilitative Services, EnvirODlental Health Unit - Mells, Vastewater TreatleRt, Septic ranks <br />t US Environlental 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 that a drainage plan <br />addressing a .cOlpensating volOle" will be sublitted whicb 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 the work and not as authority to violate, cancel alter, or <br />set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official lrUl thereafter <br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pellit iSBUed sball beCOl8 invalid <br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authoriled by the pellit is <br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension 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 IOnth period, or the project will be considered abandoned. <br />MARNING TO ONKER: YOUR FAILURE TO RHCORD A NOTICH OF COHHENCKHBKT HAY RESULT IN YOUR PAYING !VICE FOR IHPROVIKBIIS TO YOUR <br />PROPERTY. IF YOU INTEKD TO OBTAIK FIKAKCIKG, COKSULT WITH YOUR LEKDER OR AI AnORRKY BEFORE RECORDIKG YOUR MO'lICH OF <br />COHHHKCBHHKT. JOBS UNDHR $2,500 IK VALUH DO KOT KEHD TO RHCORD AND POST A "KOTICE OF COHHEKClKBNT". <br /> <br />~w~~ <br /> <br />SIGKATURE: OWNER OR AGENT <br /> <br />~ tJ~~ <br /> <br />SIGKATURE: COKTRACTOR <br /> <br />, I <br /> <br />STArE OF FWRIDA <br />COUNTY OF <br />The foregoing instrument <br />before me this <br /> <br />was acknowledged <br />, 19_ by <br /> <br />STATH OF FLORIDA <br />COUKTY 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 />