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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait aay be subject to "deed restrictions" which laY be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake wort, 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 .y be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent (813)
<br />788-6611. ,
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portia 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 wort. 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 pe1lIitting privilegu in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN -LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of 'Plorida's Construction Lien Law - lfoIeoImer's Protection
<br />GuideN prepared by the Florida Departlent of Agriculture and COnsUIeC Affairs. If the applicant is SOleODe other than the
<br />"owner", I certify that I have obtained a copy of the above described docUIent and pr(llise in good faith to deliver it to the
<br />Nowner" prior to cOllenCeJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT .
<br />I certify tbat all the inforlation in this application is accurate and that all wort will be done in CQlpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<br />Application is bereby lade to obtain a perait to do wort and installation as indicated. I certify that DO wort or
<br />installation bas COIIenced prior to issuance of a pe1lIit and that all wort will be perfoIled to Ie8t standards of all law.
<br />regulating construction, City codes, loning regulations, and land develGplleJlt regulations in the jurisdictiOll. I also
<br />certify that I understand that the regulations of other goverDlelltal agenciu laY apply to the'intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in COIpliance. Such agencies include but are not lilited to:
<br />t Deparl:lent of EnvirOllleJltal Requlation - Cypress Baybeads, IIetland Areas and Envirolllentally Sensitive Lauds,
<br />IIater/llastewater 'I'reatlent
<br />t Soutbwest Florida Nater ManageJent District - IIells, Cypress Baybeads, IIetland Areas, Altering IIatercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Kavigable IIaterways
<br />t Departlent of Health' Rehabilitative Services, EnvirOlllental Health Unit - IIells, IfasteNter rreatlent, Septic ranks
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<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 "CQlpensating volllle" will be suhlitted 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 wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perait prevent the Building Official fr(ll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit i88ued sba11 becme iDvalid
<br />unless tbe wort authorized by sucb perlit is co.enced within sizlOnths of issuance, or if wort authorized by the pemit is
<br />suspended or abandoned for a period of sillODths after the tDe the wort is c~ced. One 90 day utension of tDe, laY be
<br />allowed for the pellit with fee charge of $15.00. 'I'be extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sil IOnth period, or the project will be considered abandoned.
<br />NWIHG TO OWKER: YOUR FAILURE '1'0 RECORD A KO'I'ICB OF COIIIBICIlIIItI'I' lilY RESUL'I' 1M YOUR PAYDG '!'IIICB FOR DIPROVIIIIlKIS '1'0 YOUR
<br />PROPERrY. IF YOU IK'I'EW '1'0 OB'l'AD FIWCIKG, COKSUL'I' III'I'H YOUR LIlIIDIlR OR AX A'I"I'ORKJlY BEPORIl RBCORDIKG YOUR KO'I'ICB OF
<br />COMMEHCBMBH'I' . JO 2,500 IK B DO KO'I' KiED '1'0 RECORD AKD POS'I' A 'KO'I'ICB OF '
<br />
<br />
<br />ar'"~~Ofk W(
<br />
<br />
<br />STATE OF FLORIDA
<br />COmy OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SfA'I'B OP FLORIDA
<br />coum OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19_____ by
<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 />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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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