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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this peClit lay be subject to "deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. Tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has bired 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor 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 wishes you to sign
<br />as contractor that laY be an indication that he is not properly licensed and is not entitled to peClitting 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, bave been provided with a copy of .Florida's Construction Lien Law - HOJeowoer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If tbe applicant is sOleone other tban the
<br />.owner", I certify that I bave obtained a copy of the above described dOCUJeDt and prolise in good faith to deliver it to the
<br />"owner" prior to coaenceJent.
<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, zoning, and land developllent.
<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 COIIeDced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developllent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govel1lleDtal agencies laY apply to the intended work, 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 />* DepartJent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and InviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* 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 .cOlpensating volUJe" will be sublitted wbicb is prepared by a professional engineer registered in the State of
<br />FlorIda prior to peClit. 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 issuance of a peClit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued shall beCOle invalid
<br />unless the work authorized by such peClit is COlleDced within six IOnths of issuance, or if work authorized by the peClit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is coaenced. One 90 day extension of tile, laY be
<br />allowed for the peClit 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 />WARNING TO OWNBR: YOUR FAILURE TO RECORD A NO'I'ICE OF COMHENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIHElft'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AT'rORMEY BEFORE RECORDING YOUR NO'I'ICB OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NO'I'ICE OF COMMENCEMENT..
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATB 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 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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