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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />~. NOTICE OF DEED RESTRICTIONS
<br />'l'he undersigned understands that tIlis peI1lit Jay be subject to Rdeed restrictionsR which lay be lOre restrictive than City
<br />regulations. fhe undersigned assUles responsibility for COIpliance 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 witll
<br />state and local regulations, If the contractor is not licensed as required by law, both the owner and contractor JaY be
<br />cited for a lisdeleanor violation under state law. If tile owner or intended contractor are uncertain as to what licenSing
<br />requireleDts .ay 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, he is advised to have the contractor(s) sign portions of tile
<br />nContractor 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 wishes 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 LAW (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 - BOIIeOWDer's Protection
<br />Guiden prepared by the Florida Departient of Agriculture and Consuaer Affairs. If the applicant is sOleODe other than the
<br />Rowner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllencl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tile 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 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 has cOlleDced prior to issuance of a peI1lit and that all work will be perfoIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in tile jurisdiction. I also
<br />certify that I understand that the regulations of other goverJllelltal agencies JaY apply to the intended work, and that it is
<br />Iy responsib-ility to identify what actions I lUst take to be in cOlpliance, Such agencies include but are not lillited to:
<br />t Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/Vastewater freatlent
<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 Departient of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater freataent, Septic fanks
<br />t US EnvirODlental Protection Agency - Asbestos abateleDt
<br />I also certify that, if fill laterial is to be used in Flood ZOne "An or "A,etc.", it is understood tIlat a drainage plan
<br />addressing a ncDlpeDsating volDle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A peI1lit 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 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 COlleDced within six IOnths of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of six IOnths after the till! the work is co.enced, One 90 day l!Itension of tile, laY be
<br />allowed for the peIllit with fee charge of $15.00, The l!Itension 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 />WARlfIlfG TO 0VlfER: YOUR FAILURE fO RECORD A NO'I'ICE OF COMMERCEMElfI' HAY RESULf IN YOUR PAYING !VICE FOR IMPROVEIIEIft'S '1'0 YOUR
<br />PROPER'l'Y, IF YOU IIft'EMD '1'0 OBfAIN FINANCING, CONSULT WUB YOUR LlNDIR OR AM AnOIlm' BIFORE RECORDIXG YOUR XO'I'ICI OF
<br />COMMIXClMENf. JOBS UNDER $2,500 IX VALUE 00 NO'I' lfIED TO RECORD AND POSf A "NO'I'ICE OF COOlIXCEMEIft'".
<br />
<br />SIGlfA'1'URE: OVIIER OR AGElff
<br />
<br />SIGNA'I'URI: COlffRACfOR
<br />
<br />STATE OF FLORIDA
<br />COUNfY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUlf'l'Y 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 />(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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