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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 Rdeed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ONner 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 OWDer and contractor laY be
<br />cited for a lisdel8anor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requir8lents 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 wort. If the contractor wishes JOU 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 " ~
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<br />D. CONSTRUC'!'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES I AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is BOIeORe other than the
<br />.ownern, I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />.ownern prior to COllenC8lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all wort will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do wort and instailation as indicated. I certify that no worl or
<br />installation has COll8Dced prior to issuance of a perlit and that all work will be perf oIled to Jeet standards of all lils
<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 govefRIental 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 Envirolllental Regulation - Cypress Bayheads, Wetland Areas and BnviroDl8Dtally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />t Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalts, Docks, Navigable Waterways
<br />t Deparllent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic ranks
<br />t US Envirolllental Protection Agency - Asbestos abat8lent
<br />I also certify that, if fill laterial is to be used in Flood Zone nAn or nA,etc.., it is understood that a drainage plan
<br />addressing a .cOIpeDsating volUle" will be sub.itted 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 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 per.it prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued ahall beCOle invalid
<br />unless the wort authorized by such per.it is cOllenced within sil IOnths of issuance, or if work authorized by the PBIIit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is couenced. One 90 day eJtenaion of tile, IilJ 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 sil IOntb period, or the project will be considered abandoned.
<br />WARRING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TlUCI FOR IHPROVllllftS TO YOUR
<br />PROPERTY. IF"YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AN AnORIfEY BEFORB RECORDING YOUR MO'lICI OF
<br />COHHENCKHENT. JOBS UNDER '2,500 IN VALUE DO NOT NEED TO RBCORD AND POST A "NOTICB OF COHHENCIHINT". .
<br />
<br />: I'
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<br />SIGNATURE: OWNER OR AGENT
<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 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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