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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. .NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay be lOre restrictive tban City
<br />regulations. The undersigned assUles responsibility for co.pliance 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 .ay be required to be licensed in accordance witb
<br />state and local regulations. Jf the contractor is not licensed as required by law, botb tbe owner and contractor 181 be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguir8lents.ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />188-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of tbe
<br />"Contractor Sections" of this application for wbich they will be responsible. If IOU, as tbe OIfIler sign as tbe contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If tbe 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 tbe
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~
<br />
<br />D. CONSTRUC'rION LIEN L'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 _ HOIeOIDer'1 Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If tbe applicant il SOIeOne other tban the
<br />"owner", I certify that I bave obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the
<br />"owner" prior to cOllenCeJent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the infor.ation in tbis application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, laning, and land developlent.
<br />,
<br />
<br />Application is hereby lade to obtain a per.it to do work and instailation as indicated. I certify tbat DO worl or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perfOrled to leet standards of all 1111
<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 govelDlental agencies lay apply to the intended wort, and that it is
<br />,y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departtent of Healtb , Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater 'reattent, Septic 'anis
<br />· US EnvirODJental Protection Agency - Asbestos abat8lent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "AR or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpeDsating volUleR will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<br />. A per.it issued shall be construed to be a license to proceed with the work and not as authoritl 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 vloiatioos of any code. Svery ptIlit issued shall beCOl8 invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit II
<br />suspended or abandoned for a period of six IOnths after the tile the work is coaenced. One 90 day 81tension of tile, .y 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 />WARNUfG TO OWNER: YOUR FAILURE TO RECORD A NOTICR OF COHMElfCBHENT HAY RRSULT IN YOUR PAYING IIIICI FOR IMPROVIIIIII'S TO YOUR
<br />PROPRRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN ATTORlBY BIFORB RBCORDING YOUR IO'I'ICE OF
<br />COMMENCEMRNT. JOBS UNDRR $2,500 IN VALUR DO NOT NEED TO RECORD AND POST A "NOTICE OF COIlIIENCEIIEM7". .
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />, I
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATR 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
<br />before me this
<br />
<br />was aCknowledged
<br />, 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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