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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />. 'NOTICE OF DEED RESTRICTIONS
<br />the undersigned understands that this perlit lay be subject Lo "deed 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 owner 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 owner and contractor Iill be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply (or 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 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 you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting priVileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND U'fILITY CONNECTION FEES ~1
<br />
<br />D. CONSTRUC'j'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 _ HoIeoIner's Protection
<br />Guiden prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If tbe applicant is sOleODe other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to COllenCelent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'f
<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, 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 DO wort or
<br />installation has cOllenced prior to issuance of a perlit and that all wort will be perfolled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleOt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goverDlentaI 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. Sucb agencies include but are not lilited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Blyheads, Vetland Areas and BnviroDlentally Sensitive Lands,
<br />Vater/Wastewater Treatlent
<br />· Southwest Florida Vater Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Vatercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />· Departlent of Health' Rehabilitative Services, EnvirODleDtal Health Unit - VeIls, Wastewater rreatlent, Septic ,ants
<br />· US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify tbat, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpensating volUle" will be sub.itted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A per.it issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becoIe invalid
<br />unless the wort authorized by such per.it is cOll8nced within six IOnths of issuance, or if work authoriled by the perJit is
<br />suspended or abandoned for a period of sillOnths after the tile the work is cOllenced. One 90 day utension of tile, .y be
<br />allowed for the perlit 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 />VARKUG TO OIIRER: YOUR FAILURE TO RECORD A KOTICE OF COHHEKCIlfBNT HAY RESULT IK YOUR PAYlKG TIIICS FOR IHPROVBIIBIIS 1'0 YOUR
<br />PROPERTY. IF YOU IRIERD TO OBTAIK FIRAKCIKG, CORSULT WITH YOUR LEKDER OR All AnORRIY BEFOBI RICORDIRG YOUR DICK OF
<br />COHHEKCKHEHT. JOBS UNDER $2,500 IN VALUE 00 ROT KEED TO RECORD AHD POST A -KOTlCE OF COHHKlfCKIIIRl-. '
<br />
<br />SIGKATURS: ONNER OR AGEKT
<br />
<br />. I
<br />
<br />SIGKATURE: COKTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COURlY 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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