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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. . NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to Ideed restrictions" which lay be lOre restrictive than City
<br />regulations. Yhe undersigned assUles responsibility for cDlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 laY be
<br />cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay 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, be 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 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 pertitting 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 - HOIII!OWJler's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOleOne other than the
<br />lowner", I certify that I have obtained a copy of the above described docUllent and prDlise in good faith to deliver it to the
<br />"owner I prior to cOllellcelent.
<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, loning, 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 cOllenced prior to issuance of a pertit and that all work will be perforJed to leet standards of all laws
<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 other governJental 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 />t DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />WaterfWastewater Treatlent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Yreablent, Septic Yants
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone IA" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cDlpensating volllle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida erior to pertit. issuance.
<br />
<br />A pertit 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 pertit issued shall beCOle invalid
<br />unless the work authorized by such pertit is COllenced within sil IOnths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of sillOnths after the tile the work is cOllellced. One 90 day extension of tile, lilY be
<br />allowed for the pertit 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 IOnth period, or the project will be considered abandoned.
<br />WAlUlllfG '1'0 OWNER: YOUR FAILURE TO RECORD A NOflCE OF COMMERCEMEfft' MAY RESULT llf YOUR PAYING TWICE FOR IHPROVEIIEfft'S TO YOUR
<br />PROPERTY. IF YOU Ifft'BRD '1'0 OBYAllf FIlWICllfG, COKSUL'I' WITH YOUR LlIfDER OR AK AnOIlHEY BEFORE RECORDIRG YOUR ROflCE OF
<br />COHMEKCEHElff. JOBS UIfDER $2,500 IN VALUE 00 NOf HEED '1'0 RECORD AND POS'I' A "NOfICE OF COHMElfCEMEfft'N.
<br />
<br />SIGNAYURE: OWIIIR OR AGEln'
<br />
<br />
<br />SYATE OF FLORIDA
<br />COUfft'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />coum 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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