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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 Lo "deed restrictions" which .ay be .ure restrictive than City
<br />regulations. The undersigned assWles 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 with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor IiY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents .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 the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If tbe contractor wisbes 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.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />,.:
<br />,
<br />
<br />D. CONSTRUC'l'ION LIEN L'I\.W (CHAPTER 713, FLORIDA STA'rUTES.I AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOI801Der's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConSWler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deUver it to the
<br />"owner" prior to couenceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the. inforlation in this application is accurate and that all work lill be done in cOlpliance with all
<br />applicable lals regulating construction, zoning, and land develop.ent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and tbat all lork lill be perfoIJed 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 goverDlenlal agencies lay apply to the intended worl, and that it is
<br />IY responsibility to identify Ihat actions I lust take lo be in co.pliance. Such agencies include but are not lilited to:
<br />· Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Deparllent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastelater Treatlent, Septic Tanks
<br />· US EnviroDleDtal Protection Agency - Asbestos abateaent
<br />I also certify that, if fIll .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating volOle" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Iverr perlit issued shall becoJe invalid
<br />unless the work authoriled by such perlit is cOllenced lithin sil IOnths of issuance, or if IOrt authoriled by the perlit is
<br />suspended or abandoned for a period of sil IOnths after tbe tile the lork is COllenced. One 90 day 81tension of tile, III be
<br />allowed for the perlit lith fee charge of $15.00. The extension shall be requested in Iriting to the Building Official. An
<br />approved inspection lust be logged during each sil IOnth period, or the project lill be considered abandoned.
<br />WARKING TO ONIER: YOUR FAILURE TO RECORD A NOTICE OF COIfHENCBHBNT ItAY RESULT IN YOUR PAYING !lIICK FOR IHPROVlllllrS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORHIY BEFOHI RlCORDIIIG YOUR DICE OF
<br />COMMENCEMENT. JOBS UNDBR $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHKBNCBKBNT".
<br />
<br />. I
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURB: 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 />STATB 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 />8S identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or wbo bas
<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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