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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 than City
<br />regulations. The undersigned assUles respon8ibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRAC'I'On RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertale worl, 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, botb the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611. .
<br />
<br />FurtberlOre, 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 work. If the contractor wisbes 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 UTILITY CONNECTION FEES I{
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<br />D. CONSTRUC'I'ION LIEN IJAW (CHAPTER, 713, FLORIDA STATUTES I AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeONDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is SOleORe other tban the
<br />.owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to coaencl!lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforlation in this application is accurate and that all work will be done in cOIpliance with all
<br />applicable laws regulating construction, laning, and land developlent.
<br />"
<br />
<br />Application is hereby lade to obtain a perlit to do worl and instailation as indicated. I certify that no worl or
<br />installation bas cOllenced prior to issuance of a perlit and that all worl will be perforled to aeet standards of all law.
<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 goverDlental agencies lay apply to tbe intended worl, and that it is
<br />'Y responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t DepartJent of HnviroDlental Regulation - Cypress 8ayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docls, Havigable Waterways
<br />t De arllent of Healtb & Rehabilitative Services EnviroDlental Healtb Unit - Wells, Wastewater Ireallent, Septic lants
<br />t US EnviroRlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.w, it is understood that a drainage plan
<br />addressing a .co.pensating volUle" will be sublitted 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 tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, or vioiations of any code. Every per.it issued shall becoae invalid
<br />unless the wort authorized by such perlit is cOllenced within six IOnths of issuance, or if wort authorized by the peClit is
<br />suspended or abandoned for a period of six IOnths after tbe tile the wort is CDllenced. One 90 day Bltension of tile, laY be
<br />allowed for tbe 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 six IOntb period, or the project will be considered abandoned.
<br />WAMING TO OIIHER: YOUR FAILURE TO RECORD A HOTICE OF COHHEHCEHEHI HAY RESULT IH YOUR PAYIHG nICE FOR IHPROVBIIIIl'S 10 YOUR
<br />PROPERTY. IF YOU IJlTEND TO OBTAIH FlHAHCIHG, COHSULT WITH YOUR LEHDER OR AH ATTORNEY BEFORK RECORDIHG YOUR JOIICI OF
<br />COHHEHCEKENT. JOBS UNDER $2,500 IN VALUE DO HOT HEED TO RECORD ABD POST A wNOTICE OF COHMEHClHENJ".
<br />
<br />W~~~
<br />SIGHATURIl: OWHIlR OR AG
<br />
<br />u~~~
<br />SIGNATURE: COHTRACTOR
<br />
<br />. I
<br />
<br />STATE OF FLORIDA
<br />COUJlTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUHTY 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 bas
<br />produced
<br />as identification and wbo 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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