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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 '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 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirBlBDts lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparllent, (013)
<br />700-6611.
<br />
<br />FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections I 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 perlitting 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 _ HoteOWDer's Protection
<br />Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is sOIeone other than the
<br />'owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"owner. prior to COlleDcetent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in this application is accurate and that all wort 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 wort or
<br />installation has cOIIenced prior to issuance of a pellit and that all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in t4e jurisdiction. I also
<br />certify that I ~derstand that the regulations of other goveI1llental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust tate to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDIIDtally Sensitive Lands,
<br />Nater/Wastewater Treatlent
<br />t Southwest Florida Nater Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docls, Navigable.Waterways
<br />* Deparllent of Health & Rehabilitative Services, EnviroDIIDtal Health Unit - NeIls, Wastewater Treatlent, Septic ranks
<br />* US EnviroDlental Protection Agency - Asbestos abatBlent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AR or "A, etc. ", it is understood that a drainage plan
<br />addressing a ucolpensating volUleu will be submitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit_ issuance.
<br />
<br />. A perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~uance of a perlit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becOJe invalid
<br />unless the work authorized by such pellit is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the pellit with fee charge of $15.00. fbe 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 />NARHING TO OWNER: YOUR FAILURE fO RECORD A NOrICE OF COHHEHCIMEIft' MAY RESULT IN YOUR PAYING fNICE FOR IHPROVEMmS TO YOUR
<br />PROPERTY. IF YOU INTEND fO OBTAIN FIWCING, CONSULT WITH YOUR LENDER OR AI AnOmy BEFORE RECORDING YOUR NOTICE OF
<br />COHMENCBHKNT. JOBS UNDER '2,500 IN VALUI DO NOt' NEED fO RECORD AND POST A uNOt'ICE OF COMHEIfCBHKNr".
<br />
<br />SIGNATURE: OWHER OR AGE1ft'
<br />
<br />SIGNATURE: COHfRACTOR
<br />
<br />Sf ATE OF FLORIDA
<br />COlOO'Y 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 />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oatb.
<br />
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oatb.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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