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<br />~ CONDITIONS OF PERMIT"AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pellit 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 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 lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents lay apply for the intended wort, they are advised to contact the City of Zephyrhills Building Deparllent, (013)
<br />700-6611.
<br />
<br />FurtheClOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />RContractor Sections" of this application for wbicb 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 tbe contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to pellitting 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 - HOIIOWDer's Protection
<br />Guide" prepared by the Florida Deparllent of Agriculture and Consuter Affairs. If the applicant is sOleone other than the
<br />lowner", I certify that I bave obtained a copy of the above described docUlent 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 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, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pellit to do wort and instailation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a pellit and that all work will be perfolled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in ~e jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />* Southwest FlOrida Water Hanagetent District - Wells, Cypress Bayheads, Netland Areas, Altering Natercourses
<br />* AllY Corps of Engineers - Seawalls, Docks, Navigable.Waterways
<br />* Departlent of Health , Rehabilitative Services, Environtental Health Unit - NeIls, Wastewater Treallent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatBlent
<br />I also certify that, .if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volute" will be sublitted whicb 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 perJit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid
<br />unless the work authorized by such pellit is collenced within six IOnths of issuance, or if work authorized by the pellit is
<br />suspended or abandoned for a period of six 80ntbs 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. Tbe 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 />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHRNCRMEHT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMmS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LBHDER OR Alf AnORNBY BEFORE RECORDING YOUR NOTICE OF
<br />COMMKNCRMBHT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMKlfCmNT".
<br />
<br />SIGNATURE: OWNER OR AGRHT
<br />
<br />SIGNATURE: COHTRAC'lOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 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 o~th.
<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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