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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictionsR 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirBlents lay apply for tbe intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />780-6611.
<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 ONDer 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 tbat 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 U'!'ILI'rY CONNECTION FEES ~,
<br />
<br />D. CONSTRUC'I'ION LIEN LnW (CHAPTER "/13, FLORIDA STATUTES,., AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HoIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOl8ODe other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the
<br />"owner" prior to co-.encBlent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that 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 />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforted 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 otber governtental agencies laY apply to the intended warl, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Departlent of EnviroOlental Regulation - Cypress BByheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Nater/Nastewater Treallent
<br />* Southwest Florida Water HanagBlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health' Rehabilitative Services, BnvirODlental Health Unit - NeIls, Wastewater Treatlent, Septic Tanks
<br />* US EnviroDleDtal Protection Agency - Asbestos abatBlent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.R, it is understood that a drainage plan
<br />addressing a "cOlpensating volUleR will be sublitted which 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 autbority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall is~u~nce of a perlit prevent the Building Official floa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery per.it issued ahall beCDII Invalid
<br />unless the work authoriled by such perlit is cOlIBnced within six IOnths of issuance, or if warl autboriled by the per.it is
<br />suspended or abandoned for a period of six 80nths after the tile the work is c~ced. One 90 day Bltension of tile, liy be
<br />allowed for the 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 IOnth period, or the project will be considered abandoned.
<br />NARlflffG TO ONffER: YOUR FAILURE TO RECORD A NOTICE OF COIIIIENCKHENT HAY RESULT Iff YOUR PAYIffG 'DICE FOR IHPROVIIIDl'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIH FIHAHCING, COHSULT WITH YOUR LENDER OR AN ATTORlfEY BEFORE RECORDIKG YOUR KOlICE OF
<br />COKMEH Hr. JOBS UNDER $2,500 IN VALUE DO HOT NEED TO RECORD AND POST A "NOTICE OF COKKEKCKKKNI".
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<br />n J ~ .1
<br />~m (SJ2b---
<br />SIGNATURE: CONTRACTOR
<br />
<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 oath.
<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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