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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A~ NOTICE OF DEED RESTRICTIONS
<br />I'be undersigned understands that this peIlit lay be subject to 'deed restrictions I "bieb JaY be lOre restrictive than City
<br />regulations. fhe undersigned asSUles responsibility for COIpliance 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 JaY be required to be licensed in accordance "ith
<br />state and local regulations. If the contractor is not licensed as required by law, both tile owner and contractor JaY be
<br />cited for a lisdeJeanor violation 'under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813)
<br />788-6611.
<br />
<br />Furthl!IlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections I of this application for whieb they will be responsible. If you, as the orner 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 JaY 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 />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided .ith a copy of 'Plorida's Construction Lien Law - JkIIeoImer'. Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the
<br />lowner', I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
<br />'o.ner' prior to cOIIBDcelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work "ill be done in coapliance with all
<br />applicable laws regulating construction, loning, and land developaent.
<br />
<br />Application is hereby Jade to obtain a parnt to do work and installation as indicated. I certify that DO work or
<br />in,tallation has ~ced prior to issuance of a pem t and that alllfOrk "ill be perfoIJed to Jeet stalldards of all lills
<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 goveIDlental agencies JaY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sueb agencies include but are not lillited to:
<br />I DepartJent of BnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater t'reat.lent
<br />I Southwest Plorida Water HanagBlent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable lIaterways '
<br />I DepartJent of Health & Rehabilitative Services, BnviIODlental Health Unit - Wells, Wastewater I'reatlent, Septic fants
<br />I US EnvirODlental ProtectiOn Agency - Asbestos abatelent
<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 volUle' 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 sball 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 issuance of a peIlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans" construction, or violations of any code. Every perJit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authoriled by the perJit is
<br />suspended or abandoned for a periOd of sillOnths after the tile the work Is cOllenced. One 90 day 81tension of tile, E, be
<br />allowed for the peIlit with fee ebarge of $15.00. The extension sball be requested in "riting to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillOnth period, or the project "ill be considered abandoned.
<br />WAIUIIHG TO OWNER: YOUR FAILURE TO RECORD A NOTICH OF COHHEICBHEIf1' MAY RESULt' II YOUR PAYING fVICB FOR IHPROVIIIBJIfS fa YOUR
<br />PROPBBfY. IF YOU IIf1'BHD fO OBfAIK FIKAHCIIG, COKSULT WIfH YOUR LBHDBB OR All AnORXEY BEFORE RECORDIKG YOUR HarICB OF
<br />COflHBJICBHBIf1'. JOBS UKDER $2,500 IN VALUE DO lOT HEED TO RECORD AHD POST A 'HOTICE OF COHHRNCBHBIf1".
<br />
<br />d~#
<br />~tuRB: 0IfJI!R
<br />
<br />
<br />STAT! OF FLORIDA
<br />coum OF
<br />The foregoin
<br />before me this
<br />
<br />St'lf! OP FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by'
<br />
<br />nstrument was acknowledged
<br />, 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 oiJth.
<br />
<br />(Signature)
<br />
<br />(.Name ~ed, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(RameTyped, Printed or Stamped)
<br />ROTARY PUBLIC
<br />
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