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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 restrictions" which lay be lOre restrictive than City
<br />regulations. rhe undersigned assWles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRAC'I'OR' RESPONSIBILITIES " '.
<br />If the-owner .bas bired 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 regujred by law, both the ONDer 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 />requirelents lay apply for the intended work, tbey are advised to contact the City,of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtberlore, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections" of this application for which they will be,responsible.- If.yoa, as tbe'awner sign as ~e contractor,
<br />you are indicating that you, rather than the contractor, are respOnsible for the work. 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 U'l'ILITY CONNECTION FEES ""
<br />
<br />D. ~ONSTRUC'fION LIEN L1\W (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 _ Hoteowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If tbe applicant is SOleODe other than the
<br />.owner", I certify that I have obtained a copy of the above described docWlent and prolise in good faith to deliver it to the
<br />"owner" prior to co..enCelent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'f
<br />I certify that all the inforlation in this application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
<br />
<br />Application is bereby lade to obtain a perlit to do work and instailation as indicated. I certiff that no wort or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perf OIled 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 other goverDlental agencies lay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Deparllent of EnviroDlental Regulation - Cypress BsyheadS, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Nastewater rreallent
<br />t Southwest Florida Nater Hanagetent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />· De arllent of Health & Rehabilitative Services Environtental Healtb Unit - NeIls, Wastewater Treallent, Septic Tants
<br />· US Environtental 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 vol Ole" 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 work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frUl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall beCOle iDvalid
<br />unless the work authorized by such per.it is cOllenced within six IOntha of issuance, or if lort authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the wort is COllenced. One 90 day 81tension of tile, 181 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 IUS~ be logg~d during .each six IOntb period, or the project will be considered abandoned.
<br />NARNUG TO OWNER: YOUR FAILURB TO RBCORD A NOTICE OF COtIHKNCEHHlfr HAY RESULT IN YOUR PAYING 'fIfICE FOR IHPROVIIIIIIS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN .FIHANCII(G, CONSULr NJrH YOUR LENDBR OR AI AnORREY BBFORE RBCORDllfG YOUR 10'lICE 01
<br />COHHBNCKHENT. JOBS U"DER $2,500 IN VALUE DO NOr NERD TO RRCOR · OTICE OF COHHINCEHHHT".
<br />
<br />
<br />2-..~/rf~
<br />81 Am: -'-0 RNT . . - -
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<br />
<br />. I
<br />
<br />STArK OF FLORIDA
<br />COUUY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATR 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 bas
<br />produced
<br />as identification and who 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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