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<br />CONDITIONS OF PEI~IT 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. The undersigned assUles responsibility for cUlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRAC'!'OHS AND CON'l'lmC'!'OH RESPONSIBILI'l'IES
<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 Cor a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheClore, if the owner has 'Iired a contractor or contractors, he is advised to have tile contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as tbe contractor,
<br />you are indicating that you, rather than tile contractor, are responsible for the wod. If the contractor wisbes 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 tbe
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES {{
<br />
<br />D. CONS 'l'RUC'l' I ON LIEN L1\W (CHAPTER 7l3, FLORIDA STA'rUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOJeowner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuler Affairs. If the applicant is sOleone other tban the
<br />"owner", I certify that I have obtained a copy oC the above described doculent and pcolise in good Caith to deliver it to the
<br />"owner" prior to co..encelent.
<br />
<br />E. CONTRACTOR'SjOWNER'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, loning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. 1 certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governlental agencies lay apply to tbe intended worl, 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 />· DepartJent of Environlental Regulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· DepartJent of Healtb & Rehabilitative Services, EnvirODlental Healtb Unit - Wells, Wastewater rreallent, Septic fanks
<br />· US Environlental 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 shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in-plans, construction, or vioiations of any code. Bvery perlit issued shall beCOle in,alid
<br />unless the work authorized by such per.it is co..~nced within Sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of Sil IOnths after tbe tile the work is cOllenced. One 90 day eltension of tile, Jay 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 IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICR OF COKHRNCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVlMHrrS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIHANCING, CONSULT WITH YOUR LENOIR OR AN ATTORNEY BEFORE RECORDING YOUR HOTICR OF
<br />COKHENCRHRNT. JOBS UNDER $2,500 IN VALUR DO NOT NEED TO RECORD AND POST A "NOTICE OF COKHENCRHRHT".
<br />
<br />SIGNATURE: OWNRRORAGRNT
<br />
<br />----
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY 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
<br />before me this
<br />
<br />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 ~ot
<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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