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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit laY be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. the undersigned assUles responsibility for co.pliance with any applicable"deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR 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 required by law, both the owner and contractor laY be
<br />cited for a lisdl!lleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!llents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart:llent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />IContractor Sections" of this application for which 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 work. If the contractor wishes you to sign
<br />as contractor that.IaY be an indication that he is not properly licensed and is not entitled to pertitting 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 - HOIeOIDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUJeI' Affairs. If the applicant is sOlM!One other than the
<br />"owner", I certify that I have obtained a copy of the above described docUleDt and prDIise in good faith to deliver it to the
<br />"owner I prior to COEncl!llent.
<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, loning, and land develoPElt.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a pertit and that all work will be perf oIled to .eet 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 goveruental agencies IIiIY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not luited to:
<br />* DepartJent of EnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Managl!llent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rebabilitative Services, EnvirOnJental Health Unit - Wells, Wastewater treat:Jent, Septic tanks
<br />* US EnvirODJeDtal Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A" or "A, etc. I, it is understood that a drainage plan
<br />addressing a "cOlpeDSating volute" will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A pertit 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 issuance of a pertit prevent the Building Official ffOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall b8COle invalid
<br />unless tbe work authoriled by such pertit is cOllellced within sil IOntha of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sil IOntha after the tile the work is co.enced. One 90 day extension of tile, lay be
<br />allowed for the pertit 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 sillOnth period, or the project will be considered abandoned.
<br />WARMING to OWNER: YOUR FAILURE to RECORD A NOtICE OF Cl>>IMDCEJlIHI' MAY RESULt IN YOUR PAYING 'fIIICE FOR IMPROVEIIENl'S to YOUR
<br />PROPERTY. IF YOU INTEND to OBtAIN FIMAMCING, CONSULT WItH YOOR LBlDER OR 1M AnoRIBY BBFORE RECORDING YOUR NOtICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOt MEED to RECORD AND POSt A "NOtICE OF COMMBIfCBMENl'''.
<br />
<br />SIGN~URE: OWNER OR AGEHI' j~
<br />
<br />
<br />SIGNAtURE: COHl'RACTOR
<br />
<br />
<br />StATE OF FLORIDA P
<br />COUNl'Y OF \ ..... It.- U ~ /
<br />The foregoing instrument was acknowledged
<br />before me this .3 I ~~~ 19~ by
<br />
<br />and who di~diit DQ.:t.:)
<br />
<br />y~
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<br />k::..t=:.vl.....l~J..c
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is
<br />produce
<br />as identification
<br />take an oath.
<br />
<br />or who has
<br />
<br />who is r~~~~::;' or who has
<br />produce
<br />as identification and who d~ 1'1 nn~
<br />take an oath.
<br />
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<br />
<br />Y-Ik
<br />-....,
<br />{~ l C'Pvs-t::
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
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