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<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. -NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay 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 CON'l'RAC'l'On RESPONSIBILI'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they .ay 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 />requirelents lay apply [or the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, 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 owner sign as the contractor,
<br />you are indicating that you, ratller than the contractor, are responsible for the work. If tbe contractor wiabes you to aign
<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. 'rRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~l
<br />
<br />D. CONSTRUCTION LIEN L~W (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOMDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
<br />"owner" prior to COllenCelent.
<br />
<br />E. CONTRACTOR' SjOWNER' S AFFIDAVI'l'
<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 instailation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled to lest 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 governlentBl 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 11lited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health' Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater rreatlent, Septic rants
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fIll laterial is to be used in Flood Zone "A" or "A,ete.", it is understood that a drainage plan
<br />addressing a "eolpensating 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 the work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of tbe technical codes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOlB invalid
<br />unless tbe work autborized by such perlit is cOllenced within sil IOntbs of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day eatension of tile, lay 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 sil IORth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCKHBNT HAY RESULT IN YOUR PAYING nUCE FOR IHPROVBllBlfS TO YOUR
<br />PROPERTY. IF YOU IHTIlND TO OBTAIN F1HANCING, CONSULT WITH YOUR LEHDER OR AN AnORNEY BEFORE RECORDING YOUR HOTICI OF
<br />COHMENCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NIlED TO RECORD AND POST A "NOTICE OF COHMBNCKMBNT".
<br />
<br />, I
<br />
<br />SIGNATURE: OWNER OR AGENT
<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 bas
<br />produced
<br />as identification and wbo 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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