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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. The undersigned assWles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'OU UESPONSIBILITIES
<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 liy 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 wbich tbey will be responsible. Jf you, as the owner sign as the contractor,
<br />you are indicating tbat you, rather tban the contractor, are responsible for tbe work. If the contractor wishes Jou 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'!'ILITY CONNECTION FEES "
<br />
<br />D. CONSTRUC'I'ION LIEN Lt\W (CHAPTER 713, FLORIDA STATUTES., AS AMENDED)
<br />I certify that I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law _ HOIeDWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If the applicant is soaeone other than the
<br />"owner", I certify tbat I bave obtained a copy of the above described doeulent and prolise in good faith to deliver it to the
<br />"owner" prior to COllenCelent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'I'
<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, Joning, and land developlent.
<br />I
<br />
<br />Application is bereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wor1 or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, Joning regulations, and land developaent 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 />I Departlent of BnviroRlental Regulation - Cypress Bayheads, Wetland Areas and BnviroRlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I Arl' Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />I Deparllent of Health' Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater !reallent, Septic lanks
<br />I US EnvirODlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill lateriaI is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "cOlpensating vol Ole " will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<br />. A perlit issued shall be construed to be a license to proceed with the work and not as autbarity to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authoriled by the peflit is
<br />suspended or abandoned for a period of si1lOntbs after the till! tbe work is co.enced. One 90 day 81tension of tile, ., 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 eacb sil IOnth period, or the project will be considered abandoned.
<br />WARlfING TO OIIHER: YOUR FAILURE TO RECORD A NOTICE OF COMHBNCKHEffT HAY RESULT IH YOUR PAYIHG !WICE FOR IHPROVlllEIIS 10 YOUR
<br />PROPERTY. IF YOU IHTEND TO OBTAIH FINAHCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORB RECORDING YOUR NOTICE OF
<br />
<br />
<br />awu~NT. :;::;::Aun ~ Nm ro _0 W -Z:V ~d~
<br />
<br />SI~R OR AGIIIIT / . SIGllAT/JJIJl: ClllITRACI1II /
<br />
<br />, I
<br />
<br />STATB OF FLORIDA
<br />COUffTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknOWledged
<br />, 19_ by
<br />
<br />STATB OF FLORIDA ~1>;) (' .
<br />COUNTY OF CJ
<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 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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