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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 aay be lOre restrictive tban City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions"
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor or contractors to underta1e wor1, 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended wor1, t'ley are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner bas 'Iired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbicb they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratber tban tbe 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 UTILITY CONNECTION FEES ~~
<br />
<br />D. CONSTRUC'I'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify tbat I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law _ HOIeOWDer's Protection
<br />Guide" prepared by the Plorida Deparllent of Agriculture and ConsUler Affairs. If tbe applicant is sOIeone other tban the
<br />.owner", I certify tbat I bave obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to conenCelent.
<br />
<br />E" CONTRACTOR' SjOWNER' S AFFIDAVI'1'
<br />I certify that all tbe inforlation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />,
<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 perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction" I also
<br />certify that I understand that the regulations of otber goveCRIental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust tale to be in cOlpliance. Such agencies include but are not 11lited to:
<br />t Deparllent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Arl' Corps of Engineers - Seawalls, Doc1s, Navigable Waterways
<br />t Deparlient of Health & Rehabilitative Services, EnviroRlental Healtb Unit - Wells, Wastewater Jreatlent, Septic Janks
<br />t US EnviroRlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Plood Zone "An or "A,etc"., it is understood tbat a drainage plan
<br />addressing a "colpensating volUle" will be sublitted whicb is prepared by a professional engineer registered in the State of
<br />Plorida prior to per.it. 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 tecbnical codes, nor shall is~u~ce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code" Every.perlit issued shall hecOie invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced" One 90 day eztension of tile, IIY be
<br />allowed for the perlit with fee cbarge 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 PAILURE TO RECORD A NOTICR OF COHHENCKllKNJ MAY RESULT IN YOUR PAYING RICH FOR IHPHOVEllBlIt'S TO YOUR
<br />PROPERTY. IP YOU IlIt'END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORREY BEfORE RiCORDIKG YOUR KOJICI OF
<br />COHHENCEHRNT" JOBS UNDER $2,500 IN VALUR DO NOT NEED TO RRCORD AND POST A "NOTICE OF COHHKNCEllBNT""
<br />
<br />SIGKATURE: OWNER OR AGENT
<br />
<br />. I
<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 OP
<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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