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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. whieb lay be lOre restrictive than City
<br />regulations. 'he undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<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 for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for 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 whieb 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 wort. 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. 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 - HoIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOleoDe other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"owner" prior to couenceJent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all wort will be done in cOlpliance with all
<br />appliCable laws regulating construction, loning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COIIeDced prior to issuance of a per.lit and that all work will be perforwed to aeet 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 other goveI1lIental agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sueb agencies include but are not lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Vastewater 'reatlent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater rreatJent, Septic Tanks
<br />t US EnvirDnlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or NA,etc.N, it is understood that a drainage plan
<br />addressing a NCOlpensating volute" will be sublitted whieb 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 />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becOle invalid
<br />unless the work authorized by sueb pertit is COIIenced within sillOnths of issuance, or if wort authorized by the perJit is
<br />suspended or abandoned for a period of sillODtbs after the tie the work is cOllenced. One 90 day utension of tile, JaY be
<br />allowed for the perJit with fee ebarge of $15.00. The utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sillOnth period, or the project will be considered abandoned.
<br />WARlI'IHG TO OWll'ER: YOUR FAILURE TO RECORD A NOfICK OF COHMElI'CEHm' MAY RESULr IN YOUR PAYING fIIICK FORIHPROVEMElI'TS TO YOUR
<br />PROPERTY. IF YOU IBEND TO OBTAIN FIWCIlfG, CONSULT WITH YOUR LINDER OR All' AnORHBY BEFORE RECORDllfG YOUR NOflCE OF
<br />COMHENCKHRlft'. JOBS UNDER $2,500 IN VALUE 00 NOf llEED fO RECORD AlI'D POST A "NOTlCE OF COMKENCEM.m'".
<br />
<br />SIGJlJlfURE: OWlI'ER OR AGE1ft'
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />SrATE OF FLORIDA
<br />COUllTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known tD me or who has
<br />produced
<br />as identification and who didldid not
<br />take an oath.
<br />
<br />who is personally known tD me or who has
<br />produced
<br />as identification and who didldid not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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