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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rbe under.igned und.r.t..d. that tbi. per.it sa, b. .ubj.ct le 'deed restriction.' .bieb sa, b. sor. restricti.. th.. City
<br />regulations. The undersigned assUles responsibility for co.pliance wilh any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake wort, they .ay be required to be licensed in accordance with
<br />.tat. and i'cal regulation.. if th. contractnr i. ..t licen,oa a. required by I.., loth the ...er aod contractor .., be
<br />cited fer a .i.d......r ,i.lation u.d.r .tat. I". if tb. ....r .r intend.d contractor ar. ..certal. as to slot li....ing
<br />requir....t. .a, apply r.r the Intend.d ourl, they ar. ad,ised tu conlacl th. Cit, .f Zeph,rbill. Building Deparbleat, (8Il)
<br />188-6611.
<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 SucUen.' .f thl. appllcatien for whieb they wm be respon.ibl.. If rou, as the lIIllIer sJ!lII as UIe CI8Ilraetor,
<br />you are indicating that you, rather than the contractor, are responsible for the vort. 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 U'I'ILI'fY CONNECTION FEES ,."
<br />
<br />D. CONSTRUC'I'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES1 AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Lav _ HOIeOWDer'a 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 pro.ise in good faith to deliver it to the
<br />"owner" prior to conence.-ent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'I'
<br />I certify that all the inforlation in this application is accurate and that all vort viII be done in cOlpliance vith all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do vort and instailation as indicated. I certify that no vorl or
<br />installation has cOllenced prior to issuance of a perlit and that all vort viII be perfolled to leet standards of all lavs
<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 goveCDIental agencies asy apply to the intended worl, and that it is
<br />.y responsibility to identify what actions I lust tate to be in co.pliance. Such agencies include but are not li.ited to:
<br />t Deparllent ot Bnvirofilental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />t Southwest Florida Water Hanage.-ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docts, Navigable Waterways
<br />t De artlent of Health & Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater !reablent, Septic !anks
<br />t US EnviroDlental Protect!on Agency - Asbrstos abate.-ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating vol Ole " will be sublitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<br />. A per.it issued sball be construed to be a license to proceed with tbe vort and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the 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. Bvery per.it issued shall heCOle invalid
<br />unless the wort authorized by such perlit is COllenced vi thin six IOnths of issuance, or if vork authoriled by the petlit is
<br />suspended or abandoned for a period of sil IOnths after the tile tbe wort is couenced. One 90 day l!Itension of tille, lily be
<br />allowed for the per.it with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during eacb six IOntb period, or the project viII be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTlCR OF COHHRNCKHKNr HAY RBSULT IN YOUR PAYING l'IflCl FOR IMPROVIIIBIIIS !O YOUR
<br />PROPERTY. IF YOU IITEND TO OBTAIN FINANCING, CONSULT WUB YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICI OF
<br />COKMENCEHENT. JOBS UNDER $2,500 IN VALUR DO NOT NEED TO RRCORD AND POST A "NOTICE OF COHMBNCKKKlllw.
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<br />SIGNATURE: ONKER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />, I
<br />
<br />STATE OF FLORIDA
<br />COUITY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATR 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 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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