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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit aay be subject to Ideed restrictions I whieb aay be lOre restrictive than City
<br />regulations. fhe 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 JaY be reguired 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 JaY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiruents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart:lent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections I of this application for wbieb 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 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 Zephyrbills.
<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 IFlorida's Construction Lien Law - BOIeOImer's Protection
<br />GuideN prepared by the Florida Deparblent of Agriculture and ConsUJer Affairs. If the applicant is sOloone other than the
<br />.owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />.owner" prior to couencuent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, laning, and land developlent.
<br />
<br />Application is bereby lade to obtain a peIlit to do work and instailation as indicated. I certify that no work or
<br />installation bas COIIenced prior to issuance of a perllt and that all work will be perf OIled to Ieet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in tile, jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIeDtal agencies JaY 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 Deparblent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater freablent
<br />t Southwest Florida Water Managuent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arl' Corps of Engineers - Seawalls, Docks, Havigable,Waterways
<br />t Depart:lent of Health & Rebabilitative Services, EnvirODleJltal Health Unit - Wells, Wastewater 'reablent, Septic ,ants
<br />t US EnvirODlental Protection Agency - Asbestos abatuent
<br />I also certify that, ,if fill Jaterial is to be used in Flood Zone lA' or "A,etc.', it is understood that a drainage plan
<br />addressing a NCOlpensating volUle' will be sublitted wbieb 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 is~uance of a perlit prevent the Buil~ing Offiqial frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOJe invalid
<br />unless the wort authoriled by sueb peIlit is cOllellcecl within sillODtbs of issuance, or if wort authorized by the peIlit is
<br />suspended or abandoned for a period of sillODtbs after the tile the wort Is co.enced. One 90 day eltension of tile, lily be
<br />allowed for the perlit with fee ebarge of $15.00. fhe eltension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logg~d during eaeb sixlODth period, or the project will be considered abandoned.
<br />IIARHING fO OIIHER: YOUR FAILURB fO RECORD A HOIICE OF COMMDCEMBHI MAY RESUL' IH YOUR PAYIHG 'NICE FOR IMPROVEMBIIl'S TO YOUR
<br />PROPERlY. IF YOU llIfBHD fO OBTAIH FIlWfCIHG, COHSUL' WI'H YOUR LODER OR !If AnORm BEFORE RECORDUIG YOUR NOIlCE OF
<br />COHKEHCEHENT. JOBS UHDER $2,500 IH VALUI 00 HOI NEED TO RECORD lIfD POST A 'HOIICE OF COMMEHCEMBHlN.
<br />
<br />SIGHAfURB: OWHER OR AGBHf
<br />
<br />SIGJlAIURB: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUHTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SfAfE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to me or wbo bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oath.
<br />
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oc,.tb.
<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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