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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 assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake worl, 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing
<br />reguirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner has hired a contraclor or contractors, he is advised to have tbe contractor(s) sign portions of the
<br />"Contractor Sections" of this application for IIhich they lIill 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 tbe contractor wishes you to sign
<br />as contractor tbat lay be an indication that he is not properly licensed and is not entitled to per.itting priVileges in the
<br />City of Zepbyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND U'l'ILITY CONNECTION FEES ,,~
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<br />D. CONSTRUC'!'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HDIeONDerrs Protection
<br />Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant i8 sOleODe other than the
<br />"owner", I certify that I bave obtained a copy of lhe above described docUlent and prOlise in good faith to deliver it to the
<br />"ollner" prior to COllenCelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation 'in tbis application is accurate and that all 1I0rk will be done in cOlpliance with all
<br />applicable lalls regulating construction, zoning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perf oIled 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 governlental agencies laY apply to tbe intended wort, and that it is
<br />IY responsibility to identify IIhat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Deparllent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastellater Treatlent
<br />* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Arl' Corps of Engineers - Seallalls, Docks, Navigable Waterways
<br />* Departlent of Healtb & Rehabilitative Services, Environlental Healtb Unit - Wells, Wastewater Treatlent, Septic ranks
<br />* US EnviroDlental Protection Agency - Asbestos abat8lent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOIpensating volUle" will be sublitted IIhich 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 tbe work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall is~u~nce of a per.it prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued ahall becoIe invalid
<br />unless the work autborized by such perlit is cOllenced witbin six IOntha of issuance, or if wort authorized by the pertit is
<br />suspended or abandoned for a period of six IOnth8 after the tile the wort is couenced. ODe 90 day eltension of tille, laY be
<br />allowed for the per.it with fee charge of '15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eacb six IOntb period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURR TO RECORD A NOTICR OF COtIHRNCEHBNT HAY RRSULT III YOUR PAYING !lIICE FOR IHPROVIIIIIIS TO YOUR
<br />PHOPKRTY. IF YOU IMTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LKNDKR OR AI AnORIBY BBFORE RlCOHOI'" YOUR "OIICE OF
<br />ClIfHKNCEHRNT. JOBS UNDER $2,500 IN VALUR 00 NOT NEED TO RECORD AND POST A "NOTICE OF COIIMEICBIIIJIl'''.
<br />
<br />, I
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATR OF FLORIDA
<br />COUMTY OF
<br />The foregOing instrument w~s acknowledged
<br />before me this , 19____ by
<br />
<br />STATI OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 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 bas
<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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