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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 assWles 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furtber.ore, if the own~r bas bired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the
<br />"Contractor Sections" of this application for whicb tbey 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 IOU to sign
<br />as conlraclor that lay be an indication tbat he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND U'I'ILITY CONNECTION FEES ""
<br />
<br />D. CONSTRUC'I'ION LIEN Lnw (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 _ HoIeoMner'. Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsDler Affairs. If the applicant i8 sOIeDne other than the
<br />"owner", I certify that I bave obtained a copy of the above described docWlent and prolise in good faith to deliver it to the
<br />"owner" prior to COllenCelent.
<br />
<br />E. CONTRACTOR' S/OWNER r S AFFIDAVI'I'
<br />I certify that all the 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 deve~oplent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certiff that no wort or
<br />installation has cOllenced prior to issuance of a per.it and tbat all work will be perfoCl8d to leet standards of all lils
<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 govelDlental agencies lay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />I Deparllent of finviroRlental Regulation - Cypress Baybeads, Wetland Areas and BnviroRlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />I Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
<br />I De arllent of Healtb &"Rehabilitative Services BnviroRlental Health Unit - Wells, Wastewater rreallent, Septic ranks
<br />I US finvirODlental Protection Agency - Asbestos abatelent
<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 "colpensating volOle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit" issuance.
<br />
<br />. A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the tecbnical codes, nor shall is~u~ce of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall be_ invalid
<br />unless the work authorized by sucb perlit is cOllenced within Bix IOntbs of iBsuance, or if wort authorized bl the per.it is
<br />Suspended or abandoned for a period of six IOnthB after the ti.e the wort is cOllenced. One 90 day 81tension of tile, la' be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection IUBt be logged during eacb six IIOntb period, or tbe project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMENT HAY RESULT IN YOUR PAYING RICE FOR IHPROVBIIII1'S TO YOUR
<br />PROPERTY. IF YOU INTfiND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOHI HlCORDIlfG YOUR BorICI OF
<br />COHHENCEHBIfT. JOBS UNDBR $2,500 IN VALUB DO NOT NEBD TO RECORD AND POST A "NOTICB OF COHHBNCKMINT".
<br />
<br />SIGNATURE: OWNBR OR AGBNT
<br />
<br />I
<br />
<br />SIGNATURB: COif TRACTOR
<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 />STATB 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 wbo 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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