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<br />CONDITIONS OF PERMI'l' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigne~ understands that this perlit lay be subject to "deed restrictions" which lay be .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 />require.ents lay apply Cor 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 which they will be responsible. If you, as the OlDer 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 Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND U'!'ILl'rY CONNECTION FEES {{
<br />
<br />D. CONSTRUC'rION LIEN L'l\W (CHAPTER 713, FLORIDA STATUTES" AS AMENDED)
<br />I certify tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HDIeOWDer'. Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is SOIeone other than the
<br />"owner", I certiCy 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 co..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, 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 DO worl or
<br />installation bas cOIIenced prior to issuance of a perlit and that all work will be perfOrled to leet standards ofoall laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goveInlental agencies lay apply to tbe intended work, and that it is
<br />IY responSibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lI.ited to:
<br />· Departlent of EnviroRlental Regulation - Cypress Bayheads, Vetland Areas and EnviroRlentally Sensitive Lands,
<br />o Water/Wastewater Treallent
<br />· Southwest Florida Vater Hanage.ent District - Wells, Cypress Baybeads, Vetland Areas, Altering Vatercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Deparblent of Health i Rehabilitative Services, EnviroRlental Health Unit - VeIls, Vastewater rreallent, Septic ranks
<br />· US EnviroRlental Protection Agency - Asbestos abate.ent
<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 volUle" 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 perlit issued shall be construed to be a license to proceed with tbe work and not as autbarity to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor sball is~u~nce of a perlit prevent the Building Official lrOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery ptrIit iS8ued shall becole invalid
<br />unless the work authorized by sucb perlit is cOllenced within sil IOnths of issuance, or if wort authorized by the per.it is
<br />suspended or abandoned for a pedod of six IOnths after the tile the work is c~enced. One 90 day 81tension of tile, .y be
<br />allowed for the perlit with fee cbarge of $15.00. The 81tension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, orOtbe project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHBNT HAY RESULT IN YOUR PAYING RICE FOR IHPROVIIIBI1'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT VITH YOUR LENDKR OR AN ATTORI8Y BEFORE RECORDING YOUR NOTICI OF
<br />COMMENCE"ENT. JOBS UNDRR $2,500 IN VALUE DO NOT NRED TO RECORD AND POST A "NOTICE OF COKKBNCKHlHT".
<br />
<br />SIGNATURE: OWHER OR AGENT
<br />
<br />, I
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STArE OF FWRIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATK 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 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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