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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 CON'!'RAC'!'OU RESPONSIBILI'l'IES
<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 aay 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 />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 Sections. of this application for which 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 wort, 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 UTILITY CONNECTION FEES {'
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<br />D. CONSTRUCTION LIEN LnW (ClmPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law _ HOIBOWDer's 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 doculent and prolise in good faith to deliver it to the
<br />"owner" prior to co..enCelent,
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all wort will be done in cOIpliance with all
<br />applicable laws regulating construction, loning, and land developlent,
<br />,
<br />
<br />Application is hereby lade to obtain a perlit to do wort and instailation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all wort will be perf oIled to leet standards of all 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 other goverDlental agencies lay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust tate to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlBntally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docts, Navigable Waterways
<br />I Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treallent, Septic Tanks
<br />I US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone HA" or "A,etc,., it is understood tbat a drainage plan
<br />addressing a "co.pensating volUle" 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 shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCOlB invalid
<br />unless the work authorized by such perlit is cOllenced within sil IOntha of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillOnths after the tile the wort is c~enced. One 90 day utension of tile, Iil' be
<br />allowed for the perlit 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 each six IOnth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURK TO RECORD A NOTICE OF COMHBNCEHlH1' MAY RBSULT IN YOUR PAYING niCE FOR IHPROVEllBITS TO YOUR
<br />PROPERTY, IF YOU INTEND TO OBTAIH FINAHCING, CONSULT WITH YOUR LEHDER OR AN AnORIEY BEFORE RHCORDING YOUR NOTICE OP
<br />COKMKNCEHKNT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOrICE OF COHHBNCKMBIT..
<br />
<br />
<br />n;;l: t~ .1
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<br />
<br />STATB OF FLORIDA
<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
<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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