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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. !he undersigned assutes responsibility for COIpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRAeTOR RESPONSIBILITIES
<br />If the ONDer bas bired a contractor or contractors to undertue work, they laY be required to be licensed in accordance witb
<br />state and local regulations. If the contractor is not licensed as required by law, both the OIIIler and contractor lily be
<br />cited for a lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireaents laY apply for the intended wort, they are advised to contact the City of Zephyrhills Building Departaent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections' of this application for wbicb they will be responsible. If you, as the OIfDer sign as the contractor,
<br />you are indicating that fOu, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
<br />City of Zepbyrbills.
<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, bave been provided with a copy of 'Florida's Construction Lien Law - 8oIeowner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Conslller Affairs. If the applicant is sOleOlle other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the
<br />"owner" prior to COIIeDCeaeot.
<br />
<br />E. eONTRAeTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforliltion in tbis application is accurate and that all wort will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is herehy aade to obtain a perlit to do work and installation as indicated. I certify that no work Or
<br />installation bas cDIIeDced prior to issuance of a perlit and that all wort will be perfolled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govelDleDtal agencies aay apply to the intended wort, and that it is
<br />If responsibility to identify wbat actions I .ust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departaent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaeotally Sensitive Lands,
<br />Vater/Wastewater rreatlent
<br />I Southwest Florida Water Haoagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Navigable Watenays
<br />t Departlent of Health i Rehabilitative Services, InvirODleDtal Health Unit - Wells, Wastewater Ireatleot, Septic rants
<br />I US InvirODlental Protection Agency - Asbestos abat8leDt
<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 'coapensating volute' 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 perl!lit issued sball 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 issuance of a per.it prevent the Building Official flQl thereafter
<br />requiring a correction of errors in plaos, construction, or violations of any code. Bvery peIlit issued shall beODle invalid
<br />unless the work authorized by such per.it is cOBenced within sillOntbs of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of sillOnlhs after the tile the wort is c08eDced. One 90 day eJtension of tile, lilY be
<br />allowed for the perlit with fee charge of $15.00. rbe l!Itension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sillOl1th period, or the project will be considered abandoned.
<br />WADING TO OIIIIIR: YOUR FAILURE TO RECORD A NOnCE OF C<lllBNCIIlBIt' lilY RESULT IN YOUR PAYING !lICE FOR IHPROVIIIBUS ro YOUR
<br />PROPERTY. IF YOU IIIDD ro OB'JAIN FIJfAIICING, CONSULr WIrH YOUR LBJIDBR OR All AftORm BEFORE RECORDING YOUR DICE OF
<br />COMHENCBHBHT. JOBS UNDER $2,500 IN VALUE 00 Nor NOD TO RECORD AND POsr A 'NOTlCE OF CIIlHDCBIIBNt'..
<br />
<br />SIGNATURB: ONIIER OR AGm
<br />
<br />SIGNATURE: COHrRACrOR
<br />
<br />srATB OF FLORIDA
<br />COlllfY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STAR 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 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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