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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe 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'l'RAC'l'On RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake 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 tbe owner and contractor laY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to .bat licensing
<br />requir8lents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of tbe
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the OlDer sign as tbe contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes 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 "
<br />
<br />D. CONSTRUC'l'ION LIEN LnW (CHAPTER 713, FLOIUDA STA'fUTES1 AS AMENDED)
<br />I certify tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer'. Protection
<br />Gui~e" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is SOl8ORe other tban tbe
<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 COllenCelent.
<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 witb 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 instailation 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 l8et 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 other goverDlental agencies laY apply to tbe intended wort, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />· DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />. Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· DepartJent of Healtb & Rehabilitative Services, EnviroDlental Healtb Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />· US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify tbat, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understoodtbat a drainage plan
<br />addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in tbe 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 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 tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued sball beCOlB invalid
<br />unless the work autboriled by such per.it is cOllenced within six IOnths of issuance, or if work autborized by the per.it is
<br />suspended or abandoned for a periOd of six IOnths after the tile the worl is cOllenced. One 90 day eatension of tile, Jay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to tbe Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or tbe project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURB TO RECORD A NOTICE OF COHHENCBHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVBIIBI1'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDBR OR AN ATTORNKY BEFORE RICORDING YOUR MOIICI OF
<br />COMHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKMBNCBHINT".
<br />
<br />, I
<br />
<br />SIGNATURB: OWNBR OR AGRNT
<br />
<br />---
<br />SIGNATURE: CONTRACTOR
<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 />STATE 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 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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