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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rbe Wldersign.d und.r.l.ods Ib.1 lbi. peroil oa, be s.bj.cl 10 'deed r..lricli.... .bich .., be lOr. ,..trlcli" tbao Cil,
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRAC'l'OnS AND CON'l'RAC'l'On 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 witb
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />clled lor · .i8deoe.oor viol'lloo ond.r .1.1. I... II lb. ....r or iolended coolractor are oocertalo .. to 1101 11....1ng
<br />'OIOir....I. ..y 'pply lor lb. 1.I.oded vorl, Ih.y .r. .dvlsed 10 coolacl lbe Clly 01 Zepbyrbllls Bolldlog Dopartoe,I, (BI3)
<br />788-6611. .
<br />
<br />FurtberlOre, if the owner bas hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of tbe
<br />'Cootr.ctor S.cli...' of this .ppllc.li.. for .bich ller .ill he r..poosibl.. If you, .s lbe ..." olgo .. the cootractor,
<br />you are indicating that you, rather tban the contractor, are responsible for the wort. If tbe 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 tbe
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND U'l'ILl'l'Y CONNECTION FEES ,.,
<br />
<br />D. CONSTRUC'l'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 _ HOIBOIDer's Protection
<br />Guide" prepared by the Florida DeparLlent of Agriculture and ConsUler Affairs. If tho applicant is SOl8Ono other than tbe
<br />"owner", I certify that I have obtained a copy of the above described doculent and prOlise in good faitb 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 tbat no wor1 or
<br />installation bas cOllenced prior to issuance of a perlit and that all wor1 will be perforaed to l8et 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 otber governaental agencies lay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
<br />· DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />· Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· De arLlent of Health & Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater freatJent, Septic rants
<br />· US EnviroDlental Protection Agency - Asbestos abateaent
<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 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 tbe technical codes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued shall becoIe invalid
<br />unless the wor1 authoriled by such perlit is cOllenced witbin six IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a pedod of six IOnths after the tile the work is c08enced. One 90 day I!Itension of tile, la, be
<br />allowed for tbe 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 IOntb period, or'the project will be considered abandoned.
<br />WARlING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCIDIKNT HAY RBSULT IN YOUR PAYING rlfICB FOR DlPROVIIIDrS TO YOUR
<br />PROPERTY. IF YOO INTEND TO OBTAIN FINANCING, CONSULT WITH YOOR LBNDBR OR AJf ATTORRBY BBFORI RlCORDIHG YOUR HO'rICE OF
<br />COHHENCEHBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RBCORD AlfD POST A "NOTI B OF C NCBIIBNT".
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />
<br />/
<br />
<br />. I
<br />
<br />(See Attached)
<br />SIGNATURI: OWNER OR AGENT
<br />
<br />STATB OF FLORIDA
<br />COOny OF
<br />The foregOing instrument
<br />before me this
<br />
<br />STATE OF FL I A
<br />COUHTY 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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