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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigne~ understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CON'l'HAC'l'On RESPONSIBILI'l'IES
<br />If the ONner 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, botb 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 wbat licenSing
<br />requirelents lay apply for 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 tbey 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 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 per.itting priVileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
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<br />D. CONS TRUC'l' I ON LIEN Lnw (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection
<br />Guid~" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If tbe 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 COllenCelenL
<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 instailation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a perlit and that all wort will be perf oIled to Jeet 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 goverRlental agencies lay apply to tbe intended worl, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docts, Navigable Naterways
<br />* De arllent of Health' Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US EnviroRlental Protection Agency - Asbestos abatelent
<br />I a180 certify that, if fIll laterial is to be used in Flood Zone "A" or "A,etc,", it i8 understood tbat 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 perlit. issuance,
<br />
<br />, A perlit issued sball 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 per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beCOle invalid
<br />unless the wort authorized by such per.it is cOllenced within six IOnths of issuance, or if wort authoriJed by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, iiI be
<br />allowed for the perlit with fee charge of $15.00. The exten8ion shall be requested in writing to the Building OffIcial. An
<br />approved inspection lUSt be logged during each six IOntb period, oc'the project will be considered abandoned.
<br />NARNING TO OIINER: YOUR FAILURK TO RKCORD A NOTlCK OF COHHENCEHKNT HAY RKSULT IN YOUR PAYING !WICK FOR IHPROVIillm'S TO YOUR
<br />PROPKRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LKNDER OR AN ATTORNKY BEFORli RliCORDING YOUR NorlCl OF
<br />COHHENCKHKNT, JOBS UNDER $2,500 IN VALUK DO NOT NEED TO RKCORD AND POST A "NOTICK OF COHHKNCKMlHT".
<br />
<br />SIGNATURE: OIINER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />. I
<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 />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 has
<br />produced
<br />as identification and who did/did not
<br />take an oilth.
<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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