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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that tIlis penit JaY be subject to 'deed restrictions' wbich Jay be lOre restrictive than City
<br />regulatioos. !be undersigned asSUll!S responsibility for cmpliance witll any applicable deed restrictiCIIS.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tile OIfJIer bas hired a contractor or contractors to undertake work, tIley JaY be reguired to,be licensed in accordance witll
<br />state and local regulations. If tile contractor is not licensed as required by law, botll the 0IIDe1' and contractor JaY be
<br />cited for a lisc1e1ea11Or violation under state law. If tile owner or intended contractor are uncertain as to what licensing
<br />reguirl!leDts lilY apply for tile intended work, they are advised to contact the City of Zepbyrhills BuilcUng Departlent, (813)
<br />788-6611. '
<br />
<br />FurtherlOre, if tile OIfJIer has hired a contractor or contractors, be is advised to have the contractor(s) sign portiCIIS of the
<br />'Contractor SectiCIIS' of this applicatioo for which they will be responsible. If JOU, as the OIIDer sign as the contractor,
<br />you are indicating that JOU, rather tIlan tile contractor, are responsible for tile work. If tile contractor lilbes you to sign
<br />as contractor that JaY be an inc1ication that be is not properly licensed and is not entitled to pen1tUng privileges in the
<br />City of Zephyrhills.
<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, have been provided with a copy of 'Florida's construction Lien Law - JbIeoImer's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUIIeI Affairs. If the applicant il 8OIeCIl8 other than tile
<br />'owner', I certify tIlat I have obtained a copy of the above described docUIent and prOlise in good faith to deliver it to the
<br />'OIIDer' prior to ~cuent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />,I certify that all the infofliltion in tIlis application is accurate and that all work lill be clone in COIPliance witll all
<br />applicable laws regulating construction, IODing, and land develoPElt.
<br />
<br />Application is hereby lilCle to obtain a perlit to do work and installation as indicated. I certify tIlat no IOrk or
<br />installation bas cmIeIlcecl prior to iuuance of a penit and that a11lOrk lill be perfolled to _t ltaDc1ards of all 1_
<br />regulating construction, City codes, Boning regulations, and land develOplellt regulations in the iurisc1ictioo. I also
<br />certify that I understand that the regulations of other gOYeIDlleDtal agencies lilY apply to the intended II01'k, and that it is
<br />If responsibility to identify what actions I lUSt tate to be in COIpliance. Such agencies include bat are not lilited to:
<br />t Departlent of EnvirODleDtal Regulation - Cypress Baybeads, letIanc1Areas and EnvilODleDtally SensiUve Lands,
<br />later/lfaatewater lreatlent
<br />t Soutblfeat Florida later Jlanagel8Dt District - NeIls, Cypress Bayheac1s, letIanc1Areas, Altering latercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, lavigable laterways
<br />t Departlent of Bealtll i Rehabilitative Senices, Envirouental Bealtll Unit - lells, lastewater Irea_t, Septic !ants
<br />t US EnvilODlental Protection Agency - Asbestos abat_t
<br />I also certify that, if fill IIterial is to be used in Flood Zone 'A- or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'COIp8II8ating volUll!' will be saitted 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 witll 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 perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violatiCIIS of any code. Every perlit iSlued ahall becDIe invalid
<br />unless tile IOrt autboriled by such penit i8 ~ced .itllln 11IIODths of issuance, or if IOrl Buthorbed by tile penit is
<br />suspended or abandoned for a period of sil IODtIls after the tile the IOrl is ~ced. One 90 day .tension of tile, JaY be
<br />allOlf8d for the penit with fee charge of $15.00. !be .tension 8ull be requested in writing to the Builting Official. An
<br />approved inspection lUSt be logged during eaeb Iii IODth period, or the project .ill be c0D81dered abanc1oned.
<br />WARRIIG 10 (lOR: YOOR PAILURB !O RECORD IIOIICB OP CCIIIIDCBIID! MlY RISUL! II YOUR PIYlIC; IIICB PUR IIIPROVIIIIIIS 10 YOUR
<br />PROPIRIY. IF YOO IIIIID 10 0BI1111 PIIIDCIIC;, COISULI IIIB YOOR LUBER OR IJ IIIORIIY BBPORI RICORDIIG YOOR IIO!ICB OF
<br />COIIIIIICBJIIIft'. JOBS UIDIR $2,500 III VnUB 00 lor IIID fO RECORD lID POSI A 'KOIICB OF aJIIBIICIIIIIII'.
<br />
<br />SIGllAIURI: (MID OR AGBIII
<br />
<br />SIGllIURI: COJIIRICIOR
<br />
<br />SfA!B OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />SfAfB OF FLORIDA
<br />coum OF
<br />The foregoing instI'Wlel1t was acknowledged
<br />before me this , 19 by
<br />-
<br />
<br />wbo is personally known to me or wbo bas
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />wbo is personally known to _ or wbo bas
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Nue Typed, Printed or Stuped)
<br />NOTARY PUBLIC
<br />
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