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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be .ore restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CON'I'RAC1'On RESPONSIBILITIES
<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, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If lhe owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, lhey are advised to contact the City of Zephyrhills Building DepartJent, (BI3)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contraclor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratller 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 perlitting priVileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES {{
<br />
<br />D. CONSTRUC'I'ION LIEN L1\W (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 _ HOJeOWner's Protection
<br />Guid~" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If the applicant is sOJeone 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 co.-encelent.
<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, zoning, and land developlent.
<br />I
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet 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 the intended worl, and that 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 />I DepartJent of EnviroDlental Regulation - Cypress Bayheads, Netland Areas and EnviroDlentally Sensitive Lands,
<br />, Nater/Nastewater TreatJent
<br />I Southwest Florida Nater Hanagetent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I DepartJent of Health & Rehabilitative Services, EnviroRlental Health Unit - Wells, Wastewater TreatJeot, Septic Tanls
<br />I US EnviroRlental Protection Agency - Asbestos abatelent
<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 "co.pensating volUle" will be sub.itted 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 with the work and not as autbority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOlB invalid
<br />unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if work authorized by the pellit is
<br />suspended or abandoned for a period of six IOnths after the tile the worl is cOllenced. One 90 day 91teo8ioo of tile, laY be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building OffIcial. An
<br />approved inspection .ust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCEHBH'f HAY RISULT IN YOUR PAYING TIIICR FOR IHPROVKJIED'S TO YOUR
<br />PROPERTY. IF YOU IHTIND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN ATTORlBY BlFORB RBCORDING YOUR NOTICB OF
<br />COKHENCEHENT. JOBS UNDIR $2,500 IN VALUE DO NOT NBED TO RICORD AND POST A "NOTICE OF COKHINCKHEH'f".
<br />
<br />SIGNATURH: OWNER OR AGENT
<br />
<br />SI~~ a~~
<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 />STATI 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 o~th.
<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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