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<br />CONDl'l'IONS OF PERMI'l' AFFIDAVI'f
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRAC'l'OU RESPONSIBILITIES
<br />If the owner 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 lisdeaeanor violation under state law. If lhe owner or intended contractor are uncertain as to wbat licensing
<br />requiruents lay apply (or the intended work, they are advised to contact the City of Zepbyrbills Building DepiI'uent, (813)
<br />788-6611.
<br />
<br />Furtheuore, 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, rather than the contractor, are responsible for the work. If the contractor wisbes you to sigo
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlittiog privileges in the
<br />City of Zephyrhills.
<br />
<br />c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~
<br />
<br />D. CONSTRUCTION LIEN L~W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law - HOIeowner's Protection
<br />Guid~n prepared by tbe Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOIeone other tban 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 couencuent.
<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 work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perloIled to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develop.ent regulations in tbe jurisdiction. I also
<br />certify that I understand that the regulations of other goverlllental agencies JaY apply to tbe intended work, and that it is
<br />IY responSibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not li.ited to:
<br />t DepartJent of Envirolllental Regulation - Cypress Bayheads, Wetland Areas and Envirolllentally Sensitive Lands,
<br />, Water/Wastewater Treatlent
<br />t Southwest Florida Water "anaguent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Deparllent of Healtb , Rehabilitative Services, EnviroDlental Healtb Unit - Wells, Wastewater Treallent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "An 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 the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A perlit issued sball be construed to be a license to proceed witb the 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 f(OI thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued shall becOle invalid
<br />unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of Sil IOnths after the tile tbe work is cOllenced. One 90 day eatension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHBNT KAY RESULT IN YOUR PAYING twlCK FOR IHPROVEKBRrS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENOIR OR AN ATTORNEY BEFORB RBCORDING YOUR NorICK OF
<br />COHMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKMENCKHBNT".
<br />
<br />. I
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<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 />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 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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