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<br />CONDITIONS OF PERM!'!' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />TIo WIde..igned UDd.ralaods Ibal lbis per.il .ay be aubJecl to "d.ed r.alricliona" wbieb lOy b. .... COBtrlcli.. lhau Cil,
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If !be ..... bas bired a contractor or coolraclora 10 ..d.rtal. ..rl, lb., IO, be required 10 be IlceosoI in acoooIance _Iii
<br />.Ial. aod Incal regnlationa. If lb. conlractor la nol licenaed aa required by I.., bolb !be ..... iIIIlI contractor .., be
<br />cited for a .Iad.....or ,iolalinn ond.r alai. I... If lb. ....r or Inlended conlractor are oncerlalo as to Obal liCBOBing
<br />r.qolr....ts IO, apply for the Inlend.d ..rl. lb., ar. advlaed 10 contacl lb. Cily of Zopb"bllla Building Depar\oeol, (113)
<br />788-6611.
<br />
<br />Furlb....r.. if lbe ....r bas blred a c.ntractor or conlraclnra, be la advised to bav. lb. contractorr.) sign portl... of !be
<br />"Cootreclor Seclinna" nf lbla application for -bleb they _ill be responslbl.. If mo, as the ..... algn as lbe contractor,
<br />roo are IndlcaUnq thai YOU. ralber Ib.. lb. conlraclnr, are res(lOllalbl. fnr lb. IOrt. ff the contractor _i""'" rou to aign
<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. CONSTRUCTION LIEN L'1\W (ClmPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeONDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOIBOne other than the
<br />.olfller", I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deUver it to the
<br />"owner" prior to COllencuenl.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAV!'I'
<br />I certify that all the infor.ation in lbis application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land develop.ent.
<br />I
<br />
<br />Application is bereby lade to obtain a per.it to do work and instailation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfollBd 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 goverDlenlal agencies Jay apply to the intended wort, and that it is
<br />IY responSibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
<br />t DepartJent of HnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t De artJent of Health & Rehabilitative Services EnviroDlental Health Unit _ Wells, Wastewater rreatlent, Septic ranks
<br />t US EnvirODlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill .aterial 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 subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance. .
<br />
<br />. A per.it issued shall be construed to be a license to proceed with 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 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 perlit is cOllenced within six IOnths of issuance, or if wort authorized by the pertit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is COlllenced. One 90 day Bltension of tille, ., be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NonCE OF COHHENCHHBIIT HAY RESUn IN YOUR PAYING TWICE FOR IHPROVIIIBIt'S TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WUB YOUR LENDER OR AN AnORJlBY BEFORE RiCORDING YOUR HarlCB OF
<br />COHHENCBHBHT. JOBS UNDER $2,500 IH VALUE 00 HOT NEED TO RECORD AND POST A "HOTICE OF COHHBNCKHDr".
<br />
<br />SIGNATURE: ONKER OR AGENT
<br />
<br />. I
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATK OF FLORIDA
<br />COUIITY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<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 />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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