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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />7he under.igned und.r.tands that tbis per.it .ay b. subject to 'd..d restrictioos' .bleb say be sor. r..tricti.. !boo City
<br />regulations. The undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CON'!'RACTOn RESPONSIBILITIES
<br />II !be ....r ban bired a cootractor or contractor. to undertai. oorl, tb.y say be r.gulred to be liceosed 10 accordance .itl
<br />.tat. and local r.gulatlon,. II lb. cWltractor I. oot lic....d an requir.d by la., botb lb. ..... and cootractor say be
<br />cited (or a .I.d....oor .Iolatioo und.r stat. law. II tbe 08o.r or Intended cootractor ar. uncertain a. to Ibat liceaslng
<br />regulr....t. .ay apply lor tb. lot.nded oorl, tb.y ar. advl..d to contact lb. City o( Z.pbyrbill. Building Dopartsent, (813)
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have tIle contractor(s) sign portions of the
<br />'Contractor S.ctlon.' o( Ibi. application (or wbicb Ib.y will be respon.ibl.. I( you, as !be ..... .ign as lb. cootractor,
<br />,OU are indicating that you, ratb.r tban lb. cootractor, are responsibl. (or lb. oorl. If !be contractor .iobes ,.. to .i9O
<br />as contractor that .ay 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 IMPAC'f FEES AND U'!'ILI'fY CONNECTION FEES ~"
<br />
<br />D. CONSTRUCTION LIEN Lnw (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOJeOWDer's Protection
<br />Guid~" prepared by the Florida DepartJent of Agriculture and ConSUler Affairs. If tbe applicant is sOIeone otber than the
<br />"owner", I certify tbat I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to couenCeJent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'!'
<br />I certify that all the infor.ation in this application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, Joning, and land develop.ent.
<br />I
<br />
<br />Application is hereby .ade 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 per.it and that all work will be perfofled to aeet standards of all laws
<br />regulating construction, City codes, Joning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goverOlental agencies .ay apply to the intended work, and that it is
<br />'Y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />· DepartJent of EnviroDlental Regulation - Cypress Bayheads, Netland Areas and EnviroDlentally Sensitive Lands,
<br />. Nater/Nastewater rreatJent
<br />· Southwest Florida Nater HanageJent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses
<br />· Ar.y Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />· De artJent of Health & Rehabilitative Services EnviroDlental Health Unit - NeIls, Wastewater rreatlent, Septic Tanks
<br />t US EnviroOlental Protection Agency - Asbestos abateJent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" oc "A,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating volUle" will be sub.itted whicb 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 per.it prevent the Building Official frOJ 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 six IOnths of issuance, or if work authorized 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 eztension of tile, Jay 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 IOntb period, or the project will be considered abandoned.
<br />NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCKHRNT HAY RESULT IN YOUR PAYING 'fIIICE FOR IHPROVEllBns TO YOUR
<br />PROPBRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN ATTORHEY BEFORE RECORDING YOUR JOTIC! OF
<br />COKHENCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKHKNCEIliHT".
<br />
<br />SIGNATURE: ONNER OR AGENT
<br />
<br />. I
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STArE 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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