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<br />CONDI'!'IONS OF PEnH!'!' AFFIDAVI'l'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be IIOre restrictive than City
<br />regulations. The undersigned assUlles responsibility for cOlpliance wiLh any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRAC'l'ORS AND CON'l'HAC'l'OH RESPONSIBILI'l'IES
<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, both tbe owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If lhe owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<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 OlDer sign as the contractor,
<br />you are indicating that you, rather 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 per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~
<br />
<br />D. CONSTRUC'l'ION LIEN LftW (CnAPTEn "/13, FLOHIDA STA'rUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOleOlDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs~ If tbe applicant i8 sOleone 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 COllenCelent.
<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 deve~oflent.
<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 per.it and that all work will be perfoCled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tbat I understand tbat the regulations of other governaental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in co.pliance. Such agencies include but are not li.lted to:
<br />· Departlent ot Environaental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, EnviroDlental lIealth Unit - Wells, Wastewater Treatlent, Septic fanks
<br />· US EnviroDlental Protection Agency - Asbestos abateaent
<br />I also certify tbat, if fIll laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "colpensating volDle" will be sublitted whicb 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 tbe 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 lrOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Ivery perlit issued sball becOIe 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 ti.e the work is cOllenced. One 90 day eatension of tile, IaJ 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 IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCEHBNT HAY RESULT IN YOUR PAYING IlIICI FOR IHPROVBllBIIS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNBY BEFORE RBCORDING YOUR MOlICl OF
<br />COHHENCBHBNT. JOBS UNDER $2,500 IN VALUR 00 NOT NBRD TO RBCORD AND POST A "NOTICR OF COHHBNCKHKNT".
<br />
<br />c::t:e < ~ /
<br />4G8A~RAcrOR
<br />
<br />
<br />, I'
<br />
<br />STATR OF FLORIDA
<br />COUNn 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 />'is identification and who did/did not
<br />ake 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 />'ignature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />me Typed, Printed or Stamped)
<br />\HY PUBLIC
<br />
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