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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 lOre restrictive than City
<br />. regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'On 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, both the owner and contractor laY be
<br />cited for a lisde.eanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
<br />requir8lents 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 contractor 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 wishes 10U 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 U'l'ILITY CONNECTION FEES "
<br />
<br />D. CONSTRUC'I'ION LIEN M\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 _ HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs, If the applicant is SOleODe 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 COllenc8lenL
<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 instailation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to Jeet 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 governaental agencies lay apply to the intended wort, 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 />t Departlent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Bnvironaentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Bngineers - Seawalls, Docks, Havigable Waterways
<br />t DepartJent of Health' Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic ranis
<br />t US BnviroDlental 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 .colpensating volUlen will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. 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 />Bet aside any provisions of the technical codes, nor shall is~u~ce of a per.it prevent the Building Official lrOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit iSBued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the till the work is cOllenced. One 90 dal 81tension of tile, laY 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 />WARKING TO OWNER: YOUR FAILURB TO RECORD A HOTICB OF COHHENCEllBNT HAY RESULT IH YOUR PAYIHG RICE FOR IHPROVIllm'S ro YOUR
<br />PROPERTY. IF YOU IIfTEND TO OBTAIH FIHANCING, CONSULT WITH YOUR LEHDER OR AN ATTORNEY BEFORB RECORDIHG YOUR HO'IICE OF
<br />COHHENCEllBHT. JOBS UNDER $2,500 IH VALUE DO HOT HEED TO RECORD AND POST A "NOTICB OF COHHBHCKKRHT".
<br />
<br />SIGHATURE: OWNER OR AGEHT
<br />
<br />. I
<br />
<br />SIGHATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUIfTY 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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