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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat this perlit lay be subject to Ideed restrictions" wbieb JaY be lOre restrictive tban City
<br />regulations. fbe undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR 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 tbe owner and contractor JaY be
<br />cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lay apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtberlOre, if the owner bas bired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of tbe
<br />"Contractor Sections I of tbis application for whieb they will be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, rather tban tbe contractor, are responsible for the work. If tbe contractor wishes you to sign
<br />as contractor tbat lay be an indication that he is not properly licensed and is not entitled to peIlitting privileges in the
<br />City of Zephyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify tbat I, the applicant, bave been provided witb a copy of IPlorida's Construction Lien Law - HOIeOMDer's Protection
<br />Guide" prepared by tbe Florida DepartJent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone otber than tbe
<br />.owner", I certify tbat Ibave obtained a copy of tbe above described docUlent and prOlise in good faith to deliver it to tbe
<br />"ownerl prior to cOlleDceaent.
<br />
<br />E. CONTRACTOR'S/O~ERrs AFFIDAVIT
<br />I certify tbat all tbe inforlation in tbis application is accurate and that all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, loning, and land developient.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
<br />installation has cOlleDced prior to issuance of a perlit and that all work will be perf OIled to leet.standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in tbe jurisdiction. I also
<br />certify tbat I understand tbat the regulations of otber goveIDIeDtal agencies JaY apply to tbe intended work, and tbat it is
<br />IY responsibility to identify wbat actions I lUst take to be in colpliance. Sueb agencies include but are not lilited to:
<br />t DepartJent of EnvirODleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
<br />Water/Vastewater TreatJent
<br />t Southwest Plorida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Healtb & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic tanks
<br />t US EnvirODJeDtal Protection Agency - Asbestos abateJent
<br />I also certify tbat, if fill laterial is to be used in Plood Zone IAI or HA,etc.l, it is understood tbat a drainage plan
<br />addressing a uCOlpensating volUlel will be sublitted wbieb is prepared by a professional engineer registered in the State of
<br />Plorida prior to perlit issuance.
<br />
<br />A perlit issued sball be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe teebnical codes, nor sball issuance of a perlit prevent tbe Building Official frOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
<br />unless tbe work autborized by sueb perlit is cOlleIlced witbin six IOntbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sillOntbs after tbe tile tbe work is cDlleDced. One 90 day extension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOntb period, or tbe project will be considered abandoned.
<br />WARJlING TO OWNER: YOUR PAl LURE TO RECORD A NOTICE OP COMMDCBIlElft' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVIIIm'S TO YOUR
<br />PROPERTY. IF YOU IIft'EIfD TO OBTAIH FIlfAIICING, CONSULT WU'H YOUR LDDER OR All ArrORJIEY BEFORE RECORDING YOUR IfOTICE OP
<br />COMMENCElfEIft'. JOBS UNDER $2,500 Ilf VALUE DO NOT ffEED TO RECORD AlID POST A "NOTICE OF COMMENCEMEIft'H.
<br />
<br />SIGNATURE: OWHER OR AGE1ft'
<br />
<br />SI GNATURE: COIft'RACTOR
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 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 qr 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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