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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 (or 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents lay apply (or the intended work, they are advised to contact the City of Zephyrbills 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 t'lan 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 perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES II
<br />
<br />D. CONSTRUC'rION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES I AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ BOIeOMDer'. Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsOllr Affairs. If the applicant is sOIeDne 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 cOllenCetent.
<br />
<br />E. CONTRACTOR 'S/OWNER'S AFFIDAVI'I'
<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 worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perf OIled to leet standards of all lawl
<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 goverDlental 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, Vetland Areas and BnviroDlentally Sensitive Lands,
<br />Vater/Vastewater Treatlent
<br />t Southwest Florida Vater "anagetent District - Veils, Cypress Bayheads, Vetland Areas, Altering Vatercourses
<br />t Arl' Corps of Engineers - Seawall's, Docks, Havigable Vaterways
<br />t Departlent of Health i Rehabilitative Services, BnviroDlental Health Unit - VeIls, Vastewater Treallent, Septic Tanks
<br />I US BnviroDlental Protection Agency - Asbestos abatllent
<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 volOle" will be sublitted which 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 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 lrUl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every peIlit ilsued shall beCDIB invalid
<br />unless the worl authorized by such perlit is cOllenced within sil IOntha of issuance, or if worl authorized by tbe per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the worl is cOllenced, One 90 day utension of tile, liy 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 sil IOnthperiod, or the project will be considered abandoned.
<br />VARlHNG TO OWHER: YOUR FAILURE TO RECORD A HOTICB OF COtfHBNCBHBHT HAY RESULT IH YOUR PAYlHC niCE FOR IHPROVIIIIIl'S TO YOUR
<br />PROPBRTY. IF "YOU InRHD TO OBTAIH FIHAHCIHG, COHSULT VITH YOUR LENDIlR OR AN ATTORIIlY BIlFORIl RIlCORDIHG YOUR NOlICl OF
<br />CotIHEHCE"ENT, JOBS UNDER $2,500 IH VALUE DO NOT HEED TO RECORD ABD POST A .HOTICE OF COIfHIlHClllBHT., .
<br />
<br />SIGHArURIl: OWNER OR AGINT
<br />
<br />.' I
<br />
<br />SIGHATURE: COHrRACTOR
<br />
<br />STATE OF FLORIDA
<br />couny OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUHTY 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 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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