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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" whicb lay be lOre restrictive than City
<br />regulations. The undersigned as sOles responsibility for cOlpliance with any appli~able deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner haa hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If tbe contractor ia not licensed as required by law, both the owner and contractor lay be
<br />cited for a liadeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />188-6611.
<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 tbe contractor,
<br />you are indicating that you, rather than the contr~ctor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrbills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLOHIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - "oleowner's Protection
<br />Guide" prepared by the Florida Deparllent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"b.uer", I certify that I have obtained a copy of the above described docUJent 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 witb all
<br />applicable law8 regulating construction, zoning, and land developlent.
<br />
<br />Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perforled to leet 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 governlental agencies lay apply to the intended work, 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 />· Deparllent of KnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Soutbwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I DepartJent of Health , Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater freatlent, Septic Tanks
<br />I US InviroDlental Protection Agency - Asbestos abatelent
<br />I also certify tbat, 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 vol Ole " 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 sball be construed to be a license to proceed witb the work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall issuance of a perlit prevent tIle Building Official frOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Kvery perlit issued sball 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 tbe tile the work is cOllenced. One 90 day extension of ti.e, 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 eacb six IOntb period, or tbe project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RKCORD A NOT CE OF COKHKNCEHKNT KAY RESULT IN YOUR PAYING TWICK FOR IMPROVKMKNTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, NSULT WITH YOUR LHNDER OR AN ATTORNEY BEFORK RBCORDING YOUR NICK OF
<br />COKHENCKHKNT. JOBS UNDER $2,500 IN VALUK T NEKD TO RBCORD AND POST A "NOTICK OF COKHKNCKHKNT".
<br />
<br />
<br />
<br />STATK OF LOR IDA
<br />COOO'O
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19____ by
<br />
<br />STATK F FLORIDA
<br />COUN 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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