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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands that this perait laY be subject to "deed restrictions" wbich laY be lOre restrictive than City
<br />regulations. .,be undersigned assllles responsibility for COIpliance with any applicable'deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has bired a contractor or contractors to undertake wort, 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 lilY be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartleRt, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wbich 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 tbe work. If the contractor wisbes 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 Zepbyrhills.
<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 with a copy of "Florida's Construction Lien Law - HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If tbe applicant is sOleone other than the
<br />'owner", I certify that I bave obtained a copy of the above described docUlleIlt and prOlise in good faith to deliver it to the
<br />"owner" prior to cOll81lceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<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 CDllenced prior to issuance of a perait and that all work will be perforaed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies lilY apply to the intended work, and that it is
<br />If responsibility to identify wbat actions I lust take to be in coapliance. Such agencies include but are not lilited to:
<br />* Departlent of Hnvironaental Regulation - Cypress Baybeads, Wetland Areas and Hnvironaentally Sensitive Lands,
<br />Water/Wastewater "reatleRt
<br />* Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departaent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater "reatient, Septic "anks
<br />* US EnvirODJental Protection Agency - Asbestos abateaent
<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 VOlUleR will be sublitted wbich 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 with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perait prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOIe invalid
<br />unless the work autborized by such perait is cOllenced within six IOnths of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a period of six IOnths after the tile the lIOrk is ~ced. One 90 day extension of tile, lilY be
<br />allowed for the perait with fee charge of $15.00. .,be extension sball be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eacb sil IODth period, or the project will be considered abandoned.
<br />WARJlING TO OWNER: YOUR FAILURE YO RECORD A NorICE OF C<IIMDCEIlEIIl' MAY RESUL., IN YOUR PAYING 'NICE FOR IMPROVEIIEIIl'S .,0 YOUR
<br />PROPERft. IF YOU IIIl'END .,0 OB'lAIN FIIWICING, CONSUL., WUH YOUR LBNDER OR AN AftORNEY BEFORE RECORDING YOUR MorICE OF
<br />COMHEMCHHBIIl' ~~ IN VAL TO RECORD AND POST A "NorICE OF COHMENCEMIlN'l".
<br />
<br />
<br />SIGlfATURE: CON'lRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUN'lY OF
<br />The foregoing instrument was acknowledged
<br />before m his , 19____ by
<br />
<br />/1 Ii? e'~ :..JJ -
<br />wh is personally own to me or who has
<br />producedN' ;Z:/) .s-.;?oo--....:;7~--S7-g-o?'
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />S.,ATE OF FLORIDA
<br />COUN'lY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />
<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 />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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