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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fbe undersigned understands that this peIlit lay be subject to Ideed restrictions" wbich JaY be lOre restrictive than City
<br />regulations. fbe undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 lilY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
<br />
<br />FurtheIlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />IContractor 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 you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to petlitting 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, have been provided with a copy of IFlorida's Construction Lien Law - HOJeOWner's Protection
<br />Guide" prepared by tbe Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUJent and pro.ise in good faith to deliver it to the
<br />"owner. prior to COIleIlCl!lent,
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforaation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOlleDced prior to issuance of a peIlit 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 JaY apply to the intended work, and that it is
<br />If responsibjlity to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to:
<br />* Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Managl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & ~ebabilitative Services; BnvirOllJelltal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnviroDleDtal Protection Agency - Asbestos abateJent
<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 Ico.pensating voluaeD will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida ~rior to peIlit, issuance.
<br />
<br />A peIlit 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 issuance of a peIlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall becoJe invalid
<br />unless the work authorized by such peIlit is COIIeIlCed within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is ~ced. One 90 day extension of tile, JaY be
<br />allowed for the peIl~t 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 IODth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURB 10 RECORD A NOfICE OF COMMBRCBMm MAY RESULI IN YOUR PAYING filCE FOR IMPROVBIIII'fS TO YOUR
<br />PROPERTY. IF YOU IN!BND TO OBTAIN FINANCING, CONSULT WIIH YOUR LINDER OR AN A'f'fORIIY BBFORE RECORDING YOUR DICE OF
<br />COMMBNCBMm, JOBS UNDBR $2,500 IN VALUE 00 NOI !fBBD TO RBCORD AND POSI A "HOIICE OF COIIMBHCBMBN!".
<br />
<br />
<br />~~(~ ii~~~c~~~-t
<br />
<br />STAlE OF FLORIDA
<br />coom OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />--
<br />
<br />SlATE 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 or who has
<br />produced
<br />as identification and who did/did not
<br />take an o~th.
<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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