<br />CONDITIONS OF PERMI': AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pe:.it lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules re;ponsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACT(~S AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work~ they may be required to be licensed in accordance with
<br />state and local regulations. If tbe contractor is not licensed as required by law, both th2 owner and contractor lay be
<br />cited for a lisdeleanor violation under state la~. If the owner or intended contractor, are uncertain as to what licensing
<br />requirelents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent, (B131
<br />7BB-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 than 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.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES.
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<br />D. CONSTRUCTION LIEN L~~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone 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 cOllencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work wil,l be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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<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 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 actioils I lust take to be in coapliance. Such agencies include but are not lilited to:
<br />f Departlent of Environlental ReQulatiDn - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent Df Health L Rehabilitative Services. Environ_ental Health Unit - Wells, Wastewater Treat_ent, Septic Tanks
<br />f US Environ_ental Protection AQency - Asbestos abatelent
<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 volule. will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro_ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such pertit is cOllenced within six _onths of issuance, or if work authorized by the pertit is
<br />suspended Dr abandoned ,for a period of six lonths after the tile the work is cOltenced. One 9Q day extension of tile, 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 each six lonth period, or the project Nill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COH"ENCEr.raT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />~..:- ~~.A_~
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<br />SIGNATURE: OWNER OR AGENT
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<br />~~~ ~ ~~~ ~~
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<br />SIGNATURE: CONTRACTOR
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<br />was acknowledged
<br />, 19 JlL.. by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument
<br />before me thisAllgllc:.t 10
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF __I:asco
<br />The foregoing instrument
<br />before me th i s Aug. 10
<br />
<br />was acknowledged
<br />, 19-9-2-- by
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