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<br />CONDITIONS OF PERM!T AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit may be subject to "deed restricti~n5" which lay be lore restrictive than City
<br />regulations. The undersigned assutes responsibility for COlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS 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 the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a tisdeaeanor violation under state lall. If the owner Dr intended contractor are uncertain as to what licensing
<br />requiretents tay apply for the intended llork, they are advised to contact the City of 2ephyrhills Building Department, (813)
<br />7BB-bb 11.
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<br />Furthermore, 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 llhich they will be responsible. If you, as the owner sign as the contracto,-,
<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 may 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 FEE~.
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<br />D. CONSTRUCTION LIEN LAW (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 - Homeowner's ProtectIon
<br />Guide" prepared by the Florida Department of Agriculture and Consuter Affairs. if the applicant is SOleone other than tee
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it tel the
<br />"ollner" prior to cOllencement.
<br />
<br />:~
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all
<br />a~plicable laws regulating construction, zoning, and land development.
<br />
<br />I
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<br />Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no worK or
<br />installation has cOlmenced prior to issuance of a permit and that all work will be perforled to leet standards of all l~"s
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I must take to be in cOlpliance. Such agencies include but are not limited tCI:
<br />I Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water HanaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Army Corps of EnQineers - Seallalls, Docks, Navigable Waterways
<br />I De artlent of Health L Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I Environmental 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 submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alte'l or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole irlvalid
<br />unless the work authorized by such permit is cOllenced within six tonths of issuance, or if work authorized by the per~lt is
<br />suspended or abandoned for a period of six months after the tile the work is COlienced. One 90 day extension of tile, ~2, be
<br />allowed for the permit 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 will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO i0UR
<br />PROPERTY. IF YOU INTEND TO DBTAIN FINANCING, CDNSUlT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this 19_____ by
<br />
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me Dr 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 Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
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