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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peTlitlay be subject to "deed restrictions" IIhich lay be lore restrictive than City
<br />regulations. The undersigned assule~ responsibility for cOlpliance lIith any applicable deed restrittions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ollner has hired a contractor or contractors to undertake 1I0rk, they lay be required to be licensed in accordance lIith
<br />state and local regulations. If the contractor is not licensed as required by lall, both the ollner and contractor lay be
<br />cited for a lisdeleanor violation under state lall. If the ollner or intended contractor are uncertain as to IIhat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />Further.ore, 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 ollner 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 LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided Nith 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 lIill be done in cOlpliance lIith all
<br />applicable lalls 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 lnd that all work lIill be perforled to leet standards of all lalls
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdittion. 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 />, Departlent of Environlental ReQulation - Cypress Bayheads, ~etland Areas and Environlentally Sensitive Lands,
<br />Water/Wastellater Treatlent
<br />, Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Are~s, Altering Watercourses
<br />, ArlY Corps of EnQineers - SeaNalls, Docks, Navigable WaterNays
<br />, Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, ~astellater Treatlent, Septic Tanks
<br />, US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood lone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" lIill be sublitted IIhich 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 lIith the 1I0rk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro I 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 perlit is cOllenced within six lonths of issuance, or if 1I0rk authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 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 lIill be considered abandoned.
<br />WARNING TO O~NER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT 'WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />tE"BIT' 30 O"OER '2,500 I' VAlUE 00 NOT.m TO REC1lR~Q~::"
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<br />SIGNATURE: 0 TRACTOR
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<br />STATE OF~ FLORlmr::z """' ^ "........
<br />COUNTY OF ~ ~
<br />The foregoing instrument was acknowledged
<br />befc,re me tilis 12 - 'Z../- , 192k::. bv
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<br />STATE OF FLORIDA ....l -(\ '\
<br />COUNTY OF ~\..,V
<br />The foregDing instrument was acknDwledged
<br />befclre me th i s / t. ..- Z (- , 19 ~ by
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<br />has
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<br />whc. has
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<br />(Name )"Y-R-edr F'p-i ntlf"tJ'.....Oi'-""Sfamped)
<br />NOTARV PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC . .If!,~"., ,..I~;"'::;~;\~~"~1f:;.".
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