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<br />CONDITIONS OF PERi1IT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ und~rsign~d und~rstands that this p~rait 'aay b~ subj~ct to 'deed r?strictions' Mhich lay be lore r~strictive than City
<br />regulations. The undersigned assuaes responsibility for coap~iahce Mith any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the OMner has hired a contractor or contractors to undertake Mork, they aay b~~~quir~d to be lic~ns~d in accordance Mith
<br />state and local regulations. If the contractor is not licensed a~ required by laM, both the OMner and contractor aay be
<br />cited for a lisdel~anor violation under state laM. If the OMner or intended contractor are uncertain as to "hat licensing
<br />requirelents lay apply for the int~nded Mork, they are advis~d to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />Furtherlore, if the OMner 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 Mhich they Mill be responsible. If you, as the OMner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Mork. If the contractor Mishes you to sign
<br />as contractor that aay 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 Mith a copy of "Florida's Construction Lien LaM - HOleoMner's Protection
<br />Guide' prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the
<br />'oMner', I certify that I have obtained a copy uf the above described doculent and prolise in good faith to deliver it to the
<br />'oMner' prior to cO.lencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all Mork Mill be done in coapliance Mith all
<br />applicable laMS regulating construction, zoning, and land developlent.
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<br />Application is hereby aade to obtain a perait to do Mork and installation as indicated. I certify that no Mort or
<br />installation has cOlaenced prior to issuance of a perait and that all Mork Mill be perforaed to aeet standards of all laMS
<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 aay apply to the intended Mork, and that it is
<br />ay responsibility to identify Mhat actions I aust take to be in coapliance. Such agencies include but are not lilited to:
<br />f Departaent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Water/WasteMater Treataent
<br />f SouthMest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Aray Corps of EnQineers - SeaMalls, Docks, Navigable Watenays O'
<br />f Departaent of Health L Rehabilitative Services. ~r.vironaent~l Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection Aqency - Asbest:s aUdt~~~Et
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A' ~~ 'A,etr,", it is understood that a drainage plan
<br />addressing a 'coapensating volute' Mill be sub.itted Mhich is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance. ~
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<br />A perait issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall 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 perlit issued shall becole invalid
<br />unless the Mork authorized by such perait is coaaenced within six aonths of issuance, or if Mork authorized by the per.it is
<br />suspended or abandoned for a period of six aonths after the tiae the Mork is coa.enced. One 90 day extension of tile, lay be
<br />allowed for the perait with fee charge of $15.00. The extension sh~ll be requested in Mriting to the Building OfficiJl. An
<br />approved inspection lUSt be logged during each six gonth period, or the project Mill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT "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 />CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DU NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT'.
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CON1~ACTOR
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<br />b;;:,ft:>~;;;. m:: th:.s
<br />
<br />.0
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<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />?:~'.',E. fhe this 19_ by
<br />
<br />STATE OF,FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />
<br />who is persc,nally known to me or whl) 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 oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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