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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject tli "deed rHstrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance wi',h any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ollner has hired a contrachr" Dr 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 r~Quired by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to con,act the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
<br />"Contractor Sections" of this application for IIhich they lIill be re<ponsible. If you, as the ollner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the worl:. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licellsed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILJTY 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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConSUtpr Affairs. if the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above descrih,~d doculent and promise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIr
<br />I certify that all the inforlation in this application is acclirate and that all worK will be done in cOlpliance with all
<br />applicable lalls regulating construction, zoning, and land dev21op.ent.
<br />
<br />Application is hereby lade to obtain a perlit to do 1I0rk and instailation as indicated, I certify that no worl: or
<br />installation has cottenced prior to issuance of.a perlit a!ld that III work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land Aeveloplent 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 />ty responsibility to identify what actions I lust take to be in crlpliance. Such agencies include but are not litited to:
<br />f Departlent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seallalls, Docks, Navigable Waterways '
<br />f Departlent of Health ~ Rehabilitative Services. Environmental H~lth Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental ~rote(tion AQ~f1Lf ~ ~:br~t~~ :h~tement
<br />I also certify that, if fill taterial is to be used in Flood Zon[\ "A' ~r "A,etc,", it i~ understcod th~t a drainage plan
<br />addressing a .colpensating volute" 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 perlit 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 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 invalid
<br />unless the worK authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the ti.~ the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extensiOll shall be requested in writing to the Building Official. An
<br />approved inspection,lust be logged during each six tonth period! or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHMENCEMENT. 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 />SIGNATURE: OWNER OR AGENT
<br />
<br />.--
<br />was ackn~wledged
<br />, 19__ oy
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />beTllre me this
<br />
<br />STATE OF"FlORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />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 or who has
<br />produced
<br />as identification and who did/did not
<br />take an (lath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />lName Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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