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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS '
<br />The und~rsigned understa~ds that this perlitlay be subject to .deed restrictions. which .ay be lore restrictive than City
<br />regulations. The undersigned assules responsibility fOT cOloliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a tontractor or 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 required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what 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 />Furtherlore, 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 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 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 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/DWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this applic~tion is accurate and that all work will be done in cOlpliance 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 govern.ental 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 />. Departtent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />. Southwest Florida Water ManaQetent District - Wells, Cypress Bayheads, Wetland Ar~as, Altering Watercourses
<br />. Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services, Environ_ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />. US Environlental Protection AQency - Asbestos atJaT;eI\.:"t
<br />I also certify that, if fill laterial is to be used in Flood Zone .A. Dr .~,etc.', it is understood that a drainage plan
<br />addressing a .colpensating volule. Mill be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perli t issuance. ..
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<br />A per.it 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 pertit issued shall becole invalid
<br />unless the Mork authorized by such perlit is cOI.enced within six .onths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six tonths after the tite the work is co.tenced. One 90 day extension of tile, lay be
<br />alloMed:for the per.it 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 COHMENCEMENT HAY 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 />COMHENCEMENT. JOBS 'UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'.
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<br />SIGNATURE: CONTRACTOR
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<br />SIGNATURE: OWNER OR AGENT
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<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this . 19 bv
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<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />befcq-e me this __..__' 19._ by
<br />
<br />who is personally known to me Dr who has
<br />pn:.duced
<br />as identification and who did/did not
<br />take an oath.
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<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
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<br />(SignatLll-e)
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<br />(Signature)
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<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />'t.
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