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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />,A. NOTICE OF DEED RESTRICTIONS
<br />Tbe u~lersigned understands that this per.it ~ay be subject to .deed restrictions' which may be sore restrictive than City
<br />regulations. The undersigned assules responsibility for co.pliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contracto~s to undertake work, they may b;-;~~uired ~-icensed in accordance with
<br />state and local regulations. If the' cn'nt'ractor is not,"licensed as required by law, both the ('Hner and contractor lay be
<br />cited for a .isde.eanor violation under state law. If. the OHn~r 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, (8131
<br />788-bb 11.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sl 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, rath~r than th~ tbntractor, are responsible for the work. If the contractor Hishes you to sign
<br />as contractor that aay be an indication that he is not properly licensed and is not entitled to per!itting 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 pr~vided with a copy of .Florida's Construction Lien Law - HOleoHner's Protection
<br />Suide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. if the applicant is soeeone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />~owner" prior to coelencelent~
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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 />applicable laws regulating construction, zoning, ~nd land development.
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<br />Application is hereby lade to obtain a perlit tc do work and installation as indicated. I certify that no work or
<br />installation has cOlllenced prior to issuance of. ~ perlit and that all Hork Hill be performed to !eet standards of all law5
<br />regulating construction, City codes, zoning regulations, and .land developeent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />ey responsibility to identify what actions I lust take to be in cODpliance. Such agencies include but are not Iilited to:
<br />f Departlent of Environeental ReQulation - Cypress Bayheads., Wetland Areas and Environ~entally Sensitive Lands,
<br />'Water/Wastewater Treatment
<br />f Southwest Florida Water ManaQelent District -' Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
<br />f Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells: Wastewater Treat.ent, Septic Tanks
<br />f US Environaental Protection AQency - Asbes~os abateDent
<br />I also certify that, if fill laterial is to be used in Flood Zone .n" or .A,etc.', it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublitted whic~)s pr~p_ared 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 froD thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per!it issued shall becole invalid
<br />unless the Mork authorized by such perlit is comDenced within six months of issuance, or if "(,rk authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the ti~e the work is cocgenced. One 90 day extension of tiie, lay be
<br />allowed f~r the perait with fee charge of $15.00; The extensiun shall be requested in wriling 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 OHNER: Y~UR FAILURE TO RECORD ~ NOTICE OF COMMENCEMENT MAY RESULT IN YOUR rAVING THICE FOR IMPROYEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIH FINANClIlS, CONSULT ~lTH your: LENDER OR AN ATTORtJE'I BEFOF:E RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMEtlCEMENT".
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<br />S
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<br />
<br />
<br />SI
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />befell-e me this , 19 by
<br />
<br />STATE OF ~LORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />who is personally known tQ ree or ~ho ~a5
<br />produced
<br />as identification and who did/did not
<br />ta~~e an oath.
<br />
<br />who is personally known to me Dr who has
<br />pl-oduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signatul-e)
<br />
<br />(Signatu'l-e)
<br />
<br />(Name Typed, Printed Dr Stamped)
<br />I2LQ..T ARY PllPL I~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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