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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it 'lay be subject to "deed restrictions' which ~ay be aore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance 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 be r~quired ~icensed in accordance with
<br />state and local regulations. If the' cbnhactor is not"licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state IaN. If the owner Dr intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, (813)
<br />788-66 I!.
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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 tontractor, are responsible for the work. If the contractor wishes YDU to sign
<br />as contractor that Day 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 CONNECT)ON 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 LaN - HOleoNner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOlleone 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 co.aencelent~
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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 Hork Hill be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, 'and land development.
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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 cOlllenced prior to issuance of. a perlit and that all HorK will be performed to ~eet 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 governmental agencies may apply to the intended work, and that it is
<br />ay responsibility to identify what actions I must take to be in coapliance. Such agencies include but are not li.ited to:
<br />I Departlent of Environmental ReQuIation - Cypress Bayheads, Wetland Areas and Environ~enta]ly Sensitive Lands,
<br />'Hater/Wastewater Treatment
<br />f Southwest Florida Water NanaQement District - Wells, Cypress Bayheads, Hetland ~reas, ~ltering Hatercc'urses
<br />f ArlY Corps of EnQineers - Seawalls, DOCKS, Navigable Waterways .
<br />f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - ~ells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A" or 'A,etc,", it is understood that a drainage plan
<br />addressing a 'co.llpensating volulle' will be subli tted whic~)s pr~p_ared by a professional engineer registered in the state of
<br />Florida prior to perDit 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 permit prevent the Building Official fro I thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per~it issued shall becote invalid
<br />unless the work authorized by such perlit is cOI.enced within six months of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six months after the tIme the work is com~enced, One 90 day extension of tiDe, lay be
<br />allowed f?r the perlit Hith fee charge of $15.00: The extension shall be requested in writing t[, the Building Official. An
<br />approved inspection must be logged during each six month period, Dr the project Hill be considered abandoned.
<br />HARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING THICE 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 />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF MMENCEKENT'.
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<br />SIGNATURE: OWNER OR AGENT
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<br />
<br />STATE OF FLORIDA
<br />COUllTY OF
<br />The foregoing instrument was acknowledged
<br />befc,)-e me th is, 19 by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 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 />pl-oduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(SignatUl-e)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />t~OTARY PlJr,!l~lh
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