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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peIlit lay be subject to 'deed restrictions" which laY be lOre restrictive than City
<br />regulations. Ihe 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 contractors to undertake work, they lay be required to be licwed in accordance with
<br />state and local regulations. If tbe 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 wbat licensing
<br />requirelents laY apply for the intended work, they are advised to contact tbe City of Zephyrbills Building Departlent, (813)
<br />788-6611.
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<br />FurtherlOre, if the OIner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for wbicb 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 tbe contractor wisbes you to sign
<br />as contractor that laY be an indication that be is not properly licwed 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
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and CODSuter Affairs. If the applicant is sOleORe otber than the
<br />"owner", I certify that I bave obtained a copy of the above described docUlent and prOllise in good faith to deliver it to the
<br />"ownern prior to cOlllellcelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developleDt.
<br />
<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 COlllellCed prior to issuance of a perlit and that all work will be perf OIled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIental 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 luited to:
<br />* Departlent of EnviroRleRtal Regulation - Cypress Baybeads, Vetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Wastewater Treatlent
<br />* Soutbwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Ravigable Waterways
<br />* Departlent of Health' Rebabilitative Services, EnvirORleDtal Health Unit - Wells, Wastewater Ireatlent, Septic lanks
<br />* US EnviroDlental Protection Agency - Asbestos abatelent
<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 'cOlpensating volute" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall beCOle invalid
<br />unless the work authoriled by such peIlit is co.mced within slllORtbs of issuance, or if work authoriled by the peIlit is
<br />suspended or abandoned for a period of slllOntbs after the tile the work is c~ced. One 90 day eJtension of tile, lay be
<br />allowed for the peIlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during eacb sil IORtb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURI TO RECORD A NOTICE OF COHMBIfCBllBNt MAY RESULT IN YOUR PAYIRG nUCE FOR IMPROVIlIIBNIS TO YOUR
<br />PROPERTY. IF YOU INtERD TO OBfAIR FIIWICIIfG, COIfSULT WITH YOUR LErmER OR AM AnoRJIEY BEFORE RECORDIRG YOUR NO'fICH OF
<br />COMHKIfCBHENT. JOBS UffDER $2,500 IR VALUE DO ROT RBlD TO RECORD AIfD POST A "ROTICE OF COHHBIlCBHBNI'.
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<br />SIGRATURE: OVIIIlR OR.:, ::~. -.
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<br />SIGIIATURK: CONT~s ~ \
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<br />STATK OF FLORIDA
<br />COUR'lY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUNIY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
<br />
<br />,
<br />who is personally known ~o me or who has
<br />produced . \,... .. '~
<br />as identificat~oD'~ wbo did~did not
<br />take an oath. "
<br />
<br />who is pers~all\'kno"\l. to me or who bas
<br />produced ~ n
<br />as identifi . \~d w,boMd/did not
<br />take an o~th.
<br />
<br />(Signature)
<br />
<br />(Name 1yped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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