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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that tbis pemit lilY be subject to 'deed restrictions' which lilY be lOre restrictive than City
<br />regulations. the undersigned ass\lle& responsibility for COIpliance ,itb any applicable deed restrictions.
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<br />'.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe OlDer has hired a contractor or contractors to undertake IOrk, they JaY be required to be licensed in accordance ,itb
<br />state and local regulations. If tbe contractor is not licensed as required by law, botb tbe mmer and contractor lilY be
<br />cited for a lisdelll!anor violation under state law. If tbe owner or intended contractor are uncertain as to ,bat licensing
<br />requir8lellts lilY apply for tbe intended work, tbey are advised to contact tbe City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />FurtbeIlOre, if the OIner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which tbey ,ill be responsible. If you, as tbe owner sign as tbe contractor,
<br />you are indicating that you, rather than tbe contractor, are responsible for tbe IOrt. If tbe contractor wishes you to sign
<br />as contractor tbat lilY 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, tbe applicant, bave been provided ,itb a copy of 'Florida's construction Lien Law - lkIIeoImer's Protection
<br />Guide' prepared by tbe Florida Departlent of Agriculture and Conslller Affairs. If tbe applicant is SOMODe otber than the
<br />'owner', I certify tbat I bave obtained a copy of the above described c10cUIent and pI'Olise in good faitb to deliver it to tbe
<br />"OIIler' prior to co.enCl!lll!Jlt.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in tbis application is accurate and that alllOrt ,ill be done in COIpliance ,itb all
<br />applicable laws regulating construction, loning, and land developlellt.
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<br />Application is hereby Jade to obtain a peIlit to do work and installation as indicated. I certify that no IOrt or
<br />installation has CDlencec1 prior to iBSuance of a pemit and that alllOrk ,ill be perforJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land develO(llellt regulations in the jurisdictioo. I also
<br />certify tbat I understand that tbe regulations of otber goverDllental agencies lilY apply to the intendec1work, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not liaited to:
<br />t Deparbent of Envirolllelltal Regulation - Cypress Bayheads, lIetland Areas and Envirolllentally Sensitive Lands,
<br />lIater/Vastewater !reatlent
<br />t Soutb,est Florida lIater Hanag8lellt District - IIells, Cypress Bayheads, lIetland Areas, Altering lIatercourses
<br />t lIlY Corps of Engineers - Seawalls, Docks, lavigable lIaterways
<br />t Departlent of Bealtb & Rehabilitative Services, BnvirODllUltal Bealtb Unit - lIells, Wastewater !reatlent, Septic !aub
<br />t US InviIOllllental Protection Agency - Asbestos abatellellt
<br />I also certify that, if filllilteriaI is to be used in Flood Zone 'A' or 'A, etc. " it is understood that a drainage plan
<br />addressing a 'COIP8nBating volUle' ,ill be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pemit iBSuance.
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<br />A perlit issued shall be construed to be a license to proceed ,itb the IOrk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent tbe Building Official fI'Ol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall becc.e invalid
<br />unless the IOrk authoriled by such peIlit is COII8Ilcedllitbin s1llOnths of issuance, or if IOrk authoriled by the peIlit is
<br />suspended or abandoned for a period of sil IODths after tbe tile the IOrk is ~ced. One gO day stension of tile, IilJ be
<br />allowed for tbe pemit ,itb fee charge of $15.00. !be stension sball be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODtb period, or tbe project ,ill be considered abandoned.
<br />IfARlUIfG '1'0 OIIIIR: YOUR FAILURE to RECORD A 1000ICE OF CCJlIIBICIIlm HAY RISUL! II YOUR PAYIHG filCE FOR IHPROVIIIIIIIS to YOOI
<br />PROPER'lY. IF YOU IJI!BII) '1'0 OB'IIIJI FlIlAlCIIG, COISULr III!H YOOR LBIIDIR OR II AnORDY BI10RB RICORDIJIG YOOI 1000ICB OF
<br />aJlHDCBHIH!. JOBS UlDIR $2,500 II VILUE 00 lOt' ifili) to RECORD lID POS! A 'IOt'ICE OF COIIIDCBHIH!'.
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<br />SIGD'rURB: ComAC'lOR
<br />
<br />SIGIA'IURI: (lOR OR IGIII!
<br />
<br />sun OF FLORIDA
<br />coum OF
<br />The foregoing inst~ent was acknowledged
<br />before me this , 19____ by
<br />
<br />srAn: OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and wbo did/did not
<br />take an oath.
<br />
<br />who is personally known to me or wbo bas
<br />produced
<br />as identification and who did/did not
<br />take an o~th.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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