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<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands tbat this perlit JaY be subject to Ideed restrictions" which lay be lOre restrictive than City
<br />regulations. tbe undersigned assUles responsibility for COIpliance 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 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
<br />IContractor Sections" of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather tban the contractor, are responsible for the work. If the contractor wisbes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perJitting 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, bave been provided with a copy of 'Florida's Construction Lien Law - HOJeOWner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOJeone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />"ownern prior to couencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<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 bas cOllenced prior to issuance of a perlit and that all work will be perfolled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveruental 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. Sucb agencies include but are not lilited to:
<br />* Departlent of HnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and HnviroDJentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rebabilitative Services, HnvirODJental Health Unit - Wells, Wastewater treatJent, Septic tanks
<br />* US HnvirODlental Protection Agency - Asbestos abateJent
<br />I also certify that, if filllaterial is to be used in Flood Zone IAI or "A, etc. ", it is understood that a drainage plan
<br />addressing a uc~pensating VOlUle'1 will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />A perlit issued sball 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 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. Every perJit issued shall beCOle invalid
<br />unless the work authorized by such perlit is COII8Ilced within six IODthS of issuance, or if work authorized by the pellit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is COlleJlced. One 90 day extension of tile, laY be
<br />allowed for the pellit with fee cbarge of $15.00. tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sixlOnth period, or the project will be considered abandoned.
<br />WARlHHG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEHCHMEIft' MAY RESULt IN YOOR PAYING twiCE FOR IMPROVEIIBNTS to YOUR
<br />PROPERTY. IF YOO IIft'EHD to OBtAIB FIJlAHCING, CONSULt WIIH YOUR LEHDER OR AN AnORNBY BEFORE RECORDING YOUR BOTICE OF
<br />COHMKNCHKKIft' . JOBS UJlDHR $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMEJICHKKIft'".
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<br />..;J,~ 0 I.Q f\;' r
<br />SIGNAtURE: COH1'RACtOR
<br />
<br />SIGNATURE: OWNER OR AGE1ft'
<br />c_
<br />
<br />StATE OF FLORIDA
<br />COOIft'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE 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 who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oa.th.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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