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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />fhe undersignl!d understands that this peIlit lay be subject to Ideed restrictionsl which lilY be lOre restrictive than City
<br />regulations.fhe widersigned 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 contractors to undertake wort, 'tbey 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 OIIDer and contractor lilY be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!lents lay apply for the intended work, they are advised to contact the City of Zepbyrhil1s Building Departlent, (813)
<br />788-6611.
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<br />FurtherJore, if the OIfIler has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />lContractor Sections I of this application for If,bich they ,ill be responsible. If fOU, as the OIIDer sign as the coatractor,
<br />you are indicating that you, rather than the corttractor, are responsible for the 1fOrt. If the contractor wisbes you to sign
<br />as contractor that JaY 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 AMBHDED)
<br />I certify. that I, the applicant, have been provided lith a copy of IPlorida's Construction'Lien La, - lkIIeoImer's Protection
<br />Guidel prepared by the Plorida Departlent of Agriculture ,and ConsUJer Affairs. If the applicant is 8OIeOIl8 other than the
<br />lowner', I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
<br />lownerl prior to cOJJencl!lent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT,
<br />I certify that all the inforliltion in this application is accurate and that all work ,ill be done in COIpliance with all
<br />applicable laws regulating construction, Joning, and land developllent.
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<br />Application is berebJ lade to obtain a perlit to do work and installation as indicated. I certify that DO work or
<br />installation has CDlenced prior to issuance of a peIlit and that aU work will be perforJed to _t standards of alllavs
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveI1llenW agencies IilJ apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not lUited to:
<br />t DepartJent of EnvirollJelltal Regulation - Cypress Baybeads, Vetland Areas and EnviroDJenWIJ Sensitive Lands,
<br />Vater/Vastewater freatlent
<br />t Southwest Florida Vater Hanagl!lent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers - Seawalls, Docks, Kavigable Vaterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - VeIls, Vastewater freatlent, Septic fanks
<br />t US EnvirODlental ProtectiOn Agency - Asbestos abateJent
<br />I also certify that, if fill laterial is to be used in Flood Zone IAI or IA,etc.l, it is understood that a drainage plan
<br />addressing a ICOlpeDsating volUlel will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />A Pl!l'lit issued shall be construed to be a license to proceed lith the work and not as authority to violate, cancel alter, or
<br />, Bet aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fIOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery pl!l'lit issued shall becc.e invalid
<br />unless the work authorized by such perlit is cOllenced within sillOnths of issuance, or if lIork authorized by the Pl!l'lit is
<br />suspended or abandoned for a periOd of sillOnths after the tin the 1I0rk is coaenced. Ooe 90 day utension of tile, lilY be
<br />allOlfed for the Pl!l'lit with fee charge of $15.00. The utension shall 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 />VARHIJG TO OIlIER: YOUR FAILURE fO RECORD A 10TICE OF COHHBJICEHEHr HAY RESULT II YOUR PAnK' fIIICE FOR IHPROVBHBHrS TO YOUR
<br />PROPERfY. IF YOU mIlD TO OBfAII FIIlAlfCIHG, COHSULT VIrH YOUR LBJlDBR OR All ATrOIlDY BEFORE RECORDIHG YOUR JOIICH OF
<br />COHHBJICEHEI1'. JOBS UlfDBR $2,500 IN VALUB DO HOI NEED TO RECORD AJID POST A INOTICE OF COHHEJICIHiJIr-.
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<br />SlAfE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_ by
<br />
<br />STAlE OF PLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />b~fore 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 o~th.
<br />
<br />(Signature)
<br />
<br />(Name. Typed, Printed or Stuped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name bPed, Printed or Stamped)
<br />NOTARY PUBLIC
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