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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to 'deed restrictions. which lay be lOre 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 OIner bas 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 .ay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have tbe 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 tbe IOrk. If the contractor wisbes you to sign
<br />as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrbills.
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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, have been provided with a copy of 'Florida's Construction Lien Law _ Hoteow.oer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is SoteODe other than the
<br />Uownerl', I certify that I have obtained a copy of the above described docUleDt and prOtise in good faith to deliver it to the
<br />"owner" prior to COlleDcelent.
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<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 developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no IOrk or
<br />installation bas cOlleDced prior to issuance of a perlit and that all work will be perfoIled to leet 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 otber governtental agencies laY apply to the intended work, and that it is
<br />IY responsi~ility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Departtent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treattent
<br />* Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />* ArtY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departtent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treattent, Septic rants
<br />* US Environtental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "AU or "A,etc.., it is understood that a drainage plan
<br />addressing a UcOlpeDsating volUle" will be subtitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />STATE OF FLORI~
<br />COIJJfY OF aA co
<br />The foregoing instrument was acknowledged
<br />before me this qr'!-:;:"" 19~ by
<br />,
<br />
<br />A perlit issued sball 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 shall issuance of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
<br />unless the IOrk authorized by such perlit is cOllBnced within six IOntbs of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day extension of tile, .ay be
<br />allowed for the pec,it with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection nst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WAIUlING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHDCEIIBMt' HAY RESULT IN YOUR PAYING TWICE FOR IHPROVKHENrS TO YOUR
<br />PROPERTY. IF YOU INTEIfD TO OBYJlIlf FIIWlCING, CONSULT WITH YOUR LBlfDER OR All AffORREY BEFORE RECORDING YOUR NOTICE OF
<br />COMMKNCEHENT. JOBS UNDER $2,500 Ilf VALUE DO NOT NEED TO RECORD AJID POST A "NOTICE OF COMHEBCEIIKNT".
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<br />
<br />STATE OF FLORIDA /)
<br />COUNTY OF ~__ r,
<br />The foregoing instrument was acknowledged
<br />before me this ~ cI.':J 11'__, 19~ by
<br />
<br />
<br />~~i~on~i;known to me or who has
<br />produced
<br />as i tif. id/did not
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<br />known to me qr who has
<br />
<br />o did/did not
<br />
<br />
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