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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pemit laY be subject to Bdeed restrictions" which lay be lOre restrictive than City
<br />regulations. 'he undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner 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 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 Zephyrhills Building DepartJent, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />nContractor Sections. of this application for which 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 the contractor wishes you to sign
<br />as contractor that laY be an indication that he is not properly licensed and is not entitled to pemitting 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 ~AW (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 - HOJeOIIDer's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is so.eone other than the
<br />.owner", I certify that I have obtained a copy of the above described docUJeDt and prOllise in good faith to deliver it to the
<br />"owner" prior to COJJeDceaent.
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<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developllent.
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<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 cOlleDced prior to issuance of a pemit and that all work will be perfoIJed to Jeet 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 governJental agencies Jay apply to the intended work, and that it is
<br />If responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AllY Corps of Engineers ~ Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater 'reatJent, Septic 'anks
<br />t US EnvirOJllental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood ZOne "AD or "A,etc.D, it is understood that a drainage plan
<br />addressing a .cOJpeDsating VOlUleD 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 per.it issued shall be construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official ffOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery peIlit issued shall beCOle invalid
<br />unless the work authorized by such pemit is collenced within six IOnths of issuance, or if work authorized by the pemit is
<br />suspended or abandoned for a period of six IOnths after the tiH the work is co.enced. One 90 day extension of tiH, Jay be
<br />allowed for the pemit with fee charge of $15.00. 'he extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARJIING '1'0 OIINBR: YOUR FAILURE '1'0 RECORD A N01'ICE OF COMMENCBMBIft' MAY RESULT IN YOUR PAYING DICE FOR IHPROVEIlDfS TO YOUR
<br />PROPBRTY. IF YOU IIft'BMD TO OBTAIN FlWCING, COlfSUL' IIIfH YOUR LBMDER OR Alf AnoRRBY BEFORE RECORDIlfG YOUR lf01'ICB OF
<br />COMMBIfCBMBIft'. JOBS UNDER $2,500 IN VALUE DO N01' NBBD TO RECORD AlfD POST A "NOTICE OF COIIMBNCBMBlft'".
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<br />SIGJlAfURB: om:R OR AGE1ft'
<br />
<br />SIGNATURE: COJITRACTOR
<br />
<br />S'I'ATE OF FLORIDA
<br />COlllft'Y OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STAn: OF FLORIDA
<br />COUNTY 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 oath.
<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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