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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 ONner 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Deparlient, (813)
<br />188-6611. .
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<br />FurtherlOre, if the ONner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections" of this application for which they Nill be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than 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 perlitting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES I~
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<br />D. CONSTRUCTION LIEN ~W (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOJeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleDne other than the
<br />.owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to COBenCelent.
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<br />E. CONTRACTOR'SjOWNER'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, loning, and land developlent.
<br />, ,
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfofled to leet standards of all Ials
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies laY apply to tbe intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />* Deparllent of Hnvironlental Regulation - Cypress Bayheads, Vetland Areas and Bnvironaentally Sensitive Lands,
<br />Vater/Vastewater Trealient
<br />* Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses
<br />* ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
<br />* Deparlient of Health & Rehabilitative Services, Bnvironaental Health Unit - VeIls, Vastewater !reallent, Septic !anls
<br />* US Hnvironaental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zooe "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volOle" 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 shall 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 shall is~u~nce of a per.it prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOll invalid
<br />unless the work authorized by such perlit is cOllenced Mithin sil IOnths of issuance, or if Mork authorized by the perait is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. The 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 />NARNING TO ONNHR: YOUR FAILURE TO RECORD A NOTICH OF COHMBMCBHEN'l HAY RESULT IN YOUR PAYING TWICE FOR IMPROVBIIBI!S TO YOUR
<br />PROPIlRTY. IF YOU IMTIlND TO OBTAIN FINANCING, CONSULT VITH YOUR LIlMDIlR OR AM AnORRI!Y BIlFORB RICORDING YOUR NOTICE OF
<br />COHHENCHHHNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICH OF COHHBNCIMIN'l".
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<br />SIGNATURE: OIfMER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />
<br />STATH 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 bas
<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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