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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 assWles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<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, botb the owner and contractor lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply (or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />.188-6611.
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<br />Furtberlore, if the owner has hired a contractor or contractors, he is advised to have tIle contractor(s) sign portions of the
<br />"Contractor Sections. of this application for which they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible (or 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 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 unw (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HoIeoIoer's Protection
<br />Guide~ prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If tbe applicant is sOleone other than the
<br />.owner", I certify that I have obtained a copy of the above described docolent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'f
<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 />I I
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<br />Application is hereby lade to obtain a perlit to do work and instaifation as indicated. I certify that no vorl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled to Jeet standards of all laws
<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 goverRlental agencies laY apply to tbe intended vorl, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />· Departlent ot Bnvironlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health' Rehabilitative Services, EnvirORlental Health Unit - Wells, Wastewater rreallent, Septic Tanks
<br />· US EnviroRlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpensating volUle" 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 tbe 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 perlit prevent the Building Official frUl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit i88ued ahall beCOl8 invalid
<br />unless the work authorized by such per.it is cOllenced within sil IOnths of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of sil IOnths after the tite the work is cOllenced. One 90 day 81tension of tile, IiY 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 sil IOnth period, or tbe project will be considered abandoned.
<br />WARKING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENr HAY RESULT IN YOUR PAY'lNG 'flflCH FOR IMPROVIIIBftS TO YOUR
<br />PROPERTY. IF YOU IITEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORlEY BEFORB RlCORDIHG YOUR MorICH OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMENCEMEIT".
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<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUITY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FLORIDA
<br />COUITY 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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