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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 Lo "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOH .RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be l~censed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, botb the OIner 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 DepartJent, (813)
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />.Contractor 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 tbe 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 ~~
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<br />D. CONSTHUCTION LIEN L~W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I~ the applicant, bave been provided with a copy of .Florida's Construction Lien Law - HOJeQIDer'. Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsDler Affairs. If the applicant is sOIeone.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 co..encelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cQlpliance with all
<br />applicable laws regulating construction, loning, and land developlent. . \ ' ~
<br />I \
<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 perf OIled 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 goverDlental agencies JaY apply to tbe intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not liJited to:
<br />* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and RnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Rngineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health' Rehabilitative Services, RnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanls
<br />* US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete.", it is understood that a draloage 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 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued aball becoIe invalid
<br />unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the perlit Is
<br />suspended or abandoned for a period of sil IOntha after the tile the vork is cOllenced. One 90 day estension of tile, ., 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 />WARNING TO OWRER: YOUR FAILURE TO RECORD A ROTICE OF COHHBNCRHKRT HAY RBSULT IN YOUR PAYING TWICE FOR IHPROVIIIIRS TO YOOI
<br />PROPERTY. IF YOU INTERD TO OBTAIR FINANCING, CONSULT WITH YOUR LENDER OR AR ATTORNBY BEfORE RECORDING YOUR NOTICI OF
<br />COHHERCRHENT. JOBS URDER $2,500 IN VALUR DO NOT NEED TO RECORD AND POST A "NOTICR OF COKHRNCRMIHT".
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<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURB: OWNER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATR 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 bas
<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
<br />
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