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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait aay be subject to "deed restrictions" which aay be lOre restrictive than City
<br />regulations. The undersigned assoaes responsibility for coapliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertale worl, they aay 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 l8y be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireaents lay apply for the intended worl, tbey are advised to contact the City of Zephyrhills Building Deparllent, (813)
<br />788-6611.
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<br />Furtheraore, if the owner bas 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 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 pel1litting 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. CONSTRUC'l'ION LIEN Lf\.W (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 _ HoIeoIner'. ProtectioD
<br />Guide" prepared by the Florida Departlent of Agriculture and Consoaer Affairs. If the applicant i8 sOleODe other than the
<br />"owner", I certify that I have obtained a copy of tbe above described docuaent and prOlise in good faith to deliver it to the
<br />"owner" prior to cOllenceaent.
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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 worl will be dODe in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a per.it and that all work will be perfoIJed to aset standards of all 1818
<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 otber goverDlental agencies lay apply to the intended worl, and that it Is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />I Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Nater/Nastewater Treataent
<br />I Southwest Florida Water Hanageaent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />· Departlent of Health' Rehabilitative Services, EnviroDlental Healtb Unit - NeIls, Wastewater Treallent, Septic Tanks
<br />· US Environtental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "coapensating voloae" will be subaitted which is prepared by a professional engineer registered in tbe State of
<br />Florida prior to perait. 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 ,iolate, cancel alter, or
<br />set aside any provisions of tbe technIcal codes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued &ball becoIe invalid
<br />unless the work authorized by such per.it is cOll8nced within Sil IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of slllOnths after tbe tias the work is c~enced. One 90 day utension of tile, .y be
<br />allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection anst be logged during each slllOntb period, or the project will be considered abandoned.
<br />NARNIHG TO OWNER: YOUR FAILURE TO RECORD A NOTlCE OF COMMENCHHKNT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVIIIBIIS TO YOOR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORREY BEFORE RlCORDIIiG YOUR IfO'I'ICB OF
<br />COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COIIHEIiCEIIEIIT".
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<br />~ParJ
<br />SIGNATURE:. R OAG8n
<br />
<br />~&hJ~
<br />SIGNATURE: CONTRACTOR
<br />
<br />: I
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE 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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