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<br />· .. r CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to Bdeed restrictionsB which .ay be lOre restrictive than City
<br />regulations. The undersigned aSSU8es responsibility for co.pliance with any applicable deed restrictioDS.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they .ay 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8Il)
<br />788-6611.
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<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portioDS of the
<br />BContractor SectionsB of this application for wbich tbey will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than tbe 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 perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />c. TRANSPORTATION IMPACT FEES AND U'fILI'fY CONNECTION FEES t,t'
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<br />D. CONSTRUCTION LIEN L~W (ClffiPTER 713, FLORIDA STATUTES1 AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of BFlorida's Construction Lien Law - HoIeoIner's Protection
<br />GuideD prepared by the Florida Departlent of Agriculture and ConsU8er Affairs. If tbe applicant i8 sOleODe other than the
<br />.owner", I certify that I have obtained a copy of the above described docu.ent and prOlise in good faith to deliver it to the
<br />Downer" prior to co..encelent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVrr
<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
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that DO worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all law8
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand tbat the regulations of otber goverD8ental agencies lay apply to tbe intended wort, and that it i8
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />A Departlent of EnvirODlentaI Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
<br />Vater/Vastewater Treallent
<br />A Southwest Florida Water Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Watercourses
<br />A ArlY Corps of Engineers - Seawalls, Docks, lavigable Vaterways
<br />A Departlent of Healtb , Rehabilitative Services, EnviroDlentaI Health Unit - Veils, Wastewater Treallent, Septic Tanks
<br />A US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A. or BA,etc.", it is understood tbat a drainage plan
<br />addressing a .cOlpensating volUle" will be sub.itted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it. issuance.
<br />
<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 />Bet 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 peIlit issued ahall beCOll invalid
<br />unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if worl autboriled by the perlit is
<br />suspended or abandoned for a period of sil IOntha after the tile the work is c~ced. One 90 day 8Itension of tile, .J be
<br />allowed for the perlit with fee charge of $15.00. The Bltension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or tbe project will be considered abandoned.
<br />VARJUIG TO OIIIIER: YOUR FAILURE TO RECORD A HOTICE OF COHKEICKHBI1' HAY RESULT II YOUR PAYlIC !VICB FOR IMPROVIIIBftS TO YOUR
<br />PROPBRTY. IF YOU II1'EID TO OBTAII FlIAICIHG, COISULT IIITH YOUR LENDER OR AJI ArTOORY BEFORB RBCORDIIiC YOUR MICB OF
<br />COMMENCEMENT. JOBS UNDER $2,500 II VALUR DO lOT NEID TO RICORD AID POST A "IOTICE OF COHMBICBMBITD.
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<br />, I
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<br />SIGIATURE: OVIER OR AGIIT
<br />
<br />SIGIATURE: COITRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUIft'Y 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 />(Narne Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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