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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 tban 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 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, both the owner and contractor III be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents .ay apply for the inlended work, lhey are advised to conlact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner 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 will be responsible, If lOU, 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 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. CONSTRUC'l'ION LIEN L1\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 taw - HOIeOIDer's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is BOIeODe other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the
<br />"owner" prior to COll8nCelent.
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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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developtent,
<br />I
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<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 perfoIled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies laY apply to the intended worl, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Vater/Wastewater Treallent
<br />· Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health' Rehabilitative Services, BnviroDleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />· US Environaental Protection Agency - Asbestos abatetent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressing a .cOIpensating 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 witb tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~ce 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 shall beCOl8 iovalld
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the pellit Is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOlleDced, One 90 day 81tension 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 tbe project will be considered abandoned.
<br />WAMING TO OWRER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCKllBNT HAY RKSUn IN YOUR PAYING NICE FOR IHPROVIIIIRfS TO YOUR
<br />PROPERTY. IF YOU IJlTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LKNDBR OR AN ATTORRBY BBFORE RECORDING YOUR KO'IICI OF
<br />COHHENCKHKNT, JOBS UNDER $2,500 IN VALOK 00 NOT NEKD TO RKCORD AND POST A "NOTICK OF CCIIHBJICBHBNT.,
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<br />SIGlA~OR f..~
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<br />SIGNATURE: C CTOR .
<br />
<br />, I
<br />
<br />STATK OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATK 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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