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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that lhis perlit lav be subject Lo "deed restrictions" which aay be lOre restrictive than City
<br />regulations. The undersigned assWles responsibility (or cOlpliance wiLh any applicable deed restrictions.
<br />
<br />B. UNLICENSED CON'rRAC'!'OnS AND CON'l'RAC'rOU RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licen8ed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by Jaw, botb the owner and contractor .y be
<br />cited (or a lisdeleanor violation under state law. If lhe owner or intended contractor are uncertain as to what licensing
<br />reguirelents lay apply (or the inlended work, lhey are advised lo contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contraclor or contractors, he is advised to have the contractor(s) 8ign portions of the
<br />"Contractor Sections" of this application for whicb they lIill be responsible. If you, as the OIOlU 8ign as the contractor,
<br />you are indicating that you, rather than tile contractor, are responsible (or the lIork. If the contractor Wi8bes IOU to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting priVileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />{
<br />i
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<br />D. ,cONSTUUC'!'ION LIEN L'f\W (CHAPTER 713, FLORIDA STA'rUTES.I AS AMENDED)
<br />I certify that I, the applicant, have been provided lIith a copy of "Florida's Construction Lien Law - HOIeOIDer'. Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If the applicant i8 801e0De other than the
<br />"owner", I certify that I have obtained a copy of lhe above described doculent 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 AFFIDAVIT
<br />I certify that all the inforlation in,this application is accurate and lhat all 1I0rk lIill be done in COIpliance with all
<br />applicable lall8 regulating construction, loning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do lIork and instailation as indicated. I certify that no work or
<br />installation bas COIIenced prior to issuance of a perlit and that all IIOrk lIill be perfoIlBd to Jeet standards of all III'
<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 olher govero.entsl agencies lay apply to the intended worl, ana ~t it is
<br />IY responSibility to identify what actions I lUSt take lo be in cOlpliance. Such agencies include but are not Iilited to:
<br />· Deparllent of Enviroo.ental Regulation - Cypress Bayheads, Wetland Areas and Enviroo.entally Sensitive Lands,
<br />Nater/Wastellater Treatlent
<br />· Southwest Florida Water Hanagelent District - NeIls, Cypress Bayheads, Wetland Areas, Altering WatercoUlse.
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Healtb , Rehabilitative Services, Bnviroo.ental Healtb Unit - Wells, Wastellater TrealleRt, Septic lanks
<br />t US InviroDleDtal 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 dralDage plan
<br />addressing a "colpensating volUle" will be sublitted IIhich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit, issuance.
<br />
<br />. A perlit issued shall be construed to be a license to proceed lIith the 1I0rk and not as authority to ,iolate, cancel alter, or
<br />set.aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official fIOl tber8lfter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bverr perlit issued aball becoIe InvaJld
<br />unless the work authorized by such per.it is cOllenced within sil IOntbs of issuance, or if work autboriled bJ the petllt i.
<br />suspended or abandoned for a period of sil IOnths after the tile the work is cOlleDced. One 90 dar eatension of tile, II' be
<br />allowed for the perlit lIith 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 lIill be considered abandoned.
<br />WARIIING TO ONIER: YOUR FAILURE TO RECORD A NOTlCK OF COHIIENCKllBNT MAY RESULT IN YOUR PAYING IIlIa FOR DIPROVBIIIIr8 10 YOUR
<br />PROPERTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN ATTORIEY BlPORI AlCOHOlIC YOUR JOlla OF
<br />COHHENCBHKNT. JOBS UNDER '2,500 IN VALUR DO NOT NBRD TO RRCORD AND POST A -NOTICE OF COHKKHCBMIHI".
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<br />~~A~.
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<br />SIGNATURE: ONNER OR AGRNT
<br />
<br />: I:
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATR OF FLORIDA
<br />COUNTY OP
<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 lie 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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