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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. rhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRAC'l'ORS AND CON'l'RAC'l'On RESPONSIlJILITIES
<br />If the owner bas bir'ed.a contractor or contractors to undertake work, they .ay be required to he licensed in accordance with
<br />state and local 'regulations. If the contractor is not licensed as require4 by law~ both the owner and contractor IaJ be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents .ay apply (or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611. ,
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<br />Further.ore, 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 whicb tbey will. be ,responsible. If you, as tbe~er sign as the contractor,
<br />you are indicating that you, rather than the contractor, are r~sponsible for the wort. If tbe contractor wishes you to sign
<br />as contractor that .ay be an indication that he is ~ot 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
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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, have been provided with a copy of "Florida's Construction Lien Law _ HDIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs, If the applicant is SOIeDne 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 couenCelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all tbe inforiation in this application is accurate and that all. wort will be d&ne in cOlpliance with all
<br />applicable law8 regulating construction, loning, and land develop.ent,
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<br />Application is hereby .ade to obtain a per.it 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 worl viII be perfolled 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 otber govefDIental agencies lay apply to the intended worl, and that it is
<br />,y responsibility to identify wbat actions I .ust take to be in co.pliance. Sucb agencies include but are not Iilited to:
<br />t Deparllent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater rreallent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />t Ar.y Corps of Engineers - Seavalts, Docks, lavigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Ireallent, Septic lanks
<br />t US EnviroDleDtal Protection Agency - Asbestos abatelent
<br />I also certify tbat, if fill .aterial is to be used in Flood ZOne "A" or "A,etc.., it is understood that a drainage plan
<br />addressing a "co.pensating volUle" will be sub.itted wbich is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it_ issuance.
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<br />. A per.it issued sball be construed to be a license to proceed witb the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe tecbnical codes, nor sball is~u~nce of a per.it prevent tbe Building Official ftOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIJit issued &ball heCOll invalid
<br />unless the work authorized by sucb perlit is cOllenced within six IOnths of issuance, or if vorl authoriled by the perlit is
<br />suspended or abandoned for a period of silllOnths after the ti.e the worl is c~enced, One 90 day eJtension of tile, ., he
<br />allowed for tbe per.it witb fee charge of '15.00. The extension sball be requested in vriting to the Building Official. An
<br />approved inspection .ust be logged during eacb six IOntb period, or tbe project will be considered abandoned.
<br />NAMING TO OIIIIR: YOUR FAILURE TO RICaRD A 10TICK OF COHHERCHHlNT HAY RESULT IN YOUR PAYIIC nICK FOR IHPROVlllBUS 10 YOUR
<br />PROPERTY. IF"YOU IN'lEID TO OBTAIK FINANCIIG, CONSULT WITH YOUR LEIDER OR AI ATTORIEY BIFORE RiCORDIIC YOUR lallCE OF
<br />COHHEICHHEIT. JOBS UNDER $2,500 IN VALUE DO lOT IEED TO RECORD AND POST A "NOTICE OF COIIMIlCEMlN'l". _
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<br />SIGIATURI: OWNER OR AGENT
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<br />SIGNATURE: COITRlCTOR
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<br />STArE OF FLORIDA
<br />COUDY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
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<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19_____ by
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<br />who is personally known to me or who has
<br />produced
<br />8S identification and who did/did not
<br />take an oath.
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<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)
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<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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