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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 to "deed restrictions" which ~y be lOre restrictive than 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. U the contractor is not licensed as required by law, both the owner and contractor lal be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />FurtberlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wlticb they wiU 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 tbe contractor wishes 10U to sign
<br />as contractor tbat 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'rION LIEN Lnw (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 _ HoIeowDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs, If tbe applicant is SOl8ODe 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 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 that all work will be done in cOIpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
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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 perforJed to l8et 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 other governlental agencies lay apply to the intended worl, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Departlent of EnvironleDtal Regulation - Cypress Bayheads, Wetland Areas and InviroDlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnviroRl8Dtal Health Unit - Wells, Wastewater Treatlent, Septic lanks
<br />t US EnviroRl8Dtal 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 drainage plan
<br />addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it, issuance.
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<br />. A perlit issued shall be construed to be a license to proceed with 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 petlit issued &ball beCOle invalid
<br />unless the work authorized by such perlit is cOll8nced within sil IOnths of issuance, or if work authoriled by the peflit is
<br />suspended or abandoned for a period of six IOnths after the U. the work is couenced. One 90 day 81tension of 0., la, be
<br />allowed for the perlit with fee charge of '15.00, Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sil IOnth period, or the project will be considered abandoned.
<br />WARNING TO OIlIER: YOUR FAILURR TO RRCORD A NOTICR OF COHHRNCRHBIIf ItAY RISULT III YOUR PAYING DICK POR IIIPROVIIIIIIS 10 YOUR
<br />PROPERTY. IF YOU IIITEND TO OBTAIN FINANCING, CONSULT WITH YOUR LIIDBR OR AN Anon.BY BlPORE RECORDIHG YOUR HOliCK OF
<br />ClJIHRNCBHENT. JOBS UNDER '2,500 IN VALUE DO NOT NEED TO RRCORD AND POST A "NOTICE OF COHHRNCEIIIIII". '
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<br />SIGNArURI: OWNER 0 A T SIGNATURE: CONTRACTOR
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<br />STArR OF FLORIDA -p 4
<br />CooIITY OF ;' ,.5' C. 0
<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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