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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 lay 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. If the contractor is not licensed as required by law, botb the owner and contractor laY 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 tbe intended work, they are advised to contact the City of Zepbyrhills 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 which they will 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 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. CONSTRUCTION LIEN L~W (ClmPTER 713, FLORIDA STATUTES~ AS AMENDED)
<br />I certify tbat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoIoer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant i8 sOleODe other than the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to dellver~t tirthe
<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 cOlpliance with all
<br />. applicable laws regulating construction, loning, and land developlent.
<br />, I
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<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled to leet 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 goverDlentBl agencies aay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilite4 to:
<br />* Departlent of EnviroOlental Regulation - Cypress Bayheads, Vetland Areas and EnviroOlentally Sensitive Lands,
<br />Vater/Vastewater Treatlent
<br />* Southwest Florida Vater Hanagelent District - VeIls, Cypress B~yheads, Vetland Areas, Altering Vatercourses
<br />* ArlY Corps of Engineers - Seawalis, Docks, Navigable Waterways
<br />* Departaent of Health' Rehabilitative Services, EnvirODleOtal Health Unit - Wells, Vastewater Treablent, Septic Tanks
<br />* US EnviroOlental 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 perlit. issuance.
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<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 />set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official fCOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIldt issued shall beCDII iovalid
<br />unless the worl authorized by such per.it is cOIIenced within six IOnths of issuance, or if lorl authorized by the perJit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is COllt!Jlced. One 90 day eatension of tile, laY 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 />WARMING TO OIIIIR: YOUR FAILURI TO RECORD A 10TICI OF COHKEICKJlBIT HAY RlSULT IN YOUR PAYING fIIlCE FOR IHPROVIIIBIIS 1'0 1M
<br />PROPERTY. IP YOU Itn'KID TO OBTAIN FIIAICING, CONSULT VITH YOUR LENDER OR AN ArTORRKY BEFORI RlCORDIHG YOUR 1I000lCE OF
<br />COKMENCKJlBNT. JOBS UNDER $2,500 IN VALUE DO NOT NIED TO RECORD AND POST A "NOTICE OF COHMKNCKKKHT"..
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<br />SIGNATURI: OWNER OR AGEIT
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<br />SIGNATURE: CONTRACTOR
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<br />STATE OF FLORIDA
<br />COUDY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 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 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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