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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 assOles 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 OlDer 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 />reguirelents lay apply (or the intended work, they are advised to contact 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 ot the
<br />"Contractor Sections" of this application (or which they will be responsible. If you, as the OlDer 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 per.itting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNKCTIONFEES
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<br />D. CONSTRUCTION LIEN L~W (ClffiPTER 713, FLORIDA STATUTES~ AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HoIeoIDerts Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsOler Affairs. If the applicant is sOIeone other than the
<br />"owner", I certify that I have obtained a copy of the above described doeulent and prolise in good faith to deliver,At bfthe
<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 dev~~oplent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
<br />installation has cOIIenced prior to issuance of a perlit and that all work will be perforJed 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 goverDlental agencies laY apply to the intended work, and that 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 EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRleRtally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Biyheads, Wetland Areas, Altering Watercourses
<br />· 'Ar.y Corps of Engineers - Seawalis, Docks, Navigable Waterways"
<br />· Departlent of Health' Rehabilitative Services, InviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tants
<br />· US InviroDlental 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 "cOlpeDsating volOle" 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 the work and not as autbority to ,iolate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official trOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every plrJit issued &ball beCDII Invalid
<br />unless the work authorized by such perlit is cOll9nced within Sil IOnths of issuance, or if work autboriled by the petitt is
<br />suspended or abandoned for a period of sillOnths after the tile the work is cu.enced. One 90 da, utension of tille, ., be
<br />allowed for the perlit with fee charge of $15.00. The I!Itension 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 abaodoDed.
<br />NAMING TO OIfIIER: YOUR FAILURB TO RBCORD A NOTICB OF COINICIHINT MAY RESULT IN YOUR PAYING "'ICE FOR IHPROVIIIIIIS TO lOOK
<br />PROPERTY. IP YOU INTI TO OBTAIN FINANCING, CONSULT WITH YOUR LENDBR OR AN ATTORlIY BIFOHl RBCORDIIG YOUR IOnCE OF
<br />COMMBNCIHBNT. J NO $2 500 I L DO NOT NEBD TO RBCORD AND POST A "NOTlC CIHIIfT" . . )?
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<br />STATI OF FLORIDA
<br />COUNTY OF
<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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