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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 Lo "deed restrictions" which laY be .ore restrictive than City
<br />regulations. rhe 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 undertale worl, 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 owner and contractor III be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireaents lay apply for the intended worl, 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 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 worl. If tbe contractor wishes rou to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting pri'ilegu 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'!'ION LIEN Lnw (CIIAPTER 713, FLORIDA STATUTES" AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleODe other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to dellver~t tiJthe
<br />"owner" prior to COllenCelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVl'f
<br />I certify that all the inforlation in this application is accurate and that all worl 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 instailation as indicated. I certifr that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoCl8d 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 other govefDIental agencies laY apply to tbe intended worl, and that it is
<br />IY responSibility to identify what actions I lust take to be in co.pliance. Such agencies Include but are not lillted to:
<br />· Departlent of Environaental Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Vastewater rreatlent
<br />· Southwest Florida Vater Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Vatercourses
<br />· Arlr Corps of Engineers - Seawalis, Docks, Navigable Waterways '
<br />· Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Vastewater Ireallent, Septic lanls
<br />· US EnviroDlental Protection Agency - Asbestos abalelent
<br />I also certify that, if fIll laterial is to be used in Flood Zone "A" or "A,elc.", it is understood that a drainage plan
<br />addressing a "cOlpensaling volUle" will be subtitted 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 authoritr to violate, cancel alter, or
<br />Bet aside any provisions of tbe technical codes, nor shall is~u~nce of a perlit prevent the Building Official fCOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pellit issued sball beCDIB ioralid
<br />unless the work autborized by such perlit is cOllBnced within sil IOnths of issuance, or if work autboriled br the pellit is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is c~ced. One 90 day 81t_ion of tile, III 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 six IOntb period, or the project will be considered abandoned.
<br />WARHUrG TO OIINER: YOUR FAILURE TO RECORD A NOrICE OF COHHENCKHBNT JIIlY RESULI IN YOUR PAYllfG IIfICl FOR IIIPROVIIIIIrS 10 YOUR
<br />PROPERTY. If' YOU INTEND TO OBTAIlf FINANCING, CONSULT VITH YOUR LENDER OR AN ATTORBEY BEFORE R1COJIDllfG YOUR JKJrICl OF
<br />COHHEffCEHENT. JOBS UffDER $2,500 IN VALUE DO ffOT NEED TO RECORD AND POST A "NOrICE OF C(JNNCIIIENT"..
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<br />SIGNATURE: OWNER OR AGRNT
<br />
<br />" I
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<br />SIGNATURE: COffTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STArK 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 oatb.
<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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