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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 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 OlDer and contractor IiY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrbills 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 OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. 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 U'fILI'fY CONNECTION FEES ,,!
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<br />D. CONSTRUC'!'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES I AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoNoer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant ia sOleane 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 cOllenCetent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'1'
<br />I certify that all the inforlation in this application is accurate and that all wort will be done in cOlpliance with all
<br />applicable laws regUlating construction, zoning, 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 certify that DO work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoIJed to Jeet standards of all lawa
<br />regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govefRlental agencies aay apply to the intended worl, and tbat it is
<br />Iy responsibility to identify what actions I lust tale to be in cOlpliance. Such agencies include but are not lilited to:
<br />· Departlent of EnviroRlental Regulation - Cypress BByheads, Wetland Areas and EnvirORleDtallYSensitive Lands,
<br />Water/Wastewater Treallent
<br />· Southwest Florida Water "anagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />· Deparllent of Health & Rehabilitative Services, EnvirORlental Health Unit - Wells, Wastewater rreatlent, Septic ranks
<br />· US EnviroDlental Protection Agency - Asbestos abatetent
<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 "cOIpensating volute" 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 issuance of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or vioiations of any code. Ivery peIlit issued &ball beCOll invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if wort authorized by the perJit is
<br />suspended or abandoned for a period of sil IOnths after the tile the worl is c-.mced. One 90 day utensiO:D of tile, IiY be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. In
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARlfIIG TO OIlIER: YOUR FAILURB TO RECORD A 10TICB OF COHIIBICBHBIT HAY RESULT II YOUR PAYING fllICE FOR IMPROVIIIID8 TO YOUR
<br />PROPBRTY. IF YOU IJfTBID TO OBTAIN FINAICIIG, COISULT IIITH YOUR LBIDBR OR AI AnORIBY BBFORE RECORDIHG YOUR HorICK OF
<br />COHIIEICRHBIT. JOBS UNDER $2,500 II VALUE 00 lOT IEED TO RECORD AID POST A "IOTICE OF COHIlBICBHlJfT".
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<br />SIGIATURK: OWNER OR AGENT
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<br />I
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<br />SIGIATURE: CONTRACTOR
<br />
<br />STATE OF FWRIDA
<br />COUJfTY OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATE OF FWRIDA
<br />COUITY 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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