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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 assllles responsibility for cOlpliance with any applicable deedrestriction8.
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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 owner and contractor laY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparblent, (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 8ign 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 ZephyrhilIs.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LnW (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoIoer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is 8OIeODe 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 AFFIDAVI'l'
<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, 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 worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work wi]] be perforled to Jeet standards of all 1818
<br />regulating construction, City codes, loning regulations, and land deve]opleRt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveInlenta] agencies lay apply to the intended worl, and tbat it is
<br />Iy responsibility to identify what actions I lust take to be in cOlpIiance. Such agencies include but are not lilited to:
<br />t DepartJent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas,' Altering Watercourses
<br />· AIIY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, Bnvironlental Health Unit - Wells, Wastewater TreatJent, Septic lanls
<br />t US BnviroDlental Protection Agency - Asbestos abate.ent
<br />I also certify that, if fIll .aterial ia to be used III Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOIpensating volllle" will be subJitted 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 />Bet aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frUl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit i8sued shall hecoIe invalid
<br />unless the work authorized by such perlit is cOIIenced within six IOnths of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is coaenced. One 90 day 81tension 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. AD
<br />approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARlIHG TO OIINER: YOUR FAILURE TO RECORD A HOTlCR OF COHHEHCBHBNT HAY RRSULT IH YOUR PAYlHC T1fICH FOR IHPROVIIIBIIS TO YOUR
<br />PROPRRTY. IF YOU IITEND TO OBTAIH FIHANCIHG, CONSULT WITH YOUR LBHDER OR AX ATTORRIY BlFORB RBCORDIHC YOUR HOIICH OF
<br />COHHRHCBHRNT. JOBS UNDBR $2,500 IN VALUR DO HOT NBBD TO RBCORD AND POST A "NOTlCI OF COHHBNCBIIBIfl'".
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<br />SIGHATURB: ONKER OR AGBHT
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<br />SIGHATURB: COHTRllCTOR
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<br />STATB OF FLORIDA
<br />COUITY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STATB OF FLORIDA
<br />COUHTY 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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