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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 .ay be 80re restrictive than City
<br />regulations. The undersigned assmles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<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 liy be
<br />cited for a lisdeteanor 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 Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<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 the contractor wisbes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to pertitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ",
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<br />D. CONSTRUC'I'ION LIEN Lnw (CHAPTER 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 Deparllent 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 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 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
<br />
<br />Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all wort will be perfofl8d to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goveCDIental agencies .ay apply to tbe intended worl, and that it is
<br />IY responSibility to identify what actions I lUSt tate to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Deparllent of RnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Rnvirontentally Sensitive Lands,
<br />Nater/Nastewater Treallent
<br />t Southwest Florida Nater Hanagetent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />* Deparllent of Health & Rehabilitative Services, EnviroDlental Healtb Unit - NeIls, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection AgenCl - 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 volUleR will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A perlit issued shall be construed to be a license to proceed with tbe wort and not as autbority to violate, cancel alter, or
<br />Bet aside any provisions of tbe technical codes, nor shall is~u~ce of a perlit prevent the Building Official lrOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery p8CIit issued shall heCOll invalid
<br />unless the worl authorized by sucb perlit is cOllenced within six IOnths of issuance, or if worl authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the tile the worl is cOllenced. One 90 day eltenaion of tile, tal be
<br />allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six tontb period, or the project will be OOD8idered abandoned.
<br />NARNING TO OlIlfBR: YOUR FAILURE TO RECORD A HOrlCR OF COHHBNCKlfBHT HAY RESULT IN YOUR PAYIIG flflCl FOR IIIPROVIIIDJS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN AnORIU BEFORE RBCOIDIIG YOUR laIlCI OF
<br />COKMENCEHENT. JOBS UHDER $2,500 IN VALUE DO NOT NEED TO RKCORD AND POST A "NOTICK OF COHMINCIKBNT".
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<br />SIGNATURE: OIfIIER OR AGENT
<br />
<br />. I
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATK OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATK 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
<br />
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