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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 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 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 wort. If tbe contractor wishes JOu 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'I'ILITY CONNECTION FEES
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<br />D. CONSTRUC'I'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES" AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - HoIeoIner's Protection
<br />Guide. prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOJeOne 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 r S/OWNER' S AFFIDAVI'I'
<br />I certify that all the inforlation in this application is accurate and that all work will be done incOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
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<br />Application is hereby lade to obtain a perlit to do wort and instailation as indicated. I certify that no work or
<br />installation has cOIIeDced prior to issuance of a per.it and that all wort will be perfoIJed to l8et standards of all IllS
<br />regulating construction, City codes, loning regulations, and land developl8Dt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveCRIental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust tate to be in cOlpliance. Such agencies include but are not Iilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDleDtally Sensitive Lands,
<br />Vater/Vastewater Treallent
<br />· Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses
<br />t Ar., Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t DepartJent of Healtb & Rehabilitative Services, EnvirODJeDtal Healtb Unit - VeIls, Wastewater Treatlent, Septic !ants
<br />t US EnviroDlental 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 "colpensating volUJe" will be sublitted wbich 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 sball be construed to be a license to proceed with tbe wort and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the tecbnical codes, nor shall is~u~nce of a per.it prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Iver, peIlit issued shall beCOll invalid
<br />unless the wort authorized by such per.it is cOllenced within six IOntbs of issuance, or if work authorized b, the perJit is
<br />suspended or abandoned for a period of six IOnths after the tile the wort is couenced. One 90 day utension of tile, II, be
<br />allowed for the per.it with fee charge of $15.00. The 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 />WARNIHG TO OWNER: YOUR FAILURI TO RECORD A HOTICI OF COHHIHCKMBNT HAY RBSULT IH YOUR PAYlHG BICB FOR IMPROVIIIDIS 10 YOUR
<br />PROPIRTY. IF YOU INTEND TO OBTAIH FIHAHCING, COHSULT WITH YOUR LIHDIR OR AH ATTORlBY BEFORB RICORDIHG YOUR HOIICI OF
<br />COHHIHCIHIHT. JOBS UHDIR $2,500 IN VALUI DO HOT HElD TO RICORD AHD POST A .NOTICI OF COHKEHCKMINI".
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<br />SIGHATURI: OWNIR OR AGINT
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<br />SIGHATURI: COHTRACTOR
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<br />STATI OF FLORIDA
<br />COUnY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATI 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 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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