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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 aay be lOre restrictive than City
<br />regulations. The undersigned assuaes respoJlsibility 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 lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireaents 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 owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. 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 per.itting priVileges 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'I'ION LIEN U\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that 1, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOI8OWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If tbe applicant is soaeone other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllenceaent.
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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
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perfoCled to leet 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 otber goverDlental agencies lay apply to tbe intended wort, and that it is
<br />Iy responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />· Deparllent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and BnviroDlentally Sensitive Lands,
<br />Vater/Vastewater Treallent
<br />· Soutbwest Florida Vater Hanageaent District - VeIls, Cypress Baybeads, Vetland Areas, Altering Vatercourses
<br />· ArlY Corps of Bngineers - Seawalls, Docks, Havigable Vaterways
<br />· Departlent of Health' Rehabilitative Services, Bnvironaental Healtb Unit - VeIls, Vastewater Treatlent, Septic rants
<br />· US EnviroDlental Protection Agency - Asbestos abateaent
<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 volOle" will be sublitted wbicb 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 witb tbe work and not as authority 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perJit issued shall beCOle invalid
<br />unless the work authorized by sucb per.it is cOllenced within Sll IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eltension of tile, l8y be
<br />allowed for the perlit 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 tbe project will be considered abandoned.
<br />VARlfIHG TO OIfHER: YOUR FAILURE TO RECORD A HOTlCE OF COIfHBHCEHENT MAY RESULT IN YOUR PAYlHG niCE FOR IMPROVEllBOS ro YOUR
<br />PROPERTY. IF YOU IHTBHD TO OBTAIH FIHAHCIHG, CONSULT VITH YOUR LEHDER OR AH ATTORREY BEFORE RECORDING YOUR HOIICI OF
<br />COHHEHCRHEHT. JOBS UNDER $2,500 IH VALUE DO HOT HEED TO RECORD AHD POST A "HOTICE OF COHMKHCIMIO".
<br />
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<br />~SIGIIlI~r lHl AGJlIl'l '.. SIOO_: ~ - ))
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<br />STAll OF FJ.OIlI'" n r- 0 SIAII OF FLORUIILl.
<br />COUHTY OF ~ '-' COUHTY OF -rB:.seo
<br />The foregoing io.tr~t wa. ~~ledged The foregoing iOS!rwoent wa. acknowledged
<br />be:~ me tbi. ,; 'L . 19 l5 by before .e this It:. 7 -:-~ 19-2.8.. by
<br />'YJtL{.-2e..CJ J-1ebeT;?1 RotJf:iL U. Ulcke..e
<br />who is p r o~n llY. ~~n to me or who has who is personal Iv known to me or who s
<br />produce '-.--!- <LL ~ Lf9-S .... / e 9 - \.s 00 produced
<br />as iden fi tion an~ rho did did not as ident fication and who 'd/did not
<br />an ath. ~ take ath. ~
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<br />H. eM H
<br />(Name Typed, Printed or Stamped) ..' .
<br />NOTARY PUBLICI :.~@~=.\
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