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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 wort, 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 iii' 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, tbey are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />188-6611.
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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 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 UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LnW (ClmPTER 713, FLORIDASTATUTES~ AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOIeODe other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to dellver~Jt tu 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, loning, and land de~~~oplent.
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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 worl will be perfoIJed to aeet standards of all IllS
<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 other goverDIental agencies laY apply to tbe intended vorl, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />· Departlent of EnviroRleDtal Regulation - Cypress Bayheads, Netland Areas and EnviroDlentally Sensitive Lands,
<br />Nater/Nastewater Treatlent
<br />· Southwest Florida Nater Hanagelent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses
<br />· ArlY Corps of Engineers - Seawalis, Docks, Navigable Naterways
<br />· Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - NeIls, Nastewater Ireallent, Septic Tanks
<br />· 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 volUle" 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 is~u~ce of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of anl code. Rverl petlit issued shall becoIe invalid
<br />unless the worl authorized by such perlit is cOllenced within six IOnths of issuance, or if worl authoriled by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tite the work is cOlleDced. One 90 day 81tension of tite, lal 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 IOnth period, or the project will be considered abandoned.
<br />WARMING TO OIINER: YOUR FAILURR TO RECORD A NOTlCR OF COMHENCEHENT HAY RESULT IN YOUR PAYING TlflCB FOR IHPROVIIIBIIS 10 YOUI
<br />PROPERTY. IF' YOU INTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LRNDER OR AN AnORNEY BEFORE RECORDING YOUR JOIICE OP
<br />COHHE KHENT. JOBS UNDRR $2,500 IN VALUE DO KaT NEED TO RECORD AND POST A "NOTICE OP COMHENCKKENI"..
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<br />~ 'fi;l~,JtM~1
<br />SIGNA K: NTBACIOR
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<br />
<br />, I
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<br />STATR OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATR 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
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