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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />- A. NOTICE OF DEED RESTRICTIONS
<br />Ilo undersigned und.r.tand. that thi. p.rsit say be .object to 'deed r..triction.' whleb say be SUr. restricti.. !boo Cltr
<br />regulations. rhe undersigned assUles responsibility for co.pliance 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 Cor a .l.d.....or ,iolatl.. ood.r .tat. I... IC th. ....r or loteodnd cootractor are uncertain un to slot lieeosiag
<br />r.gulr....ts say apply Cor the iotended ..rl, they are ad,lsed to cootaet the City oC Zepbrr.lil. Boiidlog Departsoot, (813)
<br />788-6611.
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<br />FurtberlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'COntractor Secti.... oC thi. applleatlOD Cor whieb they will be responslbl.. IC you, un the "'or &lga un tIo cootractor,
<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 perlitting 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 L1\W (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 _ HDIeONDer's Protection
<br />Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is SCl.leOJ1e other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and pralise in good faith to deliver it to the
<br />"owner" prior to co..enca.ent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVl'I'
<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, Joning, 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 worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoIled to leet standards of all IllS
<br />regulating construction, City codes, Joning regulations, and land developllent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended worl, 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 />· Deparllent of EnviroDlental Regulation - Cypress Bayheada, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />. Water/Wastewater rreallent
<br />· Southwest Florida Water Hanaga.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· De arllent of Health' Rehabilitative Services EnvirODleDtal Health Unit - Wells, Wastewater freatlent, Septic fanls
<br />· US BnviroDlental Protection Agency - Asbestos abat8lent
<br />I also certify that, if fill .aterial 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~nce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ever, peIlit issued shall becole iDvalid
<br />unless the work authorized by such perlit is COllenced within sil IOntha of issuance, or if work authorized b, the perllt is
<br />Suspended or abandoned for a petiod of six IOnths after the till! the work is cOMenced. One 90 day utension of tile, la, be
<br />allowed for the perlit with fee charge of '15.00. rhe extension sh~ll be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sil IOnth period, or the project will be considered abandoned.
<br />WARRING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COIfHENCKllBNr MAY RESULT IN YOUR PAYING NICE FOR IHPROVIIIBIl'S TO YOUR
<br />PROPIRrY. IF YOU INlBND ro OBtAIN FINANCING, CONSULT WIIH YOUR LENOIR OR AM ArJORBIY BEFOR! R!CORDING YOUR MorICI OF
<br />COHMEHCBHRNT. JOBS UHDRR $2,500 IN VALUR DO NOT HERD TO RECORD AND POST A "NOTICR OF COIUIBNCIIIIlfr".
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<br />c.1n?--~ ~
<br />SIGNArURI: iR OR AGR J ..
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<br />0~
<br />SIGNArURB: CONlDAeT
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<br />
<br />STArl OF FLORIDA
<br />CoolfJr OF
<br />The foregOing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />STArE OF FLORIDA
<br />COONIY 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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