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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 />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 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'j'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES., AS AMENDED)
<br />I certify tbat I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law - BoIeoIner's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsOler Affairs. If the applicant is sOleODe other than the
<br />.owner", I certify that I have obtained a copy of the above described docOlent and prolise in good faith to deliver it to the
<br />"owner" prior to co..enCelent,
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<br />E. CONTRACTOR I S/OWNER I S AFFIDAVI'l'
<br />I certify that all the inforlation in this application is accurate and that all wort will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent,
<br />I
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<br />Application is hereby lade to obtain a perlit to do wort and instailation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a perlit and that all wort will be perforJed to Jeet standards of. all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of otber goverRlental agencies laY apply to tbe intended worl, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance, Such agencies include but are not lilited to:
<br />· DepartJent of BnvirORlental Regulation - Cypress Bayheads, Wetland Areas and InviroRlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Ingineers - Seawalls, Docks, Navigable Waterways
<br />· DepartJent of Health & Rehabilitative Services, InvirODlental Health Unit - Wells, Vastewater rreatJent, Septic rants
<br />· US InviroRlental Protection Agency - Asbestos abatelent
<br />I also certify tbat, if fill laterial is to be used in Flood Zone "A. or "A,etc,", it is understood .lhat a drainage plan
<br />addressing a "cOlpeDsating volOle" 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 authority to ,iolate, cancel alter, or
<br />Bet aside any provisions of tbe technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pertit issued shall beca.e in,alid
<br />unless the wort authorized by such perlit is coaaenced within Sil IOnths of issuance, or if wort authorized by the petlit is
<br />suspended or abandoned for a period of sil IOntbs after the tile the wnrt is cOllellced. One 90 day uten8ion of tile, lIy be
<br />allowed for tbe perlit with fee charge of $15,00. The 91tension sh~ll be requested in writing to the Building Official. An
<br />approved inspection aust be logged during eacb Sil IOntb period, or tbe project will be considered abandoned.
<br />WARlHNG TO OWNIR: YOUR FAILURI TO RECORD A NOTICI OF COMIIINCBllBlfT HAY RBSULr IN YOUR PAYING RICE FOR IHPROVBIIIIIS fa YOOI
<br />PROPIRTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDIR OR AN ATTORRIY BBFORB RiCORDING YOUR NOTICE OF
<br />COMMENCEMENT, JOBS UNDBR '2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICI OF COHMBNCBHBHT..
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<br />SIGNArURI: ONNBR OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
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<br />STArl OF FLORIDA
<br />COUlfTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATI 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 bas
<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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