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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 assWles 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 Ilsdeleanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents lay apply Cor the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611,
<br />
<br />FurtberlOre, if the owner has hired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of the
<br />"Contractor Sections" of tbis application for whicb tbey will be responsible, If you, as the owner sign as the contractor,
<br />you are indicating tbat you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
<br />as contractor tbat lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zepbyrbills,
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />{
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<br />D. CONSTRUCTION LIEN L~W (ClffiPTER 713, FLORIDA STATUTES I AS AMENDED)
<br />I certify that I, the applicant, bave been provided witb a copy of .Florida's Construction Lien Law _ HoIeowner's Protection
<br />Guide" prepared by tbe Florida Departlent of Agriculture and ConsWler Affairs, If tbe applicant is sOleone other than the
<br />.owner", I certify that I have obtained a copy of tbe above described doculent and prOlise in good faith to deliver it to the
<br />"owner" prior to COllenCelent,
<br />
<br />E" CONTRACTOR' S/OWNER' S AFFIDAVl'f
<br />I certify that all tbe 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 bereby lade to obtain a perlit to do work and instailation as indicated, I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and tbat all work will be perf OIled to leet standards of all lars
<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 govefDlental agencies laY apply to the 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 />t DepartJent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater !reatJent
<br />I Southwest Florida Water Hanagetent District - NeIls, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I DepartJent of Health & Rehabilitative Services, EnviroDleDtal Health Unit - Wells, Wastewater Treallent, Septic Tants
<br />I US EnviroDleDtal 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 volOleN will be subtitted which 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 with tbe 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. Everl peIlit issued shall beCOlB invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after tbe tile the work is cOllenced, One 90 day eJtension of tile, lal be
<br />allowed for the perlit with fee charge of $15,00, The 81tension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sil IOntb period, or the project will be considered abandoned.
<br />WARNUG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCHHENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVIIIBIl'S TO YOUR
<br />PROPERTY, IF YOU INTBND TO OBTAIN FINANCING, CONS T WITH YOUR LBMDIR OR AN AnORIIY BIFORE RI OUR }fOlICE OF
<br />COHHINCBHBNT, JOBS UNDER $2,500 IN VALUE DO N 0 TO RECORD AND POST A NNOTl OF C
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<br />SIGNATURB:
<br />
<br />STATE OF FLORIDA
<br />COlJHTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 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 DOt
<br />take an o~tb.
<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
<br />
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