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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 CONTRAeTORS AND eONTRAeTOn RESPONSIBILITIES
<br />If tbe owner bas 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 .isde.eanor violation under state law. If the ONner or intended contractor are uncertain as to wbat licensing
<br />requireaents .ay apply for the intended work, they are advised to contact tbe City of Zephyrhills Building Departaeot, (813)
<br />788-6611.
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<br />FurtberlOre, if the ONner 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 tbe contractor, are responsible for the work. If tbe contractor wisbes 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 Zephyrbills.
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<br />C. TRANSPORTATION IMPAeT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUC'I'ION LIEN Lf\W (CHAPTER 713, FLORIDA STATUTES1 AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeONDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone 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 />"oNner" prior to cOllenceaent.
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<br />E. CONTRAeTOR' S/OWNER' S AFFIDAVI'f
<br />I certify that all the-inforlation in tbis application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />I
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<br />Application is hereby .ade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
<br />installation has COllenced prior to issuance of a per.it and that all wort will be perforaed to teet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber governaental 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. Such agencies include but are not lilited to:
<br />I Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaeotally Sensitive Lands,
<br />Nater/Wastewater Treatlent
<br />I Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Netland Areas, Altering Watercourses
<br />I Ar.y Corps of Engineers - Seawalls, Docts, Navigable Waterways
<br />I Departaent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater rreatleot, Septic rants
<br />I US Environaental 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 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 per.it issued sball 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 tbe technical codes, nor shall is~u~nce of a per.it prevent the Building Official trOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. ivery-perlit issued shall becOle invalid
<br />unless the work autborized by such per.it 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 the tile the work is c~enced. One 90 day utension of tile, la, be
<br />allowed for the per.it with fee cbarge of '15.00. Tbe extension sball 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 />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHEICBHRHT HAY RESULT IN YOUR PAYING NICI FOR IKPROVIIIDrS ro YOUR
<br />PROPERTY. IF YOU INTHID TO OBTAIN FINANCING, CONSULT WITH YOUR LEIDER OR AI AnORJBY BHFORB RECORDING YOUR NO'IICI OP
<br />COHKENCEHENT. JOBS UNDER '2,500 IN VALUE DO lOT NEED TO RECORD AND POST A "NOTICE OP COHHKICBHRHT".
<br />
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<br />SIGIAT E: COHJRACTOR
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<br />SIG TURE: ONNER OR AGENT
<br />
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<br />
<br />STATE OF FLORI~
<br />COUNTY OF ~
<br />The foregoing iWa01~as aCknowledged
<br />before me this . , 19~ by
<br />
<br />STATE OF FLORIDA A
<br />COUNTY OF ~
<br />The foregoing i~~t ~s aCknowledged
<br />before me this 'cU/l &~19 CJ;;> by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />t~e an oath. nJ /L J-..,..,.
<br />'- a h h .A...J; I ~ u/),1 .L 1'IJz.h...!.l/Yl
<br />(Signature) _
<br />
<br />who is personally known to me or who bas
<br />produced
<br />as identification and who did/did not
<br />
<br />t!!CL~~ fJ1 C/YLbcLlc '4Z~
<br />(S1gnature) .
<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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