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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay 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 CON'!'RAC'!'OH RESPONSIBILI'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
<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 ONner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply (or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
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<br />FurtherlOre, 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 tbe DIRer sign as tbe contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the worl. 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 tbe
<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 (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDert. Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOl8One otber than tbe
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to tbe
<br />"owner" prior to couencelent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the ~nforlation in this application is accurate and that all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify tbat no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all worl will be perfoIled to Jeet standards of all laws
<br />regulating construction" City codes, loning regulations, and land developlent regulations in tbe 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 />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
<br />· Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departaent of Healtb & Rehabilitative Services, EnvirODlental Healtb Unit - Wells, Wastewater IreatJent, Septic lants
<br />· US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify tbat, if fill laterial is to be used in Flood Zone "AW or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpensating volUle" will be sublitted whicb is prepared by a professional engineer registered in tbe State of
<br />Florida prior to per.it. issuance.
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<br />. A per.it 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 tbe technical codes, nor shall is~u~nce of a perlit prevent tbe Building Official frUl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becoie invalid
<br />unless the work authorized by such per.it is cOllenced witbin sil IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a periOd of sil IOntha after tbe tile the work is cOllenced. One 90 day eltension of tile, laY be
<br />allowed for tbe per.it with fee charge of $15.00. Tbe altension 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 />WAMING TO OWNER: YOUR FAILURK TO RECORD A NOTlCK OF COHHBNCBlfRNT HAY RBSULT IN YOUR PAYING TWICK FOR IHPROVIIIDIS TO YOUR
<br />PROPKRTY. IF YOU INTKND .TO OBTAIH FINANCIHG, CONSULT WITH YOUR LKNDBR OR AN AnORIRY BBFORE RECORDIHG YOUR KOlICH OF
<br />COHMKNCBHKNT. JOBS UNDKR $2,500 IN VALUR DO NOT HEKD TO RKCORD AND POST A "NOTICK OF COIlMBHCBHBNT".
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<br />. I
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<br />SIGHATURB: OWNKR OR AGKNT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATH OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATK 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 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
<br />
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