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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 witb
<br />state and local regulations. If the contractor is not licensed as required by law, both tbe owner and contractor JaY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for 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 owner has hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of tbe
<br />"Contractor Sections" of this application for which tbey Ifill be responsible. If you, as the ONDer sign as tbe contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the 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 Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUC'l'ION LIEN LnW (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HoIeowDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If tbe applicant is sOlBODe otber tban the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faitb to deliver it to the
<br />"owner" prior to cOllencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all work Ifill be done in cOlpliance witb all
<br />applicable laws regulating construction, loning, and land developlent.
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
<br />installation has cOIIenced prior to issuance of a perlit and that all Ifork will be perforJed to lBet 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 govefDIental agencies JaY apply to tbe 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 lillted to:
<br />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroOlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· DepartJent of Healtb & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />· US EnviroDlental 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 tbat a drainage plan
<br />addressing a "colpensating volUle" will be sublitted whicb 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 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 the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
<br />unless tbe work authorized by such perl it is cOllenced within six IOntbs of issuance, or if work authorized by the perait is
<br />suspended or abandoned for a periOd of six IOnths after the tile the work is COllBnced. One 90 day eatension of tile, JaY be
<br />allowed for the perlit with fee charge 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 the project will be considered abandoned.
<br />WARHING TO OWNER: YOUR FAILURB TO RICORD A NOTICB OF COHHBNCBHlNT HAY RESULT III YOUR PAYING llllCE FOR IHI'ROVBIIm'S TO YOUR
<br />PROPERTY. IF'YOU INTBND TO OBTAIN FIIIANCING, CONSULT WITH YOUR LBNDBR OR AN AnORREY BEFORE RECORDIIIG YOUR JorICE OF
<br />COHHINCBHBNT. SUNDER $2,5 N VALUB DO NOT NERD TO RBCORD AND POST A "NOTICE OF COHMINCBHBNT". .
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<br />STATB OF FLORIDA
<br />COUIITY 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 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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