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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit aay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance wilh any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRAC'l'ORS AND CON'l'RAC'l'OU 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 with
<br />state and local regulations. If the contractor is not licensed as required by law, botb 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 />requireJents aay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractorjs) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner stgn 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting priVileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />t''.'
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<br />D. CONSTRUC'l'ION LIEN LnW (CHAPTER 713, FLORIDA STA'fUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOIeone otber than 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 AFFIDAVI'l'
<br />I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance witb all
<br />applicable laws regulating construction, loning, and land developlent.
<br />,
<br />
<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 work will be perf OIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in tbe jurisdiction. I also
<br />certify tbat I understand that the regulations of other goverDlental 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. Such agencies include but are not liJited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· DepartJent of Healtb & Rehabilitative Services, Bnvironaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abateJent
<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 volute" will be sublitted whicb is prepared by a professional engineer registered in tbe 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 tbe technical codes, nor shall is~u~nce of a per.it prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery'pertit issued shall becOle invalid
<br />unless the work autbori~ed by such perlit is cOllenced within six IOnths of issuance, or if work autborized by the pertit is
<br />suspended or abandoned for a period of six IOnths after the till the vorl is cOllenced. One 90 day eatension of tile, III be
<br />allowed for the per.it with fee charge of $15.00. The extension shall 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 />WARNING TO OWNER: YOUR FAILURB TO RBCORD A NOTlCB OF COHHENCHHBNT HAY RBSULT IN YOUR PAYING !WICE FOR IHPROVEIIIITS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIlD YOUR LBNDBR OR AN ATTORNBY BEFORE RECORDING YOUR NO'I'ICE OF
<br />COMHENCEHBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEBD TO RBCORD AND POST A "NO'I'ICE OF COHHBNCBKBNT".
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<br />~L~
<br />SIGNATURB: OWNE OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />. I
<br />
<br />STATB OF FLORIDA ~f\
<br />COUNty OF CS CO
<br />The foregOing instrument
<br />before me this --1'7
<br />
<br />was acknowledged
<br />, 19 0]8 by
<br />
<br />STATB OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19_ by
<br />
<br />
<br />uc..<:
<br />to me or who has
<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 />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />..i!"!:"~_ .OFFICIAL SEAL-
<br />Fi~?~"t~\ David A. Yold
<br />i*( :~i M Commission Expires 3/25/00
<br />\!;.. ~E Y Commission ICC 542626
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