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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rbe under,lgped upder'l.ed. Ih.1 thl. peroll oar he suhjecl 10 'deed ,e'lrlcllop,' which oar he lOre r"trlell.. !hoP ell,
<br />regulations. rhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />IE.;;
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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 .ay 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 .ay be
<br />clled for · .Ied.....,r 0101.11.. under sl'le I.w, If Ihe owner or jplended conlr'clor .re "corl.lo as to 1b.1 11....109
<br />requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrbills Building Deparblent, (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 contractor(s) sign portions of the
<br />'Cootraclor Seclloo,' of this .ppllcaUuo for wllich ther will he reopoo.lble. II fOIl. as the owner sign .s u.s CtIIltraclor.
<br />you are indicating that you, rather than the contractor, are responsible for the wori. If the contractor wishes 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 ~~
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<br />D. CONSTRUC'I'ION LIEN LnW (CHAPTER '/13, FLORIDA STA'l'UTES, 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 />Guid~" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOIeone other than the
<br />.owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"owner." prior to couencelent.
<br />
<br />E. CONTRACTOR. S/OWNER' S AFFIDAVI'l'
<br />I certify that all the infor.ation in this application is accurate and that all wori will be done in co.pliance 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 per.it 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 wori will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDIental agencies aay apply to tbe intended wort, and that it is
<br />.y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.lted to:
<br />* Departlent of Envirofilental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
<br />. Water/Wastewater rreaLlent
<br />* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* De arblent of Health & Rehabilitative Services BnviroRlental Health Unit - Wells, Wastewater rreallent, Septic ranis
<br />* US BnviroRlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.., it is understood tbat a drainage plan
<br />addressing a "co.pensating volUle" will be sub.itted which is prepared by a professional engineer registered in the 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 the technical codes, nor shall is~u~nce of a per.it prevent the Building Official lrOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beCOle invalid
<br />unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six lanths after the tile the work is cOllenced. One 90 day 81tension of tile, laY he
<br />allowed for the per.it with fee charge of '15.00. rhe extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARRING ro OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCEHBNT HAY RESULT IN YOUR PAYING niCK FOR IMPROVKJlBIIIS fa YOUR
<br />PROPERrY. IF YOU INrEND ro OBTAIN FINANCING, CONSULr WIrH YOUR LEHDER OR AN ArTORNBY BBFORH RBCORDIHG YOUR NorICI OF
<br />COHMBNCBHEHT. JOBS UNDER '2,500 1M VALUE DO Nor NEBD TO RECORD AND POST A "NOTICE OF COKHBNCKJlBH1'".
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<br />SIGNArURE: OWNBR OR AGENT
<br />
<br />----Sl GNATURE: COHrRACrOR
<br />
<br />. I
<br />
<br />srArB OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />srArE OF FLORIDA
<br />COUNrr 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 has
<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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