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<br />CONDITIONS OF PEI~IT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it lay be subject to "deed restrictions" whicb laY be lOre restricti,e than City
<br />regulations. Tbe undersigned assUles respon8ibility for cUlpliance with any applicable deed restrictions.
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<br />B.. UNLICENSED CONTMCTORS AND CON'l'MC'l'On 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 ONDer an4 contractor lir be
<br />cited for a .isdelBanor violation under state law. If tIle owner or intended contractor are uncertain as to what licensing
<br />requirBlents lay apply for the intended work, they are advised to contact the City of Zephyrhills BuIlding Departlent, (813)
<br />788-6611.
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<br />Furtherlore, if the owner lIas hired a contractor or contractors, he is advised to have tile contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which tbey will be responsible. Ilyou, as the owner sign as the contractor,
<br />you are indicating that you, rather tllan the contractor, are responsible for the work. If the contractor wishes IOU to 81gn
<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. CONS1'RUCI'ION LIEN L'1\W (CHAPTER 713, FLOUIDA STA'rUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien tiw _ HoIeowDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If the applicant i8 SOIBODe other than the
<br />"OIfIler", I certify that I have obtained a copy of the above described doculent and pmlise in good faith to deUver it to the
<br />"owner" prio~ to COllenCBlent.
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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 cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
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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 .ork or
<br />installation has COllenced prior to issuance of a perlit and that all work will be perfotlSd to lIet standards of all 1118
<br />regulating construction, City codes, loning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies laY apply to the intended work, and that it is
<br />,y responsibility to identify what actions I .ust tale to be in co.pliance. Sucb agencies include but are not !iI1ted to:
<br />· Departlent of Envirolllental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlBntally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />· Southwest Florida Water HanagBlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanla
<br />· US Envirolllental Protection Agency - Asbestos abatuent
<br />I also certify that, if fIll .aterial 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 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 the 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 frUl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCDII iDvalld
<br />unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work authoriJed by the petllt Is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, IIr be
<br />allowed for the per.it with fee charge of $15.00. The Bltension shall be requested in writing to the Building Official. In
<br />approved inspection .ust be logged during each sil IQnth period, or the project will be considered abandoned.
<br />WARNlffG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COIUfEKCEHKIfT HAY RESULT Iff YOUR PAYlffG !lIICH FOR IMPROVIIIIIIS TO YOUR
<br />PROPERTY. IF YOU INTIlND TO OBTAIN FINAffCIffG, CONSULT WITH YOUR LENDER OR AN ATTORfflY DIFORB RBCORDIIG YOUR IOIICH OF
<br />COKKENCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHKKICBMIIJ".
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<br />: I:
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<br />SIGNATURB: ONNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
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<br />STATB OF FLORIDA
<br />COUIIIY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUIITY 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 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
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