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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />!be undersigned understands that this pel'lit lilY be Subject to .deed restrictions. whieb lily be lOre restrictive than City
<br />regulations. the undersigned asSIlleB responsibility for cmpliance 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 lilY 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 OlDer and contractor lily be
<br />cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!ll!llts lily apply for the intended work, they are advised to cootact the City of Zepbrrhills Building Departlent, (813)
<br />788-6611.
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<br />FurtherJOre, if the owner 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 whieb they will be responsible. If JOU, as the owner Sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wiaJles you to sign
<br />as contractor that lilY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephrrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN' LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of .Florida's COnstruction Lien Law - ~'s Protection
<br />Guide. prepared by the Florida DepartJent of Agriculture and COnsUller Affairs. If the applicant is 8OIBODe other than the
<br />.owner., I certify that I have obtained a copy of the above described docUIent and p~ise in good faith to deliver it to the
<br />"owner" prior to co.enCl!lBDt.
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<br />-("/
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infoIliltion in this application is accurate and that all wort will 'be done in COIpliance with all
<br />applicable laws regulatinq construction, loning, and land developleDt.
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<br />Application is hereby lade to obtain a pemit to do work and insWlation as indicated. I certify that no work or
<br />insWlation baa CDIl!DCed prior to issuance of a perIIit and that all work will be perfoIled to .et atanc1ards of alII.
<br />regulating construction, City codes, loning regulations, and land developElt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDleDtal agencies lilY apply to the intended worl, and that it is
<br />If responsibility to identify what actions I lUSt take to be in COIpliance. Sueb agencies include but are not lilited to:
<br />t Departlent of EnviIOllllBlltal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDWly Sensitive Lands,
<br />Water /Wastewater rreatlent
<br />t Southwest Florida Water ManagBleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />t DepartJent of Health i Rebabilitative Services, bvirODleDW Health Unit - Wells, Wastewater !reatlent, Septic !anD
<br />t US bvil'ODleDtal Protection Agency - Asbestos abatl!lellt
<br />I also certify that, if fill Iilterial is to be used in Flood ZOne IA. or II,etc.., it is understood that a drainage plan
<br />addressing a .COIIpeII8ating 901_. will be sublitted whieb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />I ~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 teclmical codes, nor shall issuance of a petlit prevent the Building Official fIOl thereafter
<br />reguirinq a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall bt!cme invalid
<br />unless the work authoriled by sueb pemit is ~ced .ithin slllODtbs of issuance, or if wort authoriJed by the perIIit is
<br />suspended or abandoned for a period of sil IODtbs after the tile the work is ~ced. One 90 day utensiOll of tile, lily be
<br />allowed for the petlit with fee charge of $15.00. !be utension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abancloDed.
<br />IfARlfIIfG to (JIDR: YOUR FAILURE to RECORD I IOI'ICK OF ctlllBlCIIIIIff MAY RISUL! II YOUR PIYDfG !IIICK FOR IMPROVIIIDl'S to YOUR
<br />PROPmY. IF YOU ImIfD to OBI'W FIIfAlfCIIG, COKSOL! IIID YOUR LIIDIR OR 11 AnoBIIY BI10III RBmRDIIG YOUI ROrICK OF
<br />COIIMIIfClMD!. JOBS OlDER '2,500 IN VALUE 00 IO'IIIIID to RECORD 110 POS! I INO'IICK OF aJIIIDCBIIIftI.
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<br />SIGKl!lJRl: OOIR OR lGBK!
<br />
<br />SIGD!lJRI: COJmIACfOR
<br />
<br />srlTE OF FLORIDA
<br />coum OF
<br />The foregoing instrument was acknowledged
<br />before me this , 19____ by
<br />
<br />S!I'O OF FLORIDI
<br />coom 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 />(Name Typed, Printed or Sta.ped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />,/ (Name Typed, Printed or Stamped)
<br />l' NOTARY PUBLIC
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