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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 Lo "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has bired a contractor or contractors to underta1e wor1, 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, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparllent, (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 />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wor1. If the contractor wishes 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 U'fILI'fY CONNECTION FEES l"
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<br />D. CONSTRUC'l'ION LIEN L'I\W (CHAPTER 713, FLORIDA STATUTES" AS AMENDED)
<br />I certify that I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law _ HoIeoKoer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUl8r Affairs. If tbe applicant is SOleODe other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith 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 will be done in cOlpliance with all
<br />applicable lals regulating construction, zoning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do lork and instailation as indicated. I certify that no wor1 or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoIJed to lIet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of otber governaental agencies laY apply to the intended work, and that it is
<br />IY responsibility to identify wbat actions I lust tale to be in cOlpliance. Such agencies include but are not liaited to:
<br />I Deparllent of Environaental Regulation - Cypress Bayheads, Wetland Areas and BnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I Deparllent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treallent, Septic Tanks
<br />I US Environaental 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 that a drainage plan
<br />addressing a "cOIpeDsating volUle" will be sublitted which 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 lith 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall becoIe invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authoriled by the perlit is
<br />suspended or abandoned for a period of sillOnths after the till the worl is couenced. One 90 day utension of tiae, .y be
<br />allowed for the perlit with fee charge of $15.00. The IItension shall be requested in writing to the Building Official. In
<br />approved inspection lust be logged during each six IOntb period, or the project lill be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CotUIENCRHENJ HAY RESULT IN YOUR PAYING nuCl FOR IHPROVIIIBIl'S TO YOUR
<br />PROPERlY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORlEY BEFORE RECORDING YOUR NO'lICE OF
<br />COHMINCEHINT. JOBS UIDIR $2,500 IN VALUE DO NOr NEID TO RICaRD AND POST A "NOTlCR OF COtIHENCEHENJ".
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<br />SIGNAtURE: OWNIR OR AGENT
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<br />.' I
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<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUIIY 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 wbo 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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