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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 to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assOIes responsibility for cOlpliance lith any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONl'RAC'l'OU RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake lark, they .ay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by lal, both the owner and contractor aay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended lork, they are advised to contact the City of Zephyrbills Building Departlent, (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 lork. 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 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. CONS1'RUC'l'ION LIEN L'I\W (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 _ HOIeOWDer's Protection
<br />Guide" prepared by the Florida Deparlient of Agriculture and Consuler Affairs. If the applicant is sOleone otber 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 AFFIDAVl'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, laning, and land developlent.
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<br />Application is hereby .ade to obtain a perlit to do work and instailation as indicated. I certifr that no worl or
<br />installation has cOllenced prior to issuance of a per.it and that all work will be perf oIled to leet standards of all lals
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlental agencies lay apply to tbe intended wort, and that it is
<br />Iy responsibility to identify Ihat actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />t Departlent of Envirofilental Regulation - Cypress Bayheads, Netland Areas and Envirofilentally Sensitive Lands,
<br />Water/Nastewater Treatlent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Natercourses
<br />t Ar.y Corps of Engineers - Sealalls, Docks, Havigable Waterways
<br />t De artlent of Health' Rehabilitative Services EnvirODlental Health Unit - Wells, Nastewater rreattent, Septic ranks
<br />t US Envirofilental 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 "cOlpeDsating volOle" lill be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit, 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 autbority 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 IrOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Everr pBIlit issued sball becoIe invalid
<br />unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, IaJ 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 IOnth period, or the project will be considered abandoned.
<br />NARNIHG TO OIINER: YOUR FAILURE TO RECORD A HOTlCE OF COHHEHCEHRNI HAY RESULT III yoon PAYIHG nua FOR IHPROVEIIEIIrS TO YOUR
<br />PROPERTY. IF YOU IHTEHD TO OBTAIH FIHANCIHG, CONSULT IIITH YOUR LIHDER OR AH AnORIIY BEFORK RlCORnIHG YOUR 1001Ia Of'
<br />COHMKHCBHENT ~ JOBS UHD ,500 IN VALUE DO HOT HBID TO RICaRD AHD POST A "HOrICE OF C CIMENJ" .
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<br />STATK OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATK OF FLORIDA
<br />COUNTY 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 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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