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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The UDderslgned underslands lbal Ibis per.11 .., b. subjecl to 'deed r..lrlell.... obleb .., be .... restrlell.. !ban City
<br />regulations. The undersigned assUles responsibility for co.pliance 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 undertale worl, they aay 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 .IBd......r .Iolalion und.r stal. lao. If lb. ....r or Inlended conlractor are une"laiD .. I. "'1 lle...lng
<br />regulr....is .., appl, f.r lb. inlended ..rl, lb., ar. ad.lsed I. ""tael the CII, .f Zopbyrbllls Balldl.g Doparlaenl, (813)
<br />188-6611. .
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<br />FurtherlOre, if the ONner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Conlractor Seeli.... of tbls applicallun for obleb lbey 011I be r""""sibl.. 1f!1>U," lb. lIIIIIer slgu as lbe contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the worl. If the contractor wishes rou 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 UTILITY CONNECTION FEES
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<br />D. CONSTRUC'rION LIEN Lnw (CllAPTER 713, FLORIDA STATUTES" AS AMEHDED)
<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 DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOleODe 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 />BONner" prior to co..ence.ent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all worl will be done in cOlpliance with all
<br />applicable laws regUlating construction, zoning, and land developlent.
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<br />Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no worl or
<br />installation has cOIIenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveCRIental agencies lay apply to the intended work, and that it is
<br />Iy responSibility to identify what actions I lust tale to be in cOlpliance. Such agencies include but are not lilited to:
<br />· DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />. Water/Wastewater Treablent
<br />· Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docls, Navigable Waterways
<br />· De arblent of Health & Rehabilitative Services EnvirODlental Health Unit - Wells, Wastewater rreatlent, Septic ranks
<br />· US EnviroDlental Protection Agency - Asbestos abateaent
<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 "c08pensating VOlO88" will be sublitted 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 perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />Bet 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 anr code. Bverr per.it issued shall becDle invalid
<br />unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if work authoriled br the perlit is
<br />suspended or abandoned for a period of six 80nths after the UII8 the work is COMenced. One 90 day utension of tile, .y be
<br />allowed for the perlit 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 80nth period, or'the project will be considered abandoned.
<br />WARNING TO OIINER: YOUR FAILURE TO RECORD A HOTICE OF COMMENCEMEHT HAY RESULT IN YOUR PAYlHG RICE FOR IHPROVIIIDrS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORlHY BEFORE RICORDING YOUR MorICI OF
<br />COMMENCHHEHT. JOBS UNDER $2,500 IN VALUE DO NOT HEED TO RECORD AND POST A "HOTICE OF COHHEHCBHENT".
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<br />SIGNATURE: OWNER OR AGENT
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<br />, I
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<br />SIGNATURE: CONTRACTOR
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<br />STATE OF FLORIDA
<br />COUNTr OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE 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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