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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS .
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be lOre restrictive than City -
<br />regulations. The undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRAC'l'OH RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertale worl, 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 owner and contractor laY be
<br />cited for a .isde.eanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
<br />requiruents .ay apply for the intended Ifork, lIley are advised to contact the City of Zephyrbills Building Deparblent, (813)
<br />788-6611.
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<br />Furtherlore, if the owner bas 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 tbat you, rather than tbe contractor, are responsible for the work. 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 UTILITY CONNECTION FEES
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<br />D. CONSTRUC'l'ION LIEN L'l\W (CHAPTER '113, FLOHIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer'. Protection
<br />Guid~" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs, If the applicant is sQleone 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 />"owner" prior to couencuent.
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<br />E. CONTRACTOR' SjOWNER' S AFFIDAVI'l'
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in cQlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />I
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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 worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies .ay apply to tbe intended worl, and that it is
<br />.y responsibility to identify what actions I .ust tale to be in co.pliance. Such agencies include but are not lilited to:
<br />· Deparblent of BnviroOJental Regulation - Cypress Bayheads, Netland Areas and BnviroOJentally Sensitive Lands,
<br />Nater/Nastewater Treablent
<br />· Southwest Florida Nater Managuent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Natercourses
<br />· Arl' Corps of Engineers - Seawalls, Docks, Havigable Naterways
<br />· Deparblent of Health & Rehabilitative Services, EnviroDJental Health Unit - Wells, Wastewater Treablent, Septic ranks
<br />· US EnviroDJental Protection Agency - Asbestos abate.ent
<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 .co.pensating volu.e" 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 perlit issued shall be construed to be a license to proceed with the worl 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. Ivery perlit issued shall beCDJe invalid
<br />unless the work authorized by such perlit is cOllenced within six JOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOlJenced. One 90 day eJtension of tile, JaY 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 IOnth period, or the project will be considered abandoned.
<br />WARNIHG TO ONHBR: YOUR FAILURE TO RECORD A NOTICE OF COKMBHCBHBNr MAY RESULT IH YOUR PAYIHG TWICE FOR IMPROVEKBMlS TO YOUR
<br />PROPERTY. IF YOU IHTEND TO OBTAIH FIHANCIHG, COHSULT NITH YOUR LBHDBR OR AN ATTORNEY BEFORE RBCORDIHG YOUR NOTICE OF
<br />COHMEHCEKEHT. JOBS UNDER $2,500 IN VALUE DO NOT HEED TO RBCORD AND POST A "HOTICB OF COHMBNCKMiHT".
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<br />SIGNATURE: OWNER OR AGEHT
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<br />, I
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<br />SIGNATURE: COHTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUHTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATB OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 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
<br />
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