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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 wdeed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance 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 lay be reguired to be licensed in accordance with
<br />state and local regulations. Jf the contractor is not licensed as reguired by law, both the owner and contractor IIY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparblent, (813)
<br />788-6611.
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<br />Furtberlore, if the owner has hired a contractor or contractors, be is advised to bave tbe 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, ratber than the contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor that lay be an indication tbat 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'fILITY CONNECTION FEES
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<br />D. ~ONSTRUC'l'ION LIEN LnW (CHAPTER 713, FLORIDA STATUTES.I AS AME.NDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoIoer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If tbe applicant is SOJeODe 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 cu..encelent.
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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 work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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<br />Application is hereby lade 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 perfoIJed to Jeet 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 govefRIental agencies lay apply to tbe intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
<br />· DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />· Soutbwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Deparllent of Healtb , Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater !reatJent, Septic !ants
<br />· US EnvirODlental 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 "cOlpensating 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 with tbe 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 frUl thereafter
<br />requiring a correction of errors in plans, construction, or violatioos of any code. Ivery petlit issued shall beCOll iD'alid
<br />unless the work autboriled by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is CDllenced. One 90 day utension of tile, IIY be
<br />allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOntb period, or tbe project will be considered abandoned.
<br />WARRING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OP COHHIICIHBNT ItAY BESUL! IN YOUR PAYING !IIICE FOR IHPROVIIIIIrS TO YOOR
<br />PROPERTY. IF YOU INTEND TO OBTAIN PIIIANCING, CONSUL! WITH YOUR LENDER OR AN AnOOl1Y BBPOBE RICORDIIIG YOUR IIO!lCE OP
<br />COHHENCEHRNT. JOBS UNDER $2,500 IN VALUR DO NOT NERD TO RECORD AND POST A "NOTICE OF COHHIIICBIIBN1'". .
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<br />SIGNATURB: OWNER OR AGRNT
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<br />SIGNATURE: CONTRACTOR
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<br />STATK OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />before me this , 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)
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<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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