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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 Rdeed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assllles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, 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 wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
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<br />FurtberlOre, 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 tbey will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating tbat you, rather than the contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor tbat 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 />.~I
<br />t'"
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<br />D. CONSTRUC'!'ION LIEN LftW (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 - HOIeONDer's Protection
<br />Guide~ prepared by the Florida Departlent of Agriculture and Conslller Affairs. If tbe applicant is sOIeOne 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 co_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.
<br />I \
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<br />Application is hereby lade to obtain a perlit to do work and instaifation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to l8et standards of all law8
<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 govefDIental agencies laY apply to tbe intended worl, 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 />* Departlent of EnviroDl8ntal Regulation - Cypress Bayheads, Wetland Areas and EnviroOlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Healtb , Rehabilitative Services, BnviroOlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US EnviroOlental 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 volllle" 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Ivery petlit issued sball beCOJe invalid
<br />unless the work authorized by such perlit is cOll8nced within Sil IOnths of issuance, or if work authoriled by the perJit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is cOllenced, One 90 day 81tension of tile, iiI 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 IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNIlR: YOUR FAILURE TO RIlCORD A NOTICE OF COMHENCIDfRNT HAY RESULT IN YOUR PAYING T1UCK FOR IHPROVIllllftS TO YOUR
<br />PROPERTY. IF YOU IIflBND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORRBY BBFORE RBCORDING YOUR NOlICK OF
<br />COHMENCEHENT. JOBS UNDIlR $2,500 IN VALUIl DO NOT NIlIlD TO RIlCORD AND POST A "NOTICE OF COHKllNCIDfRHT".
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<br />SIGNATURB: OWNBR OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
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<br />STATil 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 />COUIflY 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 bas
<br />produced
<br />as identification and wbo did/did not
<br />take an oatb.
<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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