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<br />. CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE:- OF DEED RESTRICTIONS
<br />The undersigne~ understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. Tbe 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 required to be licensed in accordance with
<br />state and local regulations. If tbe contractor is not licensed as required by lall, both the owner and contractor lilY be
<br />cited for a lisdeleanor violation under state lall. If the ollner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended lIork, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />FurtherlOre, if the ollner 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 IIbich they lIill be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the 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 Zephyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND U'fILITY CONNECTION FEES
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<br />D. CONSTRUC'!'ION LIEN L1\W (CHAPTER '113, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIIOIDer'l Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sDleOne 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 />"ollner" prior to COMenCelent.
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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 1I0rk will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
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<br />Application is hereby lade to obtain a perlit to do 1I0rk and instailation as indicated. 1 certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all wort will be perforled to leet standards of. all 1811
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand tbat the regulations of otber goverDIental 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 lilited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />. Water/Wastellater Treatlent
<br />t Southllest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departaent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastellater Treatlent, Septic Tanks
<br />t US EnviroDleDtal 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 .cOIpensating volUle" will be sublitted wbicb 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 perlit ilsued shall becole invalid
<br />unless the worl authoriled by such perlit is cOllenced within Sil IOnths of issuance, or if worl authoriled by the perJit is
<br />suspended or abandoned for a period of Sil IOnths after the tile the work is cOll8nced. One 90 day 81tension of tile, 181 be
<br />allowed for the perlit with fee cbarge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each Sil IOntb period, or' the project will be considered abandoned.
<br />WAMING TO OVIIER: YOUR FAILURE TO RECORD A NOTICR OF COHMRNCIiIlBNT HAY RHSULT IN YOUR PAYING TlUCI FOR IHPROVEIIIITS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAII FINANCIIG, CONSULT WITH YOUR LEIDER OR AN ATTORlEY BlFORB RlCORDING YOUR NorlCl OF
<br />COKKENCHHRNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHENCIMINrN.
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<br />SIG URE: CONTRACTOR .
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<br />SA'l'URB: OVIIER OR' AGENT
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<br />STATE OF FLORIDA R
<br />COUNTY OF ~
<br />The foregoing ins~ument was acknowledged
<br />before me this3'-..- ~ ' ~~ by
<br />
<br />
<br />to me or who has
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ,~
<br />The foregoing instrument was acknowledged
<br />before me this 3',8 Q I J' ~ ' ~oo \ by
<br />
<br />~is (~~ldIY 0~( ~ or lIbo bas
<br />
<br />produced
<br />as ident'
<br />take
<br />
<br />(Name Typed, P
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Pr
<br />NOTARY PUBLIC
<br />
<br />
<br />& BcndInlI. InC.
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