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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A: NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands tbat tbis perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assWles responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CON1'RAC'l'On RESPONSIBILI1'IES
<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 noL licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />require.ents 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 />Furtherlore, 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 they will be responsible. If you, as the owner 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 Zephyrhills.
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<br />"
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES {'
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<br />D. ~ONSTRUC'l'ION LIEN L'l\W (CHAPTER 713, FLOlUDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeONDer's Protection
<br />Guide- prepared by the Florida Departlent of Agriculture and ConSWler Affairs. If the applicant i8 sOIeOne other tban the
<br />-owner", I certify that I have obtained a copy of tbe above described doculent and prolise in good faith to deliver it to the
<br />"oNner" prior to couence.ent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the inforlation in this application is accurate and that all Nork will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled to leet standards of all IllS
<br />regulating construction, City codes, loning regulations, and land developlent regulations in Lbe jurisdiction. I also
<br />certify that I understand that the regulations of other govefDIental agencies lay apply to tbe intended work, 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 EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and RnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />t Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Deparllent of Health' Rehabilitative Services, RnviroRlental Health Unit - Wells, Wastewater TreatleRt, Septic ranls
<br />t US EnviroDlental Protection Agency - Asbestos abate.ent
<br />I also certify that, if fill .aterial is to bl! used ill Flood Zone "A" or "A, etc. ", it is understood tbat a drainage plan
<br />addressing a "colpensating volDle" will be sublitted wbieb 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 the work and not as autbority 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, Every perlit issued shall beCOle io,alid
<br />unless the work authoriled by such perlit is cOllenced within six IOnths 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 cOllenced. One 90 day eJtenaion of tile, lay be
<br />allOlfed 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 tbe project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURK TO RECORD A NOTlCK OF COHHIlNCKHBNT HAY RKSULT IN YOUR PAYING TlfICI FOR IHPROVIIIHIIIS TO YOUR
<br />PROPKRTY. IF,.OU IH1'IlND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDIR OR AM ATTORNKY BlFORB RBCORDING YOUR NOTICI! OF
<br />COHHKMCEHKNT. JOBS UNDER $2,500 IN VALUI DO NOT NEKD TO RKCORD AND POST A "NOTICE OF COHHKNCRH1lH1'-. '
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<br />, I'
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<br />SIGMATURIl: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATK OF FLORIDA
<br />COUH1'1 OF
<br />The foregoing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATK 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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