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<br />CONDITIONS OF,PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The.undersigned understands that this per.it lay be subject to 'deed restricti~ns' which ~ay be m~re restr.ictive than City
<br />regulations, The undersigned assulcs responslbI1ity";for. compliance with any applicable deed restrictions.
<br />
<br />"
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
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<br />If the owntr has hired a contractor ,~r contractors to undertako wor~, .they lay be required to be licensed in accordance with
<br />state and local regulations. . 11 the contractor is not licensed as required by law, both the ~Hner and contractor nay be
<br />cited for a Disdeneanor violation under state law,. If the owner or intended contract~r are uncertain as to what licensing
<br />reQuire.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(sl sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. 1f you, as the ~wner sign as the c~ntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the w~r~. If the c~ntractor wishes y~u to sign
<br />as contractor that lay be an indication that he is not properly licensed ~nd is not entitled t~ per~itting privileges in the
<br />City of Zephyrhills,
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho~eowner's Protection
<br />Guide' prepared by the Fl~rida Departlent of Agriculture and ConSUDer Affairs. 1f the applicant is s~&eone other than the
<br />'owner', I certify that I have (.btained a. cDPy of the above described de.cument ;,nd pr~~lise in ge,od faith to deliver it to the
<br />'owner' prior to co..enceDent, I
<br />
<br />:1.;,'7 '
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the information in this application is accurate and that all Mork will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby ~ade to Dbtain a perlit t~. dD wDrk and install~tion as indicated. I certify that no work or
<br />installation has COlmenced prior to issuance of a perlit and that all wor~ will be perf~rmed t~ ~eet standards of all laMS
<br />regulating construction, City codes, zoning regulatiDns, anrl land development regulati~ns in the iurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply. to the intended work, and that it is
<br />IY responsibility tel identify what actions I lust take to be in compliance. Such agencies include bid ~l e ne,l liaited to:
<br />
<br />. ,,#" .>
<br />I Department of Environmental ReQulation - Cypress Fayheads, Hetland Areas and Environmentally Sensi live L~nds,
<br />Hater/Wastewater Treatment
<br />I Southwest Florida Hater'KanaQe!ent ~istrict - Wells; Cypress Fayheads, Hetland Areas, Altering Watercourses
<br />I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - ~ells, ~asteHater Treat~en~. Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
<br />
<br />1 also certify that, if filllatr:rial is to be used in Flt.od Ze,ne 'A' or 'A,etc.', it is understc,e,d \I.~t "drainage plan
<br />addressing a 'compensating volume' will be sublitted which is prepared by a prDfes5i~nal engineer regi5t~led in the state of
<br />Florida prior to permit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to yi~l~te, cancel alter, or
<br />set aside any pr~visions ~f the technical codes, nor shall issuance of a permit prevent the Building Officiil fr~l thereafter
<br />requiring a ce,rredion e,f errors in plans; consirudic,n, e,r violations of any (c,de. Eyery per~it iSSIlI~j ohall be(c'le invalid
<br />unless the He.rk authe,rized by such permit is cC'IIlDenced within six 1II0nths (,f issuance, e,r if In" k dllthe.. ],ed b)' the perlit is
<br />suspended or abandDned f~r a period of six tonths after the tiJe the Hork is [~mmeneed. One 90 day e:te~5ioll of tile, aay be
<br />all~wed fDr the per~it Hith fee charge of $15.00. The extensi~n shall be requested in Hriting t~ the Bu~lding Official. An
<br />approved inspedie.n oust be le,gged during I!ach six mDnth period, or the prc,ject Hill be (c,nsidcr"d dbd\,de,,,~d.
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<br />RESULT
<br />INTEND
<br />BEFORE
<br />
<br />
<br />MAY
<br />
<br />DA TE ____lO---1.J-:.q-l-------~-.----.--,-------
<br />
<br />DATE
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<br />lO-li-q \
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<br />~~~~:y o~s A~~NT _~ttJ1'iliiL---- ~~~~:~C~~R~~_~~-:~--
<br />
<br />iTARY PUBLIC STATE OF FLOR1OA
<br />MY COMMISSION EXPIRES~~~issi.Q.l'-~.Pi!~-Ju.!Y 11, 1993MY
<br />Bonded thrv Patterson .1lec"it~encY
<br />
<br />COMMISSION EXP~~~..P..lJBl,.1C.Jn~IL9i FLBRiDA
<br />My commission expires July 1f, 1'"993
<br />Bonded thru Patterson. Becnt Agef'lC'l
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