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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 "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned IllUles 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 the cDntractor is not licensed as required by law, both the owner and contractDr lay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (8131
<br />788-b611.
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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 />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />"owner" prior to cOltenCelent.
<br />
<br />:}
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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 />
<br />I
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<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be performed to leet standards of all laNS
<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 govern.ental agencies lay apply to the 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 liaited tc,:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />lIater/llastewater Treat.ent
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Barheads, Wetland Areas, Altering Ilatercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Ilastewater Treatlent, Septic Tanks
<br />f ~ Environlental Protection AQency - 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 plaD
<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.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code., Every pertit issued shall becole i~<alid
<br />unless the work authorized by such perlit is cOllenced within six tonths of issuance, or if work authorized by the permlt is
<br />suspended or abandoned for a period of six lonths after the tite the work is cOltenced. One 90 day extension of tile, ~ay be
<br />allowed 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 tonth period, or the project will be considered abandoned.
<br />WARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TIlICE FOR IMPROVEMENTS TO 'lOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IlITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. BS UN R $2,500 IN V LUE DO NOT NEED TO RECORD AND POS · TICE COMMENCEMENT",
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<br />
<br />
<br />who is who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an C/~~~1> ~A,
<br />
<br />(SignatLll-e) , '7/
<br />(latA I e J1 ~ #o//~t/
<br />(Name Typed, Printed or Sfamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA n
<br />COUNTY OF ~~
<br />The foregoing instrument was acknowledged
<br />befo\-e me this -7J!L7".4 Y , 19~ by
<br />
<br />-r; 'rvJ /J1" k ~ p, d' /' +' --e..
<br />who is4fel-sonally ~(now!f)tcl me or whc. has
<br />produced
<br />as identification and who did/did not
<br />
<br />ta~(e an o0J~,~ //cLfjr
<br />
<br />(Slgn~ure) . / .
<br />(La u/-e n-e. ~ I/et/
<br />(Name Typed, Printed or St~ped)
<br />NOTARY PUBLIG.
<br />
<br />STATE OF FLORIDA ('J
<br />COUNTY OF ~~
<br />The foregoing instrument was acknowledged
<br />befol-e me th i s 'J1!~h6~:I, 19.ft by
<br />
<br />
<br />L-::'....JCp /tt .f' <; tb - .3 - ;?..5~
<br />
<br />CYfl(:-<'~!;
<br />
<br />~-.3-;?S-
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