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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait .aay be subject to "deed restrictions" which .ay be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for co.pliance lIith any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ollner has hired a contractor o~"C9ntractors to undertake Mork, they lay be required to be licensed in accordance lIith
<br />state and local regulations. If the contractor is no1 licensed as required by laM, both the 'owner and contractor .ay be
<br />cited for a aisdeaeanor violation under ;tate law. If the ollner ~r intended contractor are uncertain as to what licensing
<br />requireaents aay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813J
<br />788-6611.
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<br />Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsJ 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 1I0rk. 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 per.itting 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 - Ho.eowner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is so.eone 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 />"ONner" prior to CO.lenceaent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVI~
<br />I certify that all the inforaation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work Dr
<br />installation has coaaenced prior to issuance of a perait and that all work will be perfor.ed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies aay apply to 'the intended work, and that it is
<br />.y responsibility to identify what actions I .ust take to be in coapliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Naviga~le Waterways
<br />f Depart.ent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abateaent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or '~,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating volule" Mill be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it 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 perlit 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 invalid
<br />unless the work authorized by such per.it is co..enced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six .onths after the ti.e the work is comlenced. One 90 day extension of tile, lay 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 e~ch six .onth period, or the project will be con 'dered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NO~ICE OF COMMENCEMENT MAY .ESULT IN Y PAYI 6 TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER 0 A R Y FO. ECORDIN6 YOUR NOTICE OF
<br />CO""ENCEMENT. JOBS UND ,500 ALUE DO NOT NEED TO RECORD AND PO T "N T CE OF CO M Ne MENT".
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<br />SIG
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<br />
<br />STATE OF FLORIDA t:'~~'C:>
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />befol-e me this l~ ~Al/, 19.!3Zby
<br />
<br />STATE OF FLORIDA P ASC. D
<br />COUNTY OF
<br />The foregoing instrument
<br />befure me thIS Is? MA'1
<br />
<br />"RICH At?D .DA YTO N
<br />who is personally known to me~or who has
<br />produced PGRbo,JALL-'1l t< \ DLU N
<br />as identifi ation and who did/ id not
<br />take an oath.
<br />
<br />PAt) L.-
<br />
<br />was acknowledged
<br />, l~by
<br />
<br />SCHAPE R-
<br />
<br />(Sign.:1tun:
<br />DON s.0-qo~
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />;' ~
<br />
<br />\l'lho is persona 11 y knO\l'Hl to me c.r who has ~
<br />prc.duced t-::--L.D R -S \ lo 0 {..p g4C:;S4D~ {E--C\ S...J
<br />as identificat~on and who did/did not
<br />take an oath~a~V
<br />
<br />(Signature) \
<br />DDNA .::r. SU f7 Dt--J
<br />(N2m~ Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />My commission expires Jan. 28. 1995
<br />Bonded thru Patterson - Becht Agency
<br />
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />My commission expires Jan. 28, 1995
<br />Bonded thru Patterson - SecM AgenGY
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