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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 lay be lore restrictive than City
<br />regulations. The undersigned assu.es 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 If.eal regulations. If the contractor is not l~censed as required by law, both the owner and contractor lay be
<br />cited for d .isdeleanor violation under state law. If the owner 01' intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they'are advised to contact the City of Zephyrhills 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 indlcating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractDr 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" prep~red by the Florida Depart.ent 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 document and promise in good faith to deliver it to the
<br />"owner" priGr to cOI.encetent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developtent.
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<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installati~n has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies tay apply to the intended work, and that it is
<br />IY responslbility to identify what actions I tust take to be in cotpliance. Such agencies include but are not liaited to:
<br />, Departleft of Environtental ReQuIation - Cypress Bayheads, Wetland Areas and Environlenially Sensitive Lands,
<br />Water/Wastewater Treataent
<br />, Southwes' Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />, ArlY Corr 5 of EnQineers - Seawalls, Docks, Navigable Waterways
<br />, Departle:,t of Hedlth L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Envir,.nlleiltal Protection AQency - Asbestos abatetent
<br />I also cef 1fy that,ll tI11 .a~~r.i:I. I!> 'II iJ- ,n<..i.iUri.""J ;:,,,,,t.> "to' ;;;_.";'\,,,t;:.', it i: ::nd~;5b~d t~,at a dr;>inagl' plan
<br />addressing a "cotpensating volute" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida pr;or to pertit issuance.
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<br />A pertit icsued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside .,oy provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring i correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the ~ork authorized by such pertit is cottenced within six tonths of issuance, or if work authorized by the pertit is
<br />suspended,r abandoned for a period of six tonths after the tite the work is cOI.enced. One 90 day extension of tile, aay be
<br />allowed fo the perait with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved j,lspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCEKE;iT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMKENCEKENT".
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<br />~~~ /Re----. ~~ (j ~
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<br />SIGNATUFE: OWNER OR AGENT SIGNATURE: CONTRACTOgl!
<br />
<br />STATE OF fLORIDA ,/)
<br />COUNTY OF r' 0 I J.z
<br />The foregoing i~?trpment was acknowledged
<br />before ,ne thisf'Ift-V I:;)..... , 19~;l- by
<br />
<br />STATE OF FLORIDA . () k.
<br />COUNTY OF ------.ro)
<br />The foregc,ing il1$,tl-yment
<br />befclj-e me th is III/ft I:L.
<br />
<br />was ac~nowledged
<br />, 19 '1;J- by
<br />. -
<br />
<br />~ f)~ILftW
<br />
<br />who is personally known to me Dr who has
<br />produc(j
<br />as idel tification and whcl did/did not
<br />take al: oath.
<br />
<br />WI II, A-<<\ 3' Srn J TI+
<br />who is personally known to me Dr who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />
<br />((J{jll'~
<br />
<br />(Name Typed; Printed or Stamped)
<br />!jOTARY PUBLIC
<br />Notary Public, Stet. of flllririll
<br />My Commission Expirlis Sel't; 2"', '':94
<br />Bonded Thru Troy Fa:., . L~'_:, ,'r..: !P',
<br />
<br />(Name yped, Printed or Stamped)
<br />
<br />NOTARY F'W<<:L~C I. .
<br />Notary Pu {" ..Ie o. i._ -- .
<br />My Commission Expires Sept. 24, '''IA
<br />Bonded Thru Troy Fain - kSlir-.::n;:v In::.
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