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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perait aay be subj;ct to 'deed restrictions' which may be lore restrictive than Cit~.
<br />regulations. The undersigned assuaes responsibility fOT cOlpliance with any applicable deed restrictions. .
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or co~tractors to uflrtertaK~ work, t~ey lay be requirEd to be licensed in accordance with
<br />state and local regulation~. If the contractor is n6t license~ as required by law, both the owner and contractor lay be
<br />cited for a eisdeaeanor violation under statD I~N. If the nwner or intended contractor' are uncertain as to what licensing
<br />reGuirelents lay apply for the intended wprk, they are advised to contact the City of Zephyrhills Building Departlent, (B131
<br />7BB-bbl1.
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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 re~ponsible 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 ZephyrhilIs.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES.
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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 LaN - HOleowner's Protection
<br />Suide' 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 describ2d doculent and promise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
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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 developaent.
<br />
<br />Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no Nork or
<br />installation has cOllenced prior to issuance of a perlit and that gll work will be perforled to leet standards of all laws
<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 governlental agencies lay apply to the intended Mork, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li.iled lo:
<br />I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Tr~~t:lent
<br />I Southwest Florida Water HanaQelent District - Wells, Cypress Bayheaa~, Wetland Area~, Altering Watercourses
<br />t Any Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environlental Protection AQe~ - Asbest~~ abatelent
<br />I also certify that, if fill lateri~l is to be used in FI)od Zone .A" Dr 'A,etc,., it is understood that a drainage plan
<br />addressing a 'colpensating volule' Mill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the MorK and not as authority to violate, cancel alter, or
<br />set aside "ny provisions of the technical codes, no. shall issuance of a perlit prevent the Building Official frot thereafter
<br />requiring i correction of errors in plans, cons~ructiDn, or violations of any code. Every perlit issued shall becole invalid
<br />unless the ~ork authorized ,by such perlit is co..enred within six lonths of issuance, or if work authorized by the perlit is
<br />suspended :,r abandoned for a period of six lonths 3fter the tile the work is cOlmenced. One 90 day extension of tile, lay be
<br />allowed f~' the perlit with fee charge of $15.00. The extension shall be requested in writing to lhe Building Official. An
<br />approved iispection lust be logged during each six lonth period, Dr the project will be considered abandoned.
<br />WARNING TC OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINS YOUR NOTICE OF
<br />COHHENCEHE iT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT..
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<br />SISNATUfE: OWNER OR AGENT
<br />
<br />
<br />was acknowiedged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF /I/u5&c/,e~C.(C:rH
<br />";he forege<i ng ~-ument \flaS ~CknCI\flledged
<br />uefOl-e 11Ie tlilS V //1, , 1'7 92- by
<br />
<br />STATE OF fLORIDA
<br />COUNTY OF
<br />The fCI]-?going instrument
<br />befol-e Tie this
<br />
<br />who is Jersonally known to me or who has
<br />producl j
<br />as ide: tification and who did/did not
<br />take al oath.
<br />
<br />
<br />i d nc. t
<br />
<br />me or who has
<br />
<br />-=::-::.
<br />
<br />~A':::.<~ G/A,J'")-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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<br />
<br />J;;(." r~.J :..~ [.j i" j, ! ,',; .,. , .
<br />
<br />(Signai ul-e)
<br />
<br />(Name 1yped, Printed or Stamped)
<br />NOTARY PUBLIC
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