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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The ,undersigned understands that this perlit lay be subject to "deed restricti~ns' which may b~ more restr.ictive than City
<br />regulations. The undersigned assuaes responsibility:~foT"colpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor 'or contractors to undertake work, 'they lay be required to be licensed in accordance with
<br />statt and local regulations. If the contractor 11 not licensed as required by law, both the owner and contractor nay be
<br />cited for a lisdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131
<br />788-6611.
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<br />Furthermore, 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 Ire indicating that you, rather than the contractor, are responsible for the w~r~. If the contractor wishes y~u to sign
<br />as contractor that /laY be an indicatic,n that he is not properly licensed and is not enti tIed te, permi tting privi leges in H,e
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Const\ucti~n Lien Law - Ho.eowner's Protection
<br />Guide" prepared by the Fl~rida Departlent of Agriculture and ConSUDer Affairs. If the applicant is SOleDne other than the
<br />'owner', I certify that I have obtained a copy of the above described de,cument and pre'~li:e in ge,od fai th to del iver it to the
<br />'owner' prior to cO.Dencelent.
<br />
<br />..:
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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 wor~ will be done in co.pliance with all
<br />applicable laws regulating c~nstruction, zoning, and land developDent.
<br />
<br />Application is hereby lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or
<br />installation has cOlaenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern~ental agencies fiay 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 bllt ~le liCIt liaited to:
<br />
<br />. ~. #"
<br />I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering ~atercourses
<br />I Arty Ce1rps ,of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Flood Zone "A' or 'A,etc.', it is understood th~t a drainage plan
<br />addressing a 'colpensating volume' will be sublitted which is prepared by a professional engineer fe~ist~,ed in the State of
<br />Florida prior to permit issuance.
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<br />A per.it issued shall be construed to be a license to proceed with the wor~ and not as authority to viol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every permit iss\l~d :hall becole invalid
<br />unless the work authori2ed by such permit is co.tenced within six months of issuance, or if wOl'k authol lzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiJe the Hork is co~menced. One 90 day e~ttnsioll of tile, lay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection must be logged during each six tonth period, or the project will be considered dbal~oned.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURa~_Cicff~
<br />~~- OR AGENT
<br />
<br />SIGNATURE)~I1:AnJ~_~~~~
<br />~~TOR
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<br />DATE ___.J.1JJ...~_2]--_1222--------------'------- DATE _ - ___.:J_uJ=_':L2]-,- _1222----- - ---------
<br />
<br />NOTARY AS TO . II' ..; /IIJ::'..ARY AS TO /I. J //1 ,
<br />OWNER OR AGENT _'pj.-'iQ~_l--~_JY.93J1Al~r--T~ACTOR_-_Ql~ILa-_"".:__J-ld.Q9b~~
<br />
<br />MY COMMISSION EXPIRES_~1~_3lL~_193~----- MY COMMISSION EXPIRES_~~-3~_129~-
<br />Personally Known Type of Identification Produced:
<br />Fl. Drivers License-R263-223-60-642
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<br />'i'
<br />
<br />DIANA L. JUDAH
<br />... of Florida
<br />.., ea.n. Elq), JuIv 30, ,.
<br />Camat,'CC 131978 .
<br />
<br />'i'
<br />
<br />DIANA L. JUDAH
<br />StaIB of Florida
<br />My Comm, Exp. duly. : 30, 1.
<br />Comm.' CC 131m
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