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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTR(CTIONS
<br />The undersigned understands that this per~it.ay~ubject to "deed restrictions" which .ay be .ore restrictive than City
<br />regulations. The undersigned assules re5ponsi~,~~ty for co.pliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTO~S AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a c~ntrar.tor or cootractors to underta~. Kcrk, they lay be required to be licensed in accordance with
<br />state and local regulations. If the'clJntractor is ,not Jicensh ilr; reGuired I.ly laH) beth the owner and contractor .ay be
<br />cited for a lisdeMeanor violation under state la". If the owner or intended contractor are ur.certain as to what licensing
<br />requireMents May apply for the intended w~rk; they are advised to contact th2 City of Ze~h7rhills Building DepartMentl (813)
<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" k)f 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 May be an indicationLat hE is no~ properly lilem;ed and is not entitled to perlitting privileges in- the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACr FEES AND UTILITY CONNECTION FEE~
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<br />D. CONSTRUCTION LIEN LAli (CHAPTER 713, FLORIDA, StATUTES, AS AMENDED)
<br />I certify that I, the applicant, have beE:) provided with a copy of "Florida's Construction Lien Law - HOMeowner's Protection
<br />Guide" prepared by the Florida DepartMent of Agriculture and ConSUMer Affairs. If ,th~applicant is SOMeone other than the
<br />"owner", I certify that I have obtained d copy of the above described doculent and protise in good faith to deliver it to the
<br />"owner" prior to COMtenCelent.
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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 ~ill be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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<br />Application is hereby Made to obtain a perMit to do work and installation 'as indicated. I certify that no work or
<br />installation has cOMMenced prior to issuance of a perMit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoniog regulations, and land developMent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I MUSt take to be 1ft cOlpliance. Such agencies include but are not li.ited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, W~tland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat~ent
<br />I Southwest Florida Water "anaQelent Disirict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health & Rehabilitative Services, Environlenta( health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US EnvironMental Protection AQency - A~bestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood ljnE A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cotpensating volute" will te subMitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />A pertit issued shall be construed to be a license to proceeo with the work and not 'as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issu~nce of a perlit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such pertit is cOltenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of si~ lonths after the tile the work is coa.enced. One 90 day extension 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 lust be logged durin~ eac~ six lonth periodl or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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 RECORDING YOUR NOTICE OF
<br />COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF'COMMENCEMENT".
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<br />I!., . I . .
<br />f-, G. \.J./. : r../ ( ~r1 ~"v~ ,
<br />SIGNATURE: OWNER- 9R~)
<br />
<br />/ ) /"'
<br />.LLL' L,
<br />SIGNATURE:
<br />
<br />/~NA/
<br />- CON~;A T~; " l< 1/" '/" -
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~A 'S LO
<br />The foregoi.f.9h.~~strument
<br />before me~ ~u~
<br />
<br />was acknowledged
<br />, 1 tIlt ~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF VI+- S' c.. 0
<br />The foregoing instrument was acknowledged
<br />befc'l-e me th i s p..U(;chT" ,.L(.,! 19 ~;;2.... by
<br />
<br />t,.). ~.
<br />
<br />to 'C-LJ tv\. ~ "-J W
<br />
<br />who is personally known to me or who has
<br />produced 1;::Y.lZ..\ I.) ClZ t::;: Ll c.. ~"-~~_. .
<br />as entification and who did/diL ~',ot
<br />ta e a h.
<br />~
<br />
<br />who is personally known to me or who has
<br />produced uP \\JE:e.IS l-\ c...E-f-..JSE:
<br />a~~' entification and who did/did not
<br />t ke n oath. f\ n () ~
<br />~"JJb,\J0-- \J. \' \ O...0....J____ -
<br />
<br />(SignatLr.-e) NOTARY PUBLI~,...STATEOF FLORIDA
<br />My e6R'11R1nlon e"pTAC Ort ? 1 qq?
<br />(Name Typed, Pr il~d tDOO I&tmmpadBecht Agencv
<br />NOT ARY PUBLI C
<br />
<br />
<br />L-
<br />
<br />e,r Stamlied> 'C I'L .".J
<br />, 5\1\11::. U. v
<br />,d r0DL.IC, 0 t 2.1992
<br />"MY commission expires B~j,t Afl,ency
<br />Bonded thru Patterson-
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