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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules 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 may be required to be licensed in accordance ,jth
<br />state and local regulations. If the contractor is not licensed as reQuired by law, both the owner and contractor lay bE
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensino
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (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 (if the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contracto"
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor lIishes you to 51gn
<br />as contractor that .ay 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 FEE2.
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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 />Guide" prepared 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 doculent and promiSE in good faith to deliver it Ie, the
<br />"owner" prior to cOlaenceaent.
<br />
<br />'(,
<br />.t.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in cotpliance with all
<br />a~plicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />I
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<br />Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has co..enced prior to issuance of a pertit and that all work will be perforted to teet standards of all lo.s
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies .ay apply to the intended work, and that it is
<br />'Y responsibility to identify what actions I aust take to be in co.pliance. Such agencies include but are not limited to:
<br />I Departaent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I De artlent of Health ~ Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I Environ.ental Protection AQency - Asbestos abatetent
<br />I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressing a "co.pensating volute" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel altE!, or
<br />set aside any provisions of the technical codes, nor shall issuance of a ~er.it prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code.. Every pertit issued shall becole in<alid
<br />unless the work authorized by such per.it is cO'lenced within six lonths of issuance, or if work authorized by the permlt is
<br />suspended or abandoned for a period of six tonths after the tite the work is commenced. One 90 day extension of tile, ~ay 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 each six tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO "MEN CEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO fOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />~ -K ~ /<ir';/. ~Lj
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<br />SIGNATURE: OIlNER OR AGENT Kenneth t. Nelson SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Pasco
<br />The foregoing instrument was acknowledged
<br />before me this Sept. 21--~ 19~ by
<br />
<br />Kenneth t. Nelson
<br />
<br />
<br />(Signatul-e)
<br />Dawn E. Woorlward r.r.#070092
<br />(Name Typed, Printed Dr Stamped)
<br />
<br />NOTARY PUBLIs"OTARY PUBLIC, STATE OF FLORIDA.
<br />MY COMMISSION EXPIRES: Jan, 25, 1995.
<br />BONDED THRU NOTARY PUBLIC UNDERWRITERS.
<br />
<br />STATE OF FLORIDAf7
<br />COUNTY OF r 'Jf G cO
<br />The foregoing instrument was acknowledged
<br />befcq-e me this 'j / 22-/ ~ 19~ by
<br />( (
<br />/(OBEJff' L. J-I~wrJt1?D
<br />
<br />
<br />~'iho h3:::.
<br />
<br />not
<br />
<br />ame Typed, F'r jnted OJ"
<br />NOTARY PUflLIC
<br />J /j hJ e5 Ii, r;e l)pes
<br />
<br />Notary Public
<br />t Large
<br />S tamp e d My Commlsslon Expires:
<br />December 14,1994
<br />(' C I' (,S<6 9 pr
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