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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peraitaay be subject to 'deed restricti~ns' which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RES~ONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance Nlth
<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 aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
<br />7BB-bb 11.
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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 contractD;',
<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 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 FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I cerjify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" 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 described docusent and promise in good faith to deliver it te, the
<br />"owner" prior to cOIsencelent.
<br />
<br />~,
<br />I
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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 />a~plicable laws regulating construction, zoning, and land developlent.
<br />
<br />I
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<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all lans
<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 govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
<br />I Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I De artlent of Health L Rehabilitative Services Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />I Environ.ental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volu.e" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a ~er.it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code._ Every pertit issued shall becole invalid
<br />unless the work authorized by such per.it is cOllenced within six .onths of issuance, or if work authorized by the permIt is
<br />suspended or abandoned for a period of six .onths after the tile the work is cOlienced. One 90 day extension of tile, ~3Y be
<br />allowed for the per.it 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO ',DUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE: CONTRACTOR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instru ent
<br />before me this
<br />
<br />p
<br />f f.I5( 0
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instru ent
<br />befctl-e me th is
<br />
<br />
<br />who is~
<br />produced
<br />as identif.icatiol~,
<br />take an 0 b ,;....-- /
<br />l .. _. e;.
<br />
<br />(SignatLll-e) Notary Public Pasco Co. fL
<br />'E . ~lt~res M~ 11 \(}9S
<br />(Name Ty~~ ~~b Ir Stamped)
<br />NOT ARY PUBLI C
<br />
<br />
<br />who has
<br />
<br />nc,t
<br />
<br />,,' " ~::::-:':::-.~:=:':;,::~:;~ ",'
<br />~ .-;;{P". _~.-".
<br />
<br />\o'lho is.pel~ai 1 y knol'1n to me Dr who haco
<br />pl-oduced
<br />as identificati9-l"l and who did/did not
<br />take an oatJ~.K ~.
<br />
<br />(Signatu-,-e) Pbl'P oCoFL
<br />Notary u lC asc .
<br /><Name Typed M1'€OI\"081tX~~Ji1~\3. 1995
<br />NOTARY PUBLIC
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