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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for co.pliance with any applicable deed restrictions.
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<br />B. UNL I CENSED CONTRACTORS AND CONTRACTOR F:S:,:?I:_\J!':ISJJ:~-l...lh.I T I E~i
<br />If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with
<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 licensing
<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(sl 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 responsible for the work. If the contractor wishes you to sign
<br />as contractor that Day 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 law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so.eone,o~her than the
<br />"oHner", I certify that I have obtained a copy of the above described document and promise' in good faith to deliver it to the
<br />"oHner" 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 wvrk will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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<br />Application is hereby lade to obtain a per.it to do work and installation as indicated,. I certify that no work or
<br />installation has cOllenced prior to issuance of a per.it and that all work will be perforled to leet standards of all laws
<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 governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Department of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Enviro'naentally Sensitive lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaHalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f US Environmental Protection HQency - Asbestos abatelent
<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 volume" Kill be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit 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 pertit prevent the Building Official froD 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 per.it is cOllenced within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the work is com~enced. One 90 day extension of ti~e, lay be
<br />allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be, 0 Ing each 'x lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: Y A E R CORD A NOT E OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF Y NTEN DB AIM INANCING, ONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT JOBS R $2,5 VALUE D ~OT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />dUJ.
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<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~r OxJ. (' /)
<br />The foregoing instrument was acknowledged
<br />befol-e me thisl1d~23, 19.!1l:::... by
<br />
<br />~ ~
<br />
<br />who ~personall y known to me ~r tIME' F\.:\:3
<br />pl-'- QUi:tiOl<j
<br />.=l"'- lrlpnt.;f:'b:iilti~'n and who ~did not
<br />take an oath.~ . ~
<br />
<br />(Signature) j.<.lfrHl-EE:.AJ 7ir. BRoc..JW
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF vf (:iAJ~
<br />The foregoing instrument was acknowledged
<br />befcq-e me th i s {1e/~ 23, 19 ? 2- by
<br />
<br />~v.~
<br />
<br />\l'Jho is pel-==-onally kno\'m to me 4;1'" tJI--,e:, Mas
<br />
<br />~Odl..ll...d
<br />;:\5:; iglin+ifir-~t;.-,n and who eh-d-/did not
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />take an oath. ~f~.L-1') . ~
<br />
<br />(Signature) Jt
<br />J.< A TJ-I LEE.. j./ J: E/2duJ JJ
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~ KATHLEEN J. BROWN
<br />i 1, State of Florida
<br />My Comm. Exp. April 2, 1995
<br />~ Comrn.#CC095617
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<br />#'J(:~
<br />ia'f.
<br />
<br />KATHLEEN J. BROWN
<br />State of Florida
<br />My Comm. Exp. April 2, 1995
<br />Comm. , CC 095617
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