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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it 'lay be subject to "deed restrictions" which may 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. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required to be iicensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be
<br />cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
<br />788-6611.
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<br />Further.ore, 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 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 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 FEE~
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<br />D. CONSTRUCTION LIEN LA~ (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 sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and prolise in good faith to deliver it to the
<br />"owner" 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 work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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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 per.it and that all work will bE performed 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 may apply to the intended work, and that it is
<br />IY r1rsponsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to:
<br />f DEPart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/WastEwater Treatment
<br />t Southwest Florida Water ManaQelent District - Wells, CyprESS Bayheads, Wetland Areas,'Altering Watercourses
<br />t ArlY Corps of EnQineErs - Seawalls, Docks, Navigable Waterways
<br />t Department of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />t US Environ.ental Protection AQency - 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 "compensating volumE" will be submitted which is prEpared by a professional engineer registered in the state of
<br />Florida prior to per.it 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 perlit prevent' the Building Official frol therEafter
<br />requiring a correction of errors in plans, construction, or violations of any code. EVEry permit issued shall beCOIE invalid
<br />unless thE work authorized by such pEr.it is commenced within six months of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the time the work is cOlaenced. One 90 day extension of time, lay 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE 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 />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />W~ ~ (~~~
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<br />SIGNATURE: CONTRA~TOR
<br />
<br />
<br />STATE OF FlIlRID~J~ W "jfJ
<br />COUNTY OF' R' - SC 0
<br />The foregoing instrument was acknowledged
<br />before me this 10 ViJV , 19~ by
<br />.
<br />
<br />STATE OF FLOR~
<br />COUNTY OF S t?o
<br />The foregoing instrument was acknowledged
<br />befol-e me th is.. /0 #0 t/ , 19 92-- bv
<br />. .-'
<br />
<br />
<br />and who did/did not
<br />
<br />
<br />to me or who has
<br />
<br />known to me or who has
<br />
<br />and who did/did not
<br />
<br />(Name Tvped. '1 -'
<br />NOT ARY' pUBtMt;comm. expires May
<br />CC110274
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