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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to .deed restrictions. which lay be .ore restrictive than City
<br />regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance .ith
<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 .isdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are advised to contact .he 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 contractorls} sign portions {;f 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting 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 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 - Ho.eowner's Protectlon
<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 ti< the
<br />.owner. prior to co..encelent.
<br />
<br />oj,
<br />,l
<br />
<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 co.pliance with all
<br />a~p1icable laws regulating construction, zoning, and land develop.ent.
<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 Dr
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to .eet standards of all la~s
<br />regulating construction, City codes, zoning regulations, and land developlent 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 cotpliance. Such agencies include but are not li.ited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Ar., Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f De artlent of Health & Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />f Environ.ental Protection AQencr - Asbestos abatelent
<br />I also certify that, if fill .ateria1 is to be used in Flood Zone .A. or "A,etc.., it is understood that a drainage plan
<br />addressing a .cotpensating volule. will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel altef, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a vertit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code., Every perlit issued shall becole i;jyalid
<br />unless the work authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the perrnlt is
<br />suspended or abandoned for a period of six lonths after the tile the Mork is COlienced. One 90 day extension of ti~e, ua, be
<br />alloNed 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 COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO 'iOUR
<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 TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />51 (~?
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<br />
<br />STATE OF FlORIDA f/1f3 .
<br />COUNTY OF ~
<br />The foregoing instlument
<br />before me this If' 'Y~
<br />, ( /
<br />
<br />was acknowledged
<br />, 1 9 !f.!L--. by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />. The foregoing instjlment vias aC~OvJledged
<br />befct\-e me this '1 '-:~ , 19 :?-. by
<br />
<br />(,f5Cd
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identificat~~. nd
<br />take an 0 . k"
<br />
<br />(SignatLlr~gtarY Public Pasco Co. fl
<br />~~~I\ E~iRs Ma~ 13.1995
<br />(Name , lte Dr S amped)
<br />NOTARY PUBLIC
<br />
<br />who is personally known to me or who has
<br />produced
<br />as .identificat~.ooJYj . n
<br />take an [I ~ I -
<br />
<br />(Signature)
<br />Notal)' Public Pasco Co. FL
<br />(NanMytanal~i~MaY IS~ed)
<br />NOTARY PUBLIC
<br />
<br />o did/did not
<br />
<br />
<br />did/did not
<br />
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