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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The undersigned understands that this per.it lay be subject to .deed restrictions. which .ay be .ore restrictive than City
<br />regulations. The undersigned assu.es 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 lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by laN, both the ONner and contractor .ay be
<br />cited for a .isde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay 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 contractorlsl 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 .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 Protection
<br />Guide. prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
<br />.owner., I certify that I have obtained a copy of the above described docutent and pro.ise in good faith to deliver it to the
<br />.owner. prior to co..ence.ent.
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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 Mill be done in co.pliance with all
<br />a~plicable laws regulating construction, zoning, and land develop.ent.
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<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co..enced prior to issuance of a per.it and that all work will be perforted to .eet 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 govern.ental agencies .ay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Departtent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f De art.ent of Health & Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f Environlental Protection AQency - Asbestos abate.ent
<br />I also certify that, if fill .aterial 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 pertit issuance.
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<br />A perlit 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 ~erlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perl it issued shall becole invalid
<br />unless the work authorized by such perlit is cOI.enced within six tonths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six .onths after the ti.e the work is comtenced. One 90 day extension of tile, 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 .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT HAY RESULT IN YOUR PAYING TWICE 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 />CO""ENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT..
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<br />STATE OF FLORIDA ~
<br />COUNTY OF -r- A
<br />. The foregc, i ng i ns trumentJA~
<br />befcq-e me this C::::>~~ ~19
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<br />- \)~_~ tl, t1{ttf(:TtS SF::-
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<br />who l~lly known to me or who has
<br />produced' .
<br />as identification and who did/did not
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<br />take an Datll.q::;;j).~~ ~~ "S)
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<br />(SignatLrl-e) 7-
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<br />
<br />who IS pel-sc,
<br />produced
<br />as identification
<br />take an oath
<br />
<br />(Si gna tLll-e)
<br />
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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<br />N9tary public, State of Florida
<br />Jitebirt Charles Ehrman, Jr.
<br />My Commission Expires April 21. 1996
<br />Comm. No. CC 196771
<br />
<br />Notary Public, State of Florida
<br />Robert Charles Ehrman, Jr.
<br />MyCommission Expires April 27, 1996
<br />Comm. No. CC 1967H
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