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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" 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 RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licenged 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 tisdeteanor 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 Departlent, (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 contractorlsJ sign portions ~f the
<br />'Contractor Sections" of this application for which they will be responsible. ,If you, as the owner sign as the contractDr,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to 51gn
<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.
<br />
<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 Protectlon
<br />Guide" prepared by the Florida Departtent of Agriculture and Consuler Affairs. If the applicant is sOleone other than tee
<br />'owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it te, the
<br />"owner" prior to cOllencelent.
<br />
<br />,}
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIL
<br />I certify that all the inforlation in this application is accurate and that all Hork will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />,
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<br />Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cOltenced prior to issuance of a pertit and that all work will be perforled to leet 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 governlental agencies tay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I tust take to be in co.pliance. Such agencies include but are not liaited tl':
<br />f Departlent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />f Southwest Florida Water l1anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f De artlent of Health ~ Rehabilitative Services Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f Environlental Protection AQency - Asbestos abatetent
<br />I also certify that, if fill laterial is to bp used in Flood 7nne "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" Mill be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the Mork 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, Dr violations of any code. Every perl it issued shall beCOIiE i"'ialid
<br />unless the Mork authorized by such pertit is cottenced within six lonths of issuance, or if work authorized by the permlt is
<br />suspended or abandoned for a period of six lonths after the tile the Mork is comDenced. One 90 day extension of ti&e, ,,;y be
<br />allowed fDr 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 tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHI1ENCEHENT I1AY SUU IN YOUR PAYING THICE FOR IMPROVEMENTS TOrC:UR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER AN ATTO B ORE RECORDING YOUR NOTICE OF
<br />COHI1ENCEI1ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND PO A N E OF I1ENCEI1ENT".
<br />
<br />~:, 11....",,1-.
<br />SIGN RE: OWNER OR AGENT
<br />
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />STATC OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befcol-e me th i s FIE.i5 9
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF {hc:.('O
<br />The foregoing in~lment
<br />befc.re me this
<br />
<br />"la,s ackno"Jledged
<br />, 19.ti- by
<br />
<br />~\~q\e ~~
<br />who is personally known to me Dr who has
<br />produced O~,() rk,-..Io-<s' \ i('~-
<br />as identification and who did/did not
<br />(\ke an oat~
<br />1~~ ~
<br />(Signature) ~
<br />(\X\\\<;;>PC'I S\to
<br />(Name Typed, Printed or Stamped)
<br />
<br />NOTARY PU~~.~. OFFICIAL SEAL
<br />{ ~..\ COLLEEN STROTT
<br />. My Commission Expires
<br />\ V' ,4'l Jan. 20, 1996
<br />....~Of~... Comm, No. CC 174750
<br />.........
<br />
<br />-PAUL- S<LHe\'PER.
<br />who is personally known to me Dr who has
<br />pl-oduced
<br />as identification and who did/did not
<br />
<br />take e..o!Ltl\-6Q. . . i2
<br />(Signature) Notary~State ot FlOrida
<br />Robert Charles Ehrman, Jr.
<br />( N T M\t C;(1rrllTlIS~~Explre~~w.1I .2Wd~"~
<br />ame yped', r-rd~H~m"Nol?cc 19~
<br />NOTARY PUBLIC
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