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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit.ay be subject to "deed restrictions" which lay be .ore restrictive than City
<br />regulations. The undersigned assutes responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contract9r,or,,~~ntractors to undertake worK, they say be fcequired to be licensed in accordance with
<br />.:w. ...tf 'r ,~~, , .. .!
<br />state and local regulations. If therontractnr jc ~b~'licensed as required by law, both the owner and contractor lay be
<br />cited for a tisdeteanor violation under state IaN. If the owner Dr 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~ontractors, 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of 2ephyrhills.
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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 - Hoteowner's Protection
<br />Guide" prepared by the Florida Departtent of Agriculture and Consuler Affairs. If the applicant is sOleone other ;~han the
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith to delj"er it to the
<br />"owner" prior to cOI.encelent.
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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 compliance with'all
<br />applicable laws regulating construction, zoning, and land developlent.
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<br />Application is hereby made 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 perf Dried to leet standards of all laws
<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 ~& applY to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agenci.eie,inc1u~e but aLe n,ot lilit~,d,Jo:
<br />f Dellarhent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and tnviron.enta}ly Sensitive Lands'~:' "".
<br />Water/Wastewater Treatment
<br />~ ... <'a: ~I.l
<br />f Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaMalls, Docks, Navigable WaterMays ' . ..
<br />f Departeent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ_ental Protection AQency - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,., it is understaod that a drainage plan
<br />addressing a "collpensating volule" will be sublitted 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, ca~:el 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, Dr violations of any code. Every pertit iS5U~d shall ~~cole invalid
<br />unless the work authorized by such perlit is coe.enced within six tonths of issuance, Dr if work au.horized by the perlit is
<br />suspended or abandoned for a period of six tonths after the tile the worK is comienced. One 90 day ~~tension of tile, lay be
<br />allowed f~r 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 logged during each six tonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: Y~UR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 />coo:;';' ';' UNDER '2,500 I~ V~UE ~ U NEED TO RECD~RD AND POST A "NOTICE OF COMI'\E~~NT~
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<br />C/'~ C Va:r - - ~/
<br />
<br />)( SIGNATURE: OWNER OR AGENT RE:'~~~TRACTOR
<br />
<br />...
<br />
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<br />
<br />STATE OF fLORIDA~
<br />COUNTY OF ~ ~
<br />The foregoing i~trument was acknowledged
<br />befc,,-e me this//J~"'; ~ 19 93 by
<br />
<br />_~.SJAT~.OF FLORIDA ~
<br />COUNTY OF ~
<br />The foregoing in trument
<br />befol-e me th i s d/lA._PL
<br />
<br />was acknowledged
<br />19 p.:3 bv
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<br />
<br />~e
<br />
<br />t/ CLv{,
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<br />l/~
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<br />who is personally known to me or who has
<br />produced V,OL 63:J.. 7 '10 1/;03 D;7 t
<br />as identification and who did/did not
<br />take a~th. ~ .. ,
<br />/ ~ '#Oif-7tJYj;.
<br />(Signature) ,
<br />#11- N t. t{ ~ r ~ '2.--
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who IS personally known to me or who has
<br />produced Fi- {/L- a. (;" (90 fS...r {, 0(;'.5- 0
<br />as identification and who did/did not
<br />
<br />take an~~ ~ ~()Cf7CJ9h
<br />
<br />(Signature) ,
<br />,/V1J,Il.;(L y A.eJr~-z--
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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