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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 .ay be lore 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 may be required to be licensed in accordance Hith
<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 .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensino
<br />requirelents .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 />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions {,f the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contracto:",
<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 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 Consuler Affairs. If the applicant is so.eone other than th~
<br />"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it tc, the
<br />"owner" prior to co..encelent.
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<br />oj.
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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 cOlp1iance with all
<br />a~plicable laws regulating construction, zoning, and land develop.ent.
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<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 or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled 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 govern.ental agencies .ay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I De artlent of Health L Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I Environ.ental Protection AQency - Asbestos abatelent
<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 volule" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />A pertit 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 ~ertit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code.. Every pertit issued shall becole invalid
<br />unless the work authorized by such perlit is (ol.enced within six tonths of issuance, Dr if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the tite the work is cOlienced. One 90 day extension of time, gay be
<br />I allowed for 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 .onth period, or the project WIll be considered abandoned.
<br />WARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COIltIENCE"ENT I'lAV RESULT IN YOUR PAYING TIIICE FOR IMPROVEMENTS TO 'jOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IIITH YOUR LENDER OR AN ATtORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO""ENCE"ENT. JOBS UNDER $2 500 N VALUE DO NOT NEED TO RECORD AN POST A "NOTICE OF COMI'lENC
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<br />STATE OF flORIDA (),.., <:;. f'\ 0
<br />COUNTY OF X '-^-V \..:..
<br />The foregoing instrument
<br />before me this \S~
<br />
<br />was acknc,wledged
<br />, 19:Ll.. by
<br />
<br />STATE OF FLORIDA "
<br />COUNTY OF V 0. S ~ C:t
<br />. The foregoing instrll~t \.-'1215 ackno\.J1edged
<br />before me this \$ , 19~ by
<br />
<br />(Ir who has
<br />
<br />
<br />("
<br />
<br />who is
<br />produced
<br />as identification and who
<br />ta' a
<br />
<br />
<br />has
<br />
<br />:J
<br />
<br />--------
<br />and who di~did not~
<br />
<br />take ~\~:\) ~itt C\. ~r-
<br />(Sign~) ) () ~ (\;=~f4- . \
<br />.-S. 0 't.:. \\ f J 0 't\....)
<br />(Name ,ped, Printed ~amped)
<br />NOTARY PUBLIC
<br />
<br />,.- --...
<br />I .:~~-:A~:tt:e:~~ BErrY JEAN l' ii lQN
<br />lllj&"'t>"~ MY COMMISSION M .,. "'.?~ ."
<br />:;.: ~.: ~ "'''-' :..~..~,
<br />\~;;-~~i EXPIRES: OclDb8r 6. 19liJ
<br />I ".f.oIl..~' Bonded l1lnJ.......... PubIc 1.lntlem.1'1"'
<br />"If.i" I_I'
<br />
<br />
<br />BETTY JEAN TIPTON
<br />MY COMMISSION' CC 233547
<br />;Ai EXPIRES: October 6. 1996
<br />IIondId TJvu NoIIIy PubIc lbIIIIwdlIII
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