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<br />CONDITIONS OF PERMIT .AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to 'deed restrictions' w~~~h may'be lore restrictive than City
<br />regulations. The undersigned assules responsibility for co.pliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE~
<br />If the OMner has hired a contracto~ or contractors to undertake Mork, they aay be required to be licensed in accordance with
<br />state and local regulations. If ttie'cbnfractor is not"licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor 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 2ephyrhills Building Depart.ent, (8131
<br />788-6611.
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<br />Furtherlore, if the Dwner has hired a contractor or contractorst he is advised to have the contractor(sl 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 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 - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent 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 document and promise in good faith to deliver oit to the
<br />'owner' prior to cOllencelent.
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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 cOlpliance with oall
<br />applicabl~ laws regulating construction! zoninQ;and lan~ devp.loplent.
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<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance ofo a perlit and that all work will be perfor.ed 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 may apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />, Southwest Florida Water ManaQeaent District - Wells, r.ypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />, Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abateDent
<br />I also certify that, if fill laterial is to be used in Flood lone 'A' or 'A,etc,", it is understood that a dr~inaq~ pla~
<br />addresiir.q i 'coipensating volu.e" will be sublitted Nhich isoprepared by a professional engineer registered in the State of
<br />Florida prior to perlit 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, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall Issuant'e of a perlit prevent the Building Offici;>l frol thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid
<br />unless the Mork authorized by such perlit is co..enced within six Bonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the Nork is com~enced. One 90 day extension of tile, lay be
<br />allowed f~r the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved oinspection must be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YtlUR FAILURE TO RECORD A NOTlCE OF COMMENCEMENT 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
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<br />:;:N~JO~ ""w :N:O~~ECOR~AbST~lCE ~~
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<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CON1RAC1lJr,
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF~ j?~
<br />The foregoing instrument was acknowledged
<br />befc'l~e me this 7~j/ ,19fi'_ by
<br />
<br />~fZc, cfdAX~
<br />
<br />who is personal1 y f;nolo-In to flit:; L'C i..to: h.?,'::
<br />produced ~ k~
<br />as identif'cation and who did/did not
<br />take aD. . /f) I
<br />~~1-:b {b.~
<br />(Sign~re)
<br />L'J r- are. .' e- _ () b-:Jt!'~ It} S
<br />(Name Tyred, Printed or Stamped)
<br />NOTARy P;JBUC
<br />
<br />STATE OF FLORIDA /)/A A _ _
<br />COUNTY OF f'/~
<br />T~e foregoing instrument
<br />befco)-e me this 3,- II
<br />
<br />was acknowledged
<br />, 199'&- by
<br />
<br />. re c ;:3~/~
<br />
<br />I~hr: is perseona.11y kno"lI~to, me c,r who has
<br />produced ,JJJU-J{.k-L/.JJ ~c.e-~
<br />as identification and who did/did not
<br />take an c. h.
<br />
<br />
<br />/l}c<~.~/
<br />
<br />{) Lu~~ N.2___~
<br />eli- Stamped I
<br />
<br />~&C_L_e-,
<br />(Signa ,uye,) I
<br />L-J' 1-- tL t!- ,e
<br />(Name Typed~ Printed
<br />NOTARY PUBLIC
<br />
<br />l~,Yi~~;-,'..,.J-~ .-'~
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<br />~_ ~ :.:..........:. ''-" ""~ _ ...._-:..,:...~,>.::~.:.i.~lD.
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