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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 restrictiDns' which may be more restrictive than tity
<br />regulations. The undersigned assu.es responsibility for compliance with any applicable deed restrictiDns.
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<br />B. UNL I CENSED CONTRACTORS AND CONTRACTOR RESF'QNSi.1.8 I L LI.l.S.8.
<br />If the OMner has hired a contracto~ or contracto~s to unde~take _ork, they ~ay be required to be licensed in accordance with
<br />state and local regulations. If the" cO\lt'ractor is not;,'licensecl as required by law, both the Clwner and contractor may' be
<br />cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as, to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Buildi~g Departlent, (813)
<br />788-bbll.
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<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(sJ sign portions of the
<br />'Contractor ,Sections' of this application for which ~hey "ill 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 "ish~
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to penitting pri~in"\n~
<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 LA~ (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 Consumer Affairs. If the applicant is someone other than the
<br />'oMner', I certify that I have obtained a copy of the abov~ described document and promise in good faith to deliver it to the
<br />~owner' prior to cOlmencelent~
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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 Hill be done in compliance with ,all
<br />applicable laMS regulating construction, zoning, ~nd land development.
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<br />Application is hereby lade to obtain a permit to do Nork and installation as indicated. I certify that no wor~ or
<br />installation has cOlmenced prior to issuance of, a permit and that all work will be performed to seet standards of all laws
<br />regulating construction, Ci ty codes, zoning reg'ulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in co~pliance. Such agencies include but are not li.ited to:
<br />* Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />'Water/Wastewater Treatment
<br />* Southwest Florida Water NanaQelent District - Hells, Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />+ ArlY Corps of EnQin~ers - Seawalls, Docks, Navigable Waterways .'
<br />f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells: WasteHater Treataent, Septic Tanks
<br />* US Environlental Protection AQency - Asbestos abatement ~-'
<br />I also certify that, if fill aaterial is to be used in Flood Zone 'A' or 'A,etc,', it is understood that a drainage plan
<br />addressing a 'co~pensating volume" will be submitted which is pr~~ared by a professional engineer registered in the State of
<br />Florida prior to per~it issuance.
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<br />A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froD thereafter
<br />requiring a correction of errOrs in plans, construction, or violations of any code. Every per~it issued shall becole invalid
<br />unless the work authorized by'such permit is comDenced within six months of issuance, or if HorK authorized by the permit is
<br />suspended or abandoned for a period of six tonths after the tile the Hork is coo~enced. One 90 day extension of ti~e, lay be
<br />allowed f~r the perait with fee charge of $15.00; The extension shall be requested in writing to the Building Official. An
<br />approved 'inspection must be logged during each six month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: ytiUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROYEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY DEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 1M VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT'.
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<br />J1i~ iJ,,:c~'.'Va
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<br />\~~ ~~~
<br />TUiiC~~ 1\
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<br />STATE OF FLORIDA r-.=>
<br />COUMTY OF \,LJl4A!-/J
<br />The foregoing instrument was acknowledged
<br />befcl}-e, me this ~7? 19-ZL by
<br />
<br />-- 7J e bra "5f?l H /?
<br />I'lho i s~~WT~> knD\.m tc. me Dr \$10 has
<br />produce
<br />as identification and who did/did not
<br />take al~t~. /J" // ~
<br />~(/~~._G /To -<:.~/
<br />(Signature) /
<br />j")au / en ~ l/o//-ey
<br />(Name Typed, Printed or StampedJ
<br />t:.tOTARY pv..mJ._~ ~-)q"''''$ b -J -;9.5 -
<br />
<br />STATE OF ~LORID~
<br />COUNTY OF, lL.-. ~
<br />The foregoing instrument was acknowledged
<br />before me this ~.. '3 , 1913by
<br />
<br />norD/At J. J~/(',tYl.s___-
<br />who is perso ally known-~o ~eor who has
<br />produced j) /lAA~/vO 01 AA'~~
<br />as identification and who did/did not
<br />
<br />takv~~~ ff~
<br />
<br />(Signatu\-e)
<br />___ (law. Lt.,!:} ~ /1-0 / I ~ ItL "
<br />:. r~affi2 Typed, Pl- i nted 0\- St.(mped)
<br />tmTAR_V Pl.,@LIC. t~-Yft'r e 5 t, <3'cY5
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