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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICl~Q~S
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore resttictive than City
<br />regulations. The undersigned assules responsibility fDr cOlpliance with any applicable deed restrictions. '
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPDNSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may-be required ~icensed in accordance Hith
<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 lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensino
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (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 Df the
<br />"Contractor Sections. of this application for which they will be responsible. If you, as the owner sign as the contractoi,
<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 LaN - HOleONner'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 doculent and prolise in good faith to deliver it t" the
<br />.owner. prior to co..encelent.
<br />
<br />~,
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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 all
<br />I a~plicable laws regulating construction, zoning, and land developlent.
<br />
<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 cO.lenced prior to issuance of a perlit and that all work will be perforled to leet standards of all lans
<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 lay apply to the intended Nork, 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 />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water "anaQelent 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 Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone .A" or .A,etc.", it is understood that a drainage pla~
<br />addressing a .colpensating 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 perlit 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 ~erlit prevent the Building Official frol theieafter
<br />requiring a correction of errors in plans, construction, or violations of any code." Every perlit issued shall becole i0valid
<br />unless the work authorized by such per.it is cOllenced within six lonths of issuance, or if work authorized by the perffilt is
<br />suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day extension of ti~e, ~ay be
<br />allowed for 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO 'fOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />( '. GENT
<br />
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<br />. - _....... ..L, I CO'TRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing in~;r~nt .a. acknowledged
<br />before me this , 19____ by
<br />
<br />I15C~
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregc.ing instIllment
<br />before me th is 5 r/V
<br />r
<br />
<br />IIs'co __
<br />
<br />vl3S acknovd edged
<br />I 19~ by
<br />
<br />who is personally known to me or who has
<br />pl-oduced
<br />as identificat. did/did not
<br />take an oath
<br />,
<br />
<br />
<br />who is personally known to me or who has
<br />produced
<br />a. identificatiC'/. 31..d.. who did/did not
<br />take an oath. ~~
<br />
<br />(SignatLn-e) .
<br />/
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />--- Notary Public Pasco Co. FL
<br />My Commission Expires May \3. \995
<br />
<br />(Si gna tLll-e)
<br />
<br />(~ame TYP2d, Printed or Stamped)
<br />NOT A~~Y P!JBL I C br PaSCO Co. fL
<br />No\a~ ~u lEc ires May \3. \995
<br />My CommiSSion xp
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