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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />, .
<br />. The undersigned understands that this per~it .ay be subject to "deed restrict~ons' which may be more restrictive than Cit~
<br />re9ulatio~s. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR 8ESPQ~~II~~ITIE~
<br />If the OMner has hired a contractor or contractors to undertake Hork, they may be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be
<br />cited for a misdemeanor 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 Zephyrhills Building Department, (B131
<br />7BB-bb 11.
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<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sJ 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 Day be an indication that he is not properly licensed and is not entitled to permitting 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 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 - Homeowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the
<br />"oNner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />BONner" prior to commencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work wi'll be done in compliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby made to obtain a perait to do Nork and installation as indicated, I certify that no work or
<br />installation has commenced prior to issuance of a permit and that all work will be perfor~ed to seet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern~ental agencies may apply to the intended work, and that it is
<br />IY rirsponsibility to identify what actions I must take to be in co&pliance. Sl\ch agencies include but are not limited to:
<br />f Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f SouthNest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - SeaNalls, Docks, Navigable WaterNays ,
<br />f Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks
<br />f US Environmental Protection AQencv - Asbestos abatement
<br />I also certify that, if fill Material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A permit 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 permit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every permit issued shall become invalid
<br />unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six lonths after the time the work is com~enced, One 90 day extension of time, lay be
<br />allowed for the permit 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: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEHENT'MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO~f. ~OTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A nl~ICE COMME CEHENT". /~~'
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<br />% f .'~~ A.f-7!~ ".....-..... --"~--
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<br />SIGNATURE: OWNER DR AGENT
<br />Ifl C~,
<br />
<br />STA~RIDA '
<br />COUNTY OF
<br />The foregoing instrume
<br />before me this
<br />
<br />Cq- Stamped)
<br />
<br />STATE OF FLORI9~
<br />COUNTY OF {ftL..~(!,t' _
<br />The forege.ing lnstrumen Jt3hack.nS'l'lledged
<br />befcll-e me this t. , 191L by
<br />,/ /7 ' // '/
<br />(/ /)J~iv JJ~j#-z,~
<br />lflhC{lf s ~nall y kno\'!n to me Cl]- \'Jho has
<br />pn.(Juced
<br />as identi fic;:,t ion and \'Jho did/9jE_not
<br />tak~ '1 o'ath. ) '/;
<br />r/ /...d.J it..... ,/0/,
<br />(Siglature) (
<br />J- / (0) f7 lIJ I( i c'-I-f;
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />and who did!dj~ ~~t
<br />
<br />NOTARY PUBLIC, STilTE OF FLOR!DA.
<br />MY COMMISSION Er.hr:E5: JULY 31. 1994"
<br />BONDED THRU NOTARY PUk31..1C UNOE;:RWRITER..
<br />
<br />NOTARYPLJBLlG, STATE OF FLbRiD/l.',
<br />.[viY COMMISSiON EXPinES: JULY 31. 1994.
<br />'''''ONDED Tf-iRU NOTARY PUSl,;.IC UNDE:RWR1TE:.~...
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