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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City.
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor orcon~ractors to ~dertake work, they lay-be re~uired to be licensed in accordance with
<br />state and local regulations. If th'! ton'tractor is' not 'licensed as requirei:t."b'y l;~" 'bottJ.the owner' and contr-aCtor laY be
<br />cited for a lisdeleanoT violation under state lall. If the owner Dr intended contractor are uncertain as to what licensing
<br />requirelents laY apP~y'for the i~ended work, they are advised to contact ,the City of 2ephyrhills'Bullding Dep,dlent, (813)
<br />799-6611. '
<br />
<br />Furtherlore, if the ollner has hired a contractor Dr contractors, he is advised to have the contractor(s) 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 Ilork. If the contractor Ilishes 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 />"
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<br />c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2
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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 Ilith a copy of "Florida's Construction lien lall - HOleollner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />"ollner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />! E. CONTRACTOR'S/DWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all Ilork will be done in cOlpliance lIith all
<br />I a~plicable lalls regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do Ilork and installation as indicated. I certify that no Ilork or
<br />installation has cOI.enced prior to issuance of a per.it and that all Ilork Ilill be perfor_ed to leet standards of all lalls
<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 lay apply to the intended work, and that it is
<br />IY responsibility to identify Ilhat actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastellater Treat_ent
<br />f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />I De artlent of Health ~ Rehabilitative Services EnvironlentaI Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f Environ_ental 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 plan
<br />addressing a "colpensating volule" Mill be sublitted Ilhich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<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 perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code.. Every perlit issued shall becole invalid
<br />unless the Ilork authorized by such perlit is cOllenced lIithin six lonths of issuance, Dr if work authorized by the per_it is
<br />suspended or abandoned for a period of six lonths after the tile the Mork is cOI.enced. One 90 day extension of tile, lay be
<br />allolled 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, Of the project lIill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR HEY BEFORE RECORDING YOUR NOTICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND P A "NOT COMMENCEMENT".
<br />/" ~.,
<br />~...)..
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<br />
<br />STATE OF FLORIDA tJ7
<br />COUNTY OF r 4'S t! //
<br />The foregoing instrument was acknowledged
<br />before me this fj"- /ef , 19.!i:Z by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF I:I-s t1 0
<br />The foregoing instrument
<br />befc'l-e me th i s !?-/o/
<br />
<br />was acknowledged
<br />19~ by
<br />
<br />.
<br />,
<br />
<br />. .
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />tpktQ,an oatr.t. '-i n _ k h
<br />~-4<JJ, ..:r: ' ~
<br />(Signatul-e)
<br />
<br />who is personally known .to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />ta;1t~~.. (fb
<br />(SignatLrce) '-4-. ofC.. j:e '\
<br />
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />BESSIE F. CASKEY
<br />State of Florida
<br />My Comm. ExP, Dec. 4, 1995
<br />Comm. II be 165513
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<br />
<br />BESSIE F. CASKEY
<br />State of Florida
<br />My Comm. ExP, Dee, 4,1995
<br />Comm. .ce 165513
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