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<br />CONDITIONS OF PERMIT AFFIDAVf~
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit .ay be subject to 'deed restrictions" which lay be lore restrictive trran City'
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they aay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is Dot, licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeaeanor violation under state IaN. If the ONner or 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 Building Departlent, (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(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 FEES,
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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 doculent and promise in good faith to deliver it to the
<br />"owner" prior to cOlaenceaent.
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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 coapliance with all
<br />I applicable laws regulating construction, zoning, and land developlent.
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<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 cOllenced prior to issuance of a perlit and that all work will be perforled 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 governlental agencies lay 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 />f Departtent of Environtental 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, Docts, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />f tiS Environ.ental Protection Aqency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood lone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule' Mill be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit issuance.
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<br />A perlit issued shall be construed to be a license to proceed Mith the Nork and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code., Every pert it issued shall becole invalid
<br />unless the Mork authorized by such perlit is cottenced within six tonths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOlienced. One 90 day extension of tile, lay be
<br />allowed for the pertit 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 COMMENCEMENT "AY 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
<br />CO""'CE"E'T. lO .5" IN VALUE DO NOT 'EEO TO :::ORO"~~~'T"
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<br />SIGAY~ULi ( ;1j~ "SIGNATURE, CO." " -/ -:::., ~
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<br />STATE OF FLORIDA ;I~ STATE OF FLORIDA '~
<br />COUNTY OF L,ldA C-O COUNTY OF ,~ f .5 c...D
<br />The fc.regc,ing insy~ nt, as acknowledged . The foregc.il1~ 1I1stnlm~1>> \l-j~ acknc'\l-lledged
<br />befc. e me t11is / ,~ 193.3 by befL'le me this / > j:yrl9JL- by'
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<br />, J-.uJ:'" l>"it /<L~
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<br />to me.lM' WhEt ~a5 who is pel-sona 11 y ~nown to me o.r IIhc: h.aE
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<br />
<br />(Nao1E Typed, Pri nted or Stamped)
<br />NOlARY PUBLIC
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<br />.. ~ 'r~n bfllr- ... 29, \.
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<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBL,IC ..,.., ........ __
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