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<br />CONDITIOl\S OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRLCTIONS
<br />The undersigned understands that this per"iit aay be subject to .dei'.j restrictilins" which lay be lore restrictive than CUy
<br />regulations. The undersigned assules responsibility for cOlpliance iolith any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTrn~S AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or cD~tractors to undertake work, they lay be required tli be licensed in acclirdance with
<br />state and local regulations. If the~Dnfractar is-:~ot ,licensed as required by lau, both the ONner and contractor aay 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 I'wrl:, they are advised to contact the City lif?ephyrhills Building DepartMent, (8131
<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 of the
<br />"Contractor Sections. of this application for which they lIill 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 worl:. 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 LAli (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Lall - HOleowner's Protection
<br />Guide. prepared by the Florida Departaent 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 prolise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all liorl: liill be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and iustallation 'as indicated. I certify that no Norl: or
<br />installation has cOllenced'prior to issuance of a perlit and that all worl: 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 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 coapliance. Such agencies include but are not li.ited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entaIly Sensitive Lands,
<br />Water!Wastewater Treatlent
<br />f Southwest Florida Water ManaQelent District - ~ells, Cypress Bayheacis; Wetland Areas, Altering Watercourses
<br />+ ArlY Corps of EnQineers - Seawalls, Docks, Nav~gable WaterNays
<br />f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - A5bestos abatement
<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" will te sublitted which 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 i53uance of a perlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, con5tru~tion, or violations of any code. Every per.it issued shall becole invalid
<br />unless the work authorized by such perlit is LD~.enced within six months of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the tile t:le worl: is cOI.enced. One 90 day extension of tile, aay be
<br />allowed for the perlit with fee charge of $i5.00. Th~ extensiOH shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged durinc each six lonth period, Of the project Nill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECOHO A MOTICE OF COH"ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCIHG, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COH"ENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM~ENCE"ENT..
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<br />SIGNATURE: OWNER OR AGENT ~ URE: CONTRACTOR
<br />
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~
<br />The foregoing instrument was acknowledged
<br />before me thi=lll :"-J/ld ~, Fin by
<br />/
<br />
<br />STATE OF FLORIDA ~ '
<br />COUNTY OF ~
<br />The foregoing instrument
<br />befo\-e me this if / 3
<br />. /
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />who is personally known to m0 or who has
<br />produced
<br />as identificati~~\\\W"'~" did/did not
<br />~ "'- p;:....~
<br />take an oath. S' :\.!:=...........~
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<br />(SignatUl-e) ~ +1. * i ~
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<br />(Name Typed, F\.~t~.<;!...9,):.,"~'#fTlped)
<br />NOTARY PUBLIC "'//~ OF f\.\)~\\"'"
<br />111/11I11I11"'"
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<br />(Name Typed, ~~b~d or Z~~ed)
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<br />!::lOT ARY PUBL I C /'//1111 OFf\. \) \\\,,~<:'
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<br />
<br />Notary Public. State of j:jul;da
<br />DIANNA L. TRZNADr~L
<br />My Comm. Exp. Nov. 11. 1995
<br />Comm. No. CC I5~' 8d
<br />
<br />Notary PUbtic, State Clt HOrida
<br />DIANNA L. TRZNA:JiL
<br />My Comm. Exp. Nov. n. 1995
<br />Comm. No. CC 15 <:\ 184
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