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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.
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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 lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor i~, not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr intended contract9r are uncertain as to what licensing
<br />requirelents 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(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 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 prolise in good faith to deliver it to the
<br />.owner. prior to cOllencelent.
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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 ~one in cOlpliance with all
<br />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 Dr
<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 Departlent of Environlental ReQulation - Cypress Bayheads, Metland 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 Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone .A. Dr .A,etc,., it is understood that a drainage plan
<br />addressing a .colpensating voluae. will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit 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, Dr
<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 work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay 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 .onth period, Dr the project will be considered abandoned.
<br />IIARNIN1i TO'OIlNER: YOUR FAILURE TO RECORD A NOTICE OF (oHHENCEHENT HAY RESULT IN YOUR PAYING TI/ICE FOR IHPRoVEHENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT \11TH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COHHENCEHENT. JOBS 'UNDER $2,50 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICt OF COMHENctHENT..
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<br />CV < '-oJ /? --
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<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />, ......\:.
<br />
<br />Ah~LS r;JJ K Y ~ /1-,.)
<br />who is p'ersc.nall y known to 'mel<lr Hi,L' I,a!r"
<br />p,odu.:::ect
<br />a~ ieentifiE3ti~n-and who ~did not
<br />
<br />ta~~~ . ~1-H-J
<br />
<br />(S;cnaturel Jf
<br />A 77-1 LFEJJ ..;;r. l3 f< Izt )JJ
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF P-1l.$C' 0
<br />The foregoing instrument was acknowledged
<br />before me th i 5 ~1JIUILIH2Y ..2)', 19--:J.!L by
<br />
<br />AI C=:-L. So A.J 7? Y M A Ai
<br />who is pel-sonally known to me Eo-!'" ~,h~ Rd3
<br />fir educed
<br />.. i~Qr~;.;-~~;~~ and who-e+e/did n~t
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF /Jab e tJ
<br />The foregoing instrument was acknowledged
<br />before me th i s J}l1-Ju.A-et/ rti, 19.!l.!L by
<br />
<br />take~ath- fJ ~
<br />1: .IL~A,J . ~ ~
<br />(Signature)
<br />k JJ.Tl-II Fe A) J. f$~l..j
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />KATHLEEN J. BROWN
<br />State of Fl/)'
<br />My CoIllTl. Ex". ;.."',i,'
<br />eomm. 1# C'J
<br />
<br />
<br />KAT~!.~EJ" ,t '
<br />')O,~'- .-:;.
<br />My (;omen. !::xe, ; \, ,,',
<br />CcaIlL' GC ()~;),. I
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