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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it '.ay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restricti~ns.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS;BILITIES
<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 is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisde.eanor 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 Departlent, 18131
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 FEE~.
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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 Depart.ent 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 COllencelent.
<br />
<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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby .ade to obtain a permit to do work and installation as indicated. I certify that no work or
<br />installation has com.enced prior to issuance of a permit and that all work will be performed 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 liaited to:
<br />f Departlent of Environlental Requlation - Cypress Bayheads, W~tland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water "anaqelent District - Wells, Cypress B~yheads, 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 Environmental 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 "co.pensating volule" 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 Nork 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 work authorized by such permit is co..enced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. 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 lonth period, or the project Nill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND'TO OBTA FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COK"ENCEKENT. J SUDER $2,500 N VA E DO NOT NEED TO RECORD AND POST A "NO IC OF COMMENCEMENT"
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<br />SIGNAT
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<br />
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<br />OFFICIAL SEAL
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />. The foregoing in/lt.ilment \o'Jas ad:?o\o'Jledged
<br />befor~mJ thi~ ~~:s , 19~ by
<br />
<br />~ ()j~ $('
<br />
<br />who is perso2jiiY town to me ~w~ \
<br />produced 0 ~~ ':.J
<br />as identification an~ who ~a/di not
<br />
<br />t~K,Q~
<br />
<br />(S,~. nature) ~ ~-
<br />p~~ 1<. ~S~""
<br />(Nam~ Typej~ Printed or Stamped)
<br />NOTARY PUBLIC
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<br />fJP-L
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The~foregoing iry$~rum~t was a.ck~owledged
<br />befc.re ~ this lu.a; 2. , 19'L:!- by
<br />
<br />./~-C)r,~~
<br />
<br />who-iS persc~T)Blly~mown to me r ;Who h~
<br />produced No ~~Q1Z~ ~)
<br />as identification and who did did not
<br />
<br />rs(Q~?- O~
<br />
<br />(~gnatLll-e) CO"'-' , -
<br />JD1J!P:1iftt2A .!:2- ' ~s ~~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC .
<br />..... ......
<br />....~r$I ~';"
<br />. "If' -.
<br />i ~ ~ Barbara R. Costello
<br />" i My commission Expires
<br />~.. ",: Nov. 2, 1994
<br />".~'~OF,\.~... Comm. No. CC 054525
<br />.-11......
<br />
<br />.p~
<br />
<br />OFFICIAl. SEAL
<br />'llrb.~. pt. COltel/o
<br />My Commltslon ExpIres
<br />Nov. 2, 1994
<br />Comm. No. CC 054525
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