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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The und~rsigned understa~s 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 Dr contractors to undertake work, they lay be required to be licensed in accordance with
<br />s!ate and loc~l regulatio~s. ~f the contractor is not licensed as required by law, both the owner and contractor lay be
<br />clte~ for a Ilsdeleanor vlolatl~n under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requlrelents lay apply for the Intended work, they are advised to contact the City of Zephyrhills Building Departlent (B131
<br />7BB-6611. '
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<br />Furtherlore, if the owner 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 work. If the contractor wishes you to si;n
<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.
<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 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 per.it 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 />I Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I 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 volule" will be 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 Mork and not as authority to violate, cancel alter, cr
<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, Dr 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, Dr if work authorized by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOlleneed, One 90 day extension of tiae, 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 will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROYEMENTS TO YOUR
<br />PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />COKKEMCE"ENT. JOBS UNDER $2 00 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT",
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<br />SIGNATURE: CONTRACTOR
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<br />}~SL
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<br />
<br />STATE OF flORIDA ~
<br />COUNTY OF ~
<br />The foregoing instr
<br />before me this
<br />
<br />J~
<br />
<br />
<br />me or who has
<br />
<br />--
<br />
<br />(Signat~e)i J
<br />JJed},a LOu I ~
<br />(Name Type~~ted ~~'C! L
<br />NOTARY P \ Debra Louise Magley
<br />. ,.
<br />; = My Commission Expires
<br />\ i Aug. 4, 1996
<br />"~OFl'\.~~., Comm. No. CC 219731
<br />.........
<br />
<br />(Name Typed, Printed or stamped)
<br />NOTARY PUBLl C
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<br />~R~
<br />".f:J. ~
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<br />:.~;
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<br />"'rt Of f"'~~
<br />
<br />TARA N ALFORD
<br />My Commission CC263392
<br />Expires Mar 09,1997
<br />HuckleberrY Associa- Inc
<br />800-422-1555
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