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<br />CONDIirONS OF PERMIT AFFIDAVIT
<br />A~ NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it.ay be subject to 'deed restrictions' whic~ .ay be lore restrictive t~an City
<br />regulations. The undersigned assu.eS responsibility for co.pliance with any applicable deed restrictions,
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake work, they may 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 .ay be
<br />cited for a .isde.eanor violation under state laM. If the ONner Dr intended contractor are uncertain as to Khat licensing
<br />require.ents .ay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
<br />788-6611.
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<br />Further.ore, 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 Nill be responsible. If you, as the owner sign a~ the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the NorK. If the contractor wishes you to sign
<br />as contractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~.
<br />
<br />D, CONSTRUCT I ON L T EN ,!";P.Ji (CHAPTER 713, FLOR I DA STATUTES, AS At-1ENDED)
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone 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 />'oNner' prior to co..ence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all HorK will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby .ade to obtain a per.it to do Nork and installation as indicated. I certify that no worK or
<br />installation has co..enced prior to issuance of a per.it and that all work will be perforled to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be u~e~ i~ Flood Z~~Q 'A' or 'A,etc.., it is understood that a drainage plan
<br />addressing a 'co.pensating volu.e" Nill be sub.itted which is prepared by a professio~al engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it 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 issuance of a per.it prevent the Building Official frot 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 per.it is cO'lenced within six .onths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six .onths after the ti.e the work is cOllenced. One 90 day extension of ti.e, .ay be
<br />allowed for the per.it with fee charge of $:5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six .onth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR ~AILURE TO RECORD A NOTICE OF COMMENCEMENT HAY 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 />COM"ENCEMENT. JOBS NDE~2,500 IN LUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF7COMKENCEKENT',
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<br />
<br />STATE OF FLORIDA ~
<br />C~m!TY OFr M 12 f PPr
<br />. The forege.ing instl-ument ltJas ackl1~lwledged
<br />befDl-e me th i sSef;cr-. ;;:l.~ <::::P , 19 fi.- b;
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<br />Ji r:;: fJ-fO ~(:Z ( t<..I k 6 f
<br />who is persDnally known to me Dr who has
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<br />;:> p 1-1 'r~)~ P (l. r4 ~. CD s -reI- L-I::,
<br />(Name Typed, Printed Dr Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF r-lJ A-r 1/ ll-
<br />The~forego~p~~ru~t was ~~nOWledged
<br />befe,re me t'hi's .:;L:::2.. - , 197' by
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<br />Jf e:-/f.O (f.2. y tJ - I< cy
<br />whet is pel-sc,nall y known to me 0+ UhB h-es
<br />p:Foed,-.,-~d
<br />i&Si i~e:"tificatie.ll-and whc, did/did nnt
<br />take~~X; ~ ?, C~
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<br />(Signatu~) r-;7
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<br />(Nama Typed, Printed Dr
<br />NOTARY PUBLIC
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<br />OFFICIAL SEAL
<br />Barbara R. Costello
<br />My Commission Expires
<br />Nov. 2, 1994
<br />Comm. N,~. CC 054525
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<br />
<br />OFFICIAL SEAL
<br />Barbara R. Costello
<br />My Commission Expires
<br />Nov. 2, 1994
<br />Comm. No. CC 054525
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