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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit .ay be subject to .deed restrictions. which lay be .ore restrictive than City
<br />regulations. The undersigned assuaes responsibility for cotpliance 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 .ay 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 tisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to ~at licensing
<br />requiretents tay 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 />"",
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<br />Further.ore, if the ONner has hired a contractor or contractor~l he is advised to have the contractorlsl sign portions of the
<br />.Contractor Sections. of this application for Nhich they Nill 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 .ay 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 Nith a copy of .Florida's Construction Lien LaN - Hoteowner's Protection
<br />Guide. prepared by the Florida Departtent of Agriculture and Consuter Affairs. If the applicant is so.eone other than the
<br />.0Mner., I certify that I have obtained a copy of the above described docutent and protise in good faith to deliver it to the
<br />.0Nner. prior to cottencetent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infortation in this application is accurate and that all work .ill be done in cotpliance .ith all
<br />applicable laMS regulating construction, zoning, and land developtent.
<br />
<br />Application is hereby tade to obtain a pertit to do Mork and installation as indicated. I certify that no work Dr
<br />installation has cottenced prior to issuance of a pertit and that all work Nill be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies tay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I tust take to be in cotpliance. Such agencies include but are not litited to:
<br />. Departtent of Environlental RequIation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water "anaqetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departtent of Health ~ Rehabilitative Services. Environtental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />. US Environtental Protection AQency - Asbestos abatetent
<br />I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressing a .cotpensating voluae. will be subtitted Nhich is prepared by a professional engineer registered in the state of
<br />Florida prior to per.it issuance.
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<br />A pertit 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 pertit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becote invalid
<br />unless the Nork authorized by such pertit is cottenced Nithin six tonths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six tonths after the tile the work is cOllenced. One 90 day extension of tite, tay be
<br />alloNed for the pertit ilith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six tonth period, or the project will be considered abandoned.
<br />WARNINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />~T. JOBS UlmER $2,500 IN VAlUE no NOT MEED TO REcnRD AND POST ~.OTI E OF CO""ENCEHENT".
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<br />,~ ~ II1dJ .. · i #/d-
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<br />SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />to me or who has
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ~,5CO
<br />The foregc' i ng in~tr;'tment
<br />before me th i s/t)!!> IIJdtL.
<br />
<br />()I4P1~~ t- /{1/0-.
<br />who is personally known
<br />produced
<br />as identificatiol
<br />take
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />STATE OF FLORI~
<br />COUNTY OF . 5C' .)
<br />The foregoing in5tr~jP~ was acknowledged
<br />before me this /O'lL/)(J, 19~ by
<br />
<br />
<br />to me or who has
<br />
<br />who did/did not
<br />
<br />
<br />did/did not
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />GAIL Y. GRINDLE
<br />Notary Public. State of Florida
<br />MV oomm, expires Mar. 25. 1888
<br />Comm. No. co 8888eO
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />GAIL Y. GRINDLE
<br />Notary Public. State of Florida
<br />MY oomm. explr.. Mar. 25, 1888
<br />Comm. No. CC 8S8&eO
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