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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" whith .ay be lore restrictive than City
<br />regulations. The undersigned alluees responsibility for co.pliante with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas hired a contractor Dr 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 .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813}
<br />788-6611.
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<br />Further.ore, if the owner bas bired a contractor or contractors, be is advised to have the contractor!s} sign portions of the
<br />"Contractor Sections" of tbis 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 .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 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 - Ho.eowner's Protection
<br />Guide" prepared by the Florida Departeent 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 docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to co..ence.ent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work 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 work 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 perfor.ed to .eet 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 li.ited to:
<br />. Deuartlent of Environaental Reoulation - Cypress Bayheads, Metland Areas and Environ.entally Sensitive Lands,
<br />Mater/Wastewater Treat.ent
<br />. Southwest Florida Water "anaoelent District - Mells, Cypress Bayheads, Metland Areas, Altering Watercourses
<br />. ArlY Corus of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Deuart.ent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Mastewater Treat.ent, Septic Tanks
<br />. US Environlental Protection Aoency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "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 work 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 fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
<br />unless the work authorized by such perlit is co..enced within six .onths 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 co..enced. One 90 day extension of ti.e, .ay be
<br />allowed for the per.it with 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"~NCE"ENT KAY RESUlT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUlT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />~ lO.", ~NOER '2,500 IN YAL.UE DO HOT REED TO RECORI AND POST A '''TICE OF ,"",,",'RENT',
<br />
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<br />-1 . 1< tf;/44k ~9 1 JI1fi
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<br />SI6MATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDh
<br />COUNTY OF 'ff 5 (, cJ
<br />The foregofng instrum~pt ,was a~knowledged
<br />before me th i s n Ihftr""j" 19..:t.r:. by
<br />
<br />STATE OF FLORID~
<br />COUNTY OF ,'5,'e )
<br />The foregoing instttme:z was acknowledged
<br />before me th is I )n.. LJ r", , 19 75- by
<br />
<br />
<br />to me or who has
<br />
<br />/JpJ ftAJ2 L jL;.' / t cA--
<br />who is personally known to me or who has
<br />
<br />
<br />dti'e/did not
<br />
<br />ho ~/did not
<br />
<br />GAIL Y. GRINDLE
<br />(Name Typed Pr i ~~&1Ift9T tlOrloa
<br />NOTARY PUBLic o. Xp re r. 25, 1998
<br />Comm. No. co aeeato
<br />
<br />(Signatur GAIL Y. GRINDLE
<br />'~ at.lief Florida
<br />(Name Typed, Pdn~~8~~im. e Wi' r.25.1998
<br />NOTARY PUBLIC Y Comm. No. CO 988&80
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