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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 tban City
<br />regulations. rhe undersigned assUles responsibility for cOlpliance 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 JaY be
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (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 tbe
<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 .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zepbyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. ~ONSTRUCTION LIEN LAW (ClmPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOJeODe other tban the
<br />"owner", I certify that I have obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the
<br />"owner" prior to COllenCelent.
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<br />E. ~ONTRACTOR'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 cOlpliance with all
<br />applicable laws regulating construction, loning, and land develop.ent.
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<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 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, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govefDIental agencies laY apply to the intended work, and that it is
<br />.y responsibility to identify wbat actions I .ust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />· Departlent of KnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater rreatlent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health' Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />· US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a .cOllpensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issuance.
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<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 />Bet aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued sball beCOlB invalid
<br />unless the work authorized by such perlit is cOlIBnced within sil IOntbs of issuance, or if work autboriled by the per.it is
<br />suspended or abandoned for a period of sil IOnths after the tite the work is cOllenced. One 90 day extension of tile, JaY be
<br />allowed for the per.itwith fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMBNr MAY RESULT IN YOUR PAYING TWICB FOR lMPROVKKBRTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT wnll YOUR LBNOIR OR AN AnORlEY BBFORB RBCORDING YOUR NOTICE OF
<br />COHHBNCEHENT. JOBS UNDRR $2,500 IN VALUR DO NOr NRED TO RKCORD AID POST A "NOTICK OF COHHINCBKlNTw.
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<br />'SIGNATURE: OWNIR OR AGENT
<br />
<br />
<br />L~~/~~
<br />SIG AT RI: CONT ClOR
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<br />--
<br />
<br />STArK OF FLORID~)
<br />COUNTY OF t tl S( (
<br />The foregoing instrument was acknowledged
<br />before me this :/'%'~...I IP'Cll' 19 q(. 'by
<br />IJ I
<br />[i-tlf:LC ') LU Y/}7T
<br />wt!o is personally known to me or--wh&-has-
<br />produced---
<br />as identification and who Aidldid not
<br />take an oath., ~ ' ':\. --;:J
<br />" i.. "-.,,c, j ,,(1. ~) (,.t< I L.
<br />(Signature) ", "';J I
<br />{ I).. .1 .<.\/1 .D IJc r-W
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Hernan:1o
<br />The foregoing instrument was acknowledged
<br />before me this April 17 ,19 96 by
<br />
<br />Sanuel R. Pearson
<br />who is personally known to me or who bas
<br />produced
<br />as identification and who ~/did not
<br />t~an\oath._ (:> ~_
<br />c- ~~~, ~~_
<br />( s"Ignature)
<br />Helen M. Crosby
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />"~~I;',,,. LINDA D. BOAN
<br />f!':'X~i MY COMMISSION' CC 209593 EXPIRES
<br />~ t ~!,,: June 15. 1996
<br />~4:'''''~'' BONDED THIIU TROY FAIN INSURANCE. INC.
<br />,Rfnft\"
<br />
<br />...~y P(J o,"CIAL NOTARY SIlAL
<br />o,r- ~~ HIoLIH II CROHY
<br />~ . ~ COIIIII..ION NUIII.
<br />, < CC3112.2
<br />.,.~ ~ IIY COII....IION IX',
<br />OF f\.o 1
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