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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this pertit 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 or contractors to undertake work, they lay 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 lay be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />FurtherlOre, 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 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 lay be an indication that he is not properly licensed and is not entitled to pertitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D" CONSTRUCTION LIEN oLAW (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 - HOIeOViDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is sOIeone 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 />1I0wner" prior to COIleDCetent.
<br />
<br />E. CONTRACTOR'SjOWNER'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 developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COIIenced prior to issuance of a pertit and that all work will be perfoIJed 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 governtental 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 />t Departlent of Environtental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatetent
<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 uCOlpensating volllle" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or VIolations of any code. Every peIlit issued shall beCOle invalid
<br />unless the work authorized by such pertit is co_need within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntha after the tile the work is COIIenced. One 90 day extension of tile, lilY be
<br />allowed for the peIlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARJHNG TO OWHER: YOUR FAILURE TO RECORD A NOTICE OF COMMEKCEMEH'f MAY RESULT IN YOUR PAYING filCE FOR IMPROVEIIEH1'S TO YOUR
<br />PROPERTY. IF YOU IH'fEMD TO OBTAIN FINANCING, COMSULT WITH YOUR LElIDER OR AN ATTOIIHEY BEFORE RECORDING YOUR MOTICE OF
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<br />
<br />SIGMA'fURB: R R AGBH'f S A'fURE: CO Ran
<br />D . 1 dy Allen Daniels
<br />Randy Allen ame S Notarv Public, State of Florida
<br />Notarv Public, State of F10238a1 ~ Comm. EXDires JlIn 16 2001
<br />My Comm, Exolres Jon 16. S OF FLO ID No, CC614195 '
<br />No CC614195", . TATE R A Bonded Thru: Official Notary Service
<br />Bor,ded Thru: Official Nctar'y vervlce COUH'fY OF 1-
<br />. edged The foregoing instrumen was ac
<br />, 19!Ll. by before me this ;. ({ , 19~ by
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<br />
<br />STATE OF FLOR
<br />coum OF
<br />The forego
<br />before me this
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<br />who is e sonally known to me or who has
<br />produce
<br />as identification and who did/did not
<br />tak~_.o~" /J~
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<br />fA^' JJ'I (}A JJ I e:"S
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />who is~rs~nal!i)known to me or who has
<br />produced
<br />as identification and who did/did not
<br />takes" ~
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<br />(Signatur
<br />R. ,}to.I 0 Y 014 Jo./IIR-S
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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