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<br />CONDITIONS OF PE~IIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit 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.
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<br />B. UNLICENSEP 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguirelents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
<br />788-6611.
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<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 wbicb they will be responsible. If you, as the mmer 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 peIlitting 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 NFlorida's Construction Lien Law - HOIemmer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
<br />"owner" prior to coaencelent.
<br />
<br />E. CONTRACTOR'SjOWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and t~at all work will be done in cOlpliance with all
<br />applicable laws Ieg~latin9 construction, zoni~g, and land developlent.
<br />
<br />Application is hereby lade to obtain a permit to do work and installation as indicated. I certify that no work or
<br />installation bas cOllenced prior to issuance of a perlit and that all work will be perf oIled 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 goveIDlental agenCies HY 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 />* DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, EnvirODl~,tal Health Unit - NeIls, Wastewater TreatJent, Septic 'anks
<br />* US EnvironJental Protection Agency - Asbestos abat8lent
<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 NCOIpensating 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every Perlit issued shall beCOle invalid
<br />unless the ~ork authorized by such pertit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOIIenced. One 90 day extension of tile, HY be
<br />allowed for the peIlit with fee charge of $15.00. The 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 />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMBNCEHRlft' MAY RESULT IN YOUR PAYING nICE FOR IMPROVEMBIft'S TO YOUR
<br />PROPERTY. IF YOU Ilft'EKD TO OBTAIN FINANCING, CONSULT WI71I YOUR LENDER OR AM ATTORNEY BEFORE RECORDING YOUR HO'rICE OF
<br />COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A" ICE OF COKMKMCKMKMT".
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<br />SIGNATURE: OWNER OR
<br />
<br />p~
<br />
<br />STATE OF FLOHIDA
<br />coum OF
<br />The foregoing instrur. ent was acknowledged
<br />before me this ~ Cr- I 19~ by
<br />
<br />
<br />v--.....
<br />to me or who has
<br />
<br />--'-.'
<br />
<br />.----- di~ -
<br />
<br />(Si
<br />
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />"..,,1 1'1J4
<br />.<) .& (~ BOBBIE J BURKE
<br />* 'IiiiJJ * My OOrnrrU.sion 00543871
<br />'" ~. ... Expires Ma,. 31,2000
<br />~J': ~
<br />~OF fl.\)'"
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<br />SIGNATURE:
<br />
<br />
<br />STATE OF FLORIDA (:)
<br />COUNTY OF r ~
<br />The foregoing inst;ument was acknowledged
<br />befol-e me this tp~ ,192.,2.. by
<br />
<br />
<br />who i~X~~;,';ll'~~Or who has
<br />produced . --.' .... _..--------.-- -
<br />as identification and who did~
<br />take a;6~~
<br />
<br />(Signature) ~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY P~Q.~ OOP.pI~ .1 BURKE
<br />* '1f:i.iijJJ * Mi ,> . ,,'''''lOn 00543871
<br />"="~ .<)... Expire" Mar. 31, 2000
<br />4,., OF fl.\)'"'
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