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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 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. 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 OlDer and contractor IIY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirQlents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />188-6611.
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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 />nContractor Sections" of this application for wbich 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 tbe contractor wisbes JOu to sign
<br />as contractor that lay 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. CONSTRUC'l'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES" AS AMENDED)
<br />I certify tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HoIeoIner's Protection
<br />Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If tbe applicant is sOleODe 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 />"owner" prior to cOllencQlent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in this application is accurate and that all work will be done in COIpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that DO worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all law8
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of otber goverDlentBl 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 Iilited to:
<br />t Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water HanagQlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treallent, Septic lants
<br />t US BnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.., it is understood that a drainage plan
<br />addressing a "cOlpeDsating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
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<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 is~u~ce of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Bvery per.it issued &ball beCOll invalid
<br />unless the work authoriled by such perlit is cOllenced within six IOntha of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day utension of tile, -r be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. In
<br />approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWIER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCElfBNr HAY RESULT IN YOUR PAYING fWICK FOR IHPROVIIIBIl'S 10 YOUR
<br />PROPERTY. IF YOU IIrEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORR CORDIIIG YOUR JOIICI OF
<br />COHMENCBHRHT. JOBS UND~.2,500 ..18 .VALUE DO NOT NEED TO RECORD ABD POST A · II
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<br />SIGJIAI~f~~Rii:t~ ..I
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<br />STATE OF FLORIDA ~
<br />COUNTY OF ) /J -5(1./")
<br />The foregoing instrument was acknowledged
<br />before.e thIs ~~~. 19~ by
<br />
<br />&13FIZ.7-. /' pp/
<br />who is persqpally kn w~ to me or who has who is personally known to me or who has
<br />produced ,lj./i St- ~-" -.fvf~produced -'- fUr. ~ ^
<br />as n 1ficati and who did/did not ~ as i ication and who di
<br />take an oa 't. () I'h~ ta e IOS
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<br />(Signature) ,( 3 Jt, d
<br />~ It '- Y - 00 '1
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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<br />STATE OF FLORIDA .~
<br />COUlTY OF ~
<br />The foregoing instrument was acknowledged
<br />before me this .7 -"-.1 0 ,19~ by
<br />
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<br />,VC(
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<br />,"""~~~:f~',,, Nancy A.
<br />f*'1'Ji.'~.f: MY COMMISSION # ,..,..
<br />?:.~.~kl February ( ,
<br />~iif.:r..~' BONDED THRU TROY'.""
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