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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 .ay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for co.pliance 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 he licensed in accordance with
<br />state and local regulations. Jf the contractor is not licensed as required by law, both the owner and contractor lal be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reguirelents .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 the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you ~re indicating that you, rather than the contractor, are responsible for the worl. 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 perlitting 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'I'ION LIEN Lf\W (CHAPTER 713, FLORIDA STATUTES1 AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoNner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone other than 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. 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 cOlpliance with all
<br />applicable laws regulating construction, laning, and land developlent.
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<br />Application is hereby .ade to obtain a per.it to do worl and instailation as indicated. I certify that no wort or
<br />installation has cOIIenced prior to issuance of a per.it and that all work will be perforled to Jeet standards of all IllS
<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 goveInlental agencies lay apply to the intended wort, and that it is
<br />,y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include hut are not lilited to:
<br />· Departlent of Environlental Regulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic Tants
<br />· US Invironlental Protection Agency - Asbestos abateJent
<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 .co.peDsating voluteN will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pertit. issuance.
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<br />. A per.it issued shall be construed to be a license to proceed with tbe work and not as autbority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of an, code. Ever, petlit issued shall hecoIe invalid
<br />unless the worl authorized by such per.it is cOllenced within Sil IOnths of issuance, or if work autborized by the perJit is
<br />suspended or abandoned for a period of six IOnths after the ti.e the work is cu.enced. One 90 day 81tension of tile, ., be
<br />allowed for the per.it with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARMING TO OlOIIR: YOUR FAILURE TO RECORD A NOTICE OF COHHINClJlBNT KAY RESULT IN YOUR PAYING TIIICS FOR IHPROVIIIBIIS '1'0 YOUR
<br />PROPERTY. IF YOU IIITIND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AN AnORIKY BBFORE RlCORDIIfG YOUR IfOTICS OF
<br />COMHENCBHENT. JOBS UNDER $2,500 IN VALUI 00 NOT NEED TO RICaRD AND POST A "NOTICI OF C~~~~L'
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<br />C:~..'" _f~~f.0:~2"'5':S'" j
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<br />SIGNATURB: OIIMER OR AGENT SlGffATURi:' CONTRACTOR
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<br />STATE OF FLORIDA P
<br />COUNTY OF ! /fS CO .
<br />The foregoing inst~egt was acknowledged
<br />before me this ~~ , 19~ by
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<br />STATE OF FLORIDA P
<br />COUny OF /" ~ Co
<br />The foregoing ins~ent was acknowledged
<br />before me this ~?--:f , 19--2Z- by
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<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not,
<br />take an oath. r:::: K ~
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<br />(Signature)
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<br />who is personally known to me or who bas
<br />produced
<br />as identification and who did/did not
<br />take an oath.~rf' ~
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<br />(Signature)
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<br />(Name Typed, Printed or Stamped)
<br />NOTA KEITH CORREIA
<br />MY COMMISSION' CC ~1416
<br />~l EXPIRES: May 13. 1999 ~
<br />..' Bonded Thru Notary PIlbllc lhIelWltlll'l ;
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY., ....,. KEITH CORREIA
<br />/~~ifl"l'~~ MY COMMISSION' CC 451416
<br />~~~ J<lf EXPIRES: May 13. 1999
<br />"~~'" ;..:<t->" Ilor1ded Thru NotIIY PublIc lIndelWllllrs
<br />',RlfI'"
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