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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RES'l'RICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which aay be 80re restrictive than City
<br />regulations. The undersigned aSSU8es responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UN~ICENSED' 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 tay be
<br />cited for a .Iei.....or .iolatioo oed'r stat. la.. If the owe.r or Intendolcootractor are oecertaio .. to NIot li....ing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhilll BUilding Departtent, (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 are indicating that you, rather tllan 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 Zephyrhills.
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<br />C. TRANSPQRTATI N IMPACT FEES AND U~'ILITY CONNECTION FEES ".}!
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<br />D. CONSTRUCTION LIEN LftW (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify tbat I, the applicant, bave been provided witb a COpy of "Florida's Construction Lien Law _ HoIeowner's Protection
<br />Guide~ prepared by the Florida Departlent of Agriculture and ConsU8er Affairs. If tbe applicant is SOIeone other than the
<br />"owner", I certify that I bave obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to COllenCelent.
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<br />E. CONTRACTOR' S/OWNER' S . AFFIDAVI~'
<br />I certify that all the infor.ation in this application is accurate and that all wort will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning; and land developlent.
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<br />Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no worl or
<br />installation has cOIIenced prior to issuance of a perlit and that all work will be perforted to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of otber govefDIental agencies aay apply to the intended worl, and that it is
<br />IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
<br />t Departlent ot EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t De artlent of Health & Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater Treattent, Septic lanls
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<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 "co-pensating vol DIe" 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 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 />set aside any provisions of the technical codes, nor shall is~u~ce of a per.it prevent the Building Official fIOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations 'of any code. Ivery perlit issued shall beCOle invalid
<br />unless the wort authorized by such per.it is cOllenced within six IOnths of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the ti.e the work is COllenced. One 90 day 81tension of tile, I8J be
<br />allowed for the per.it with fee charge of $15.00. Tbe 81tension 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 />WARHING TO OWNER: YOUR FAILURB TO RBCORD A NOTICE OF COHHBNCEHENT HAY RESULT IN YOUR PAYING rNICE FOR IHPROVEHDrS TO YOUR
<br />PROPKRTY. IF YOU IHTEND TO OBTAIN FINANCING, CQNSULT WITH YOUR LINDER OR AN ATTORIKY BKFORIl RIlCORDIMG YOUR MorICE OP
<br />COHHKNCBHENT. JOBS R $2,500 IN VALUE DO NOT NERD TO RECORD AND POST A "NOTICE OF COflHIlNCBHEHT".
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<br />STATE OF FLORIDA
<br />COUHTY OF P A <<) en
<br />The foregOing instrument was acknowledged
<br />before me this SEPT ~, 1951-. by
<br />
<br />'-N 8-so J-J --,:: Y /'--f A-JJ
<br />who is personally known to me er W~8 has
<br />PJ:Muualll
<br />as i~~AtifieatieR:and who 444/did not
<br />take an oat .
<br />
<br />STATK OF FLORIDA
<br />COUNTY OF .;;> JJ-sc~ c .:>
<br />The foregoing instrument was acknowledged
<br />before me this &:Pr F , 19-ZZ.. by
<br />
<br />IUEL<;.nAJ UNA-Ai
<br />who is personally own to me CH' ..~ La.
<br />predlleed
<br />a8 id~Btifigat~9R and who Utd/did not
<br />
<br />take an o~n/.0:z~ a. &~
<br />
<br />(Signature) . CI I
<br />
<br />(Name ~~7J:lp~~ed ~ S~~~)~61
<br />NOTARY PUBLIC
<br />
<br />l-~
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />
<br />...p.Y PU8
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<br />1"/ OF f\,ll
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<br />KATHLEEN J BROWN
<br />My Commieslon CC449029
<br />Expir_ Apr.02.1GGG
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<br />I"t OF f\'\)~
<br />
<br />KATHLEEN J BROWN
<br />MYCom~~cC44~
<br />Expires Apr. 02.1999
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