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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 CON'l'RAC'l'on 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, botb 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 wbat licensing
<br />requirelents lay 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 />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 wisbes you 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 {l
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<br />D. CONSTRUC'l'ION LIEN L1\.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 _ HoteOIDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOl8ORe 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 COllenCelent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'1'
<br />I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wor1 or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfotted to leet standards of all laws
<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 governaental agencies lay apply to the intended wor1, 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 DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water "anagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tan1s
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify tbat, if fIll laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volUle" will be sublitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
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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~nce of a perlit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perJit issued shall beCOlB invalid
<br />unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day eztension of tile, tay be
<br />allowed for the perlit with fee charge of $15.00. The extension.shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each sil IOnth period, or the project will be considered abandoned.
<br />WARKIHG TO OWIER: YOUR FAILURE TO RECORD A HOTlCE OF COHHEHCHHEHT HAY RESULT IH YOUR PAYIHG 'fIfICE FOR IHPROVEIIDl'S TO YOUR
<br />PROPERTY. IF YOU IHT BTA IHAICIIG, COH WITH YOUR LEHDER OR AH ATTORIIlY BEFORll RECORDIHG YOUR HOlICI OF
<br />COHHEHCEHE . JO D , 0 VALUE I EED TO RECORD AID POST A "HOTICE OF C(JOfEHCEMIlHT".
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<br />s!iL~6p~
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<br />
<br />STATE OF FLORIDA I""L
<br />COUny OF Q ofL/fJ!i
<br />The foregOing instrument was acknowledged
<br />before me this Srlr.? , 19~ by
<br />
<br />P EIlS'>>tJ~[, L"" k;J~,J
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oat~~ tfl ~ ~
<br />
<br />ISignatureJ'gR- iJcC A, A5/}J:: L--
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA r-
<br />COUNTY OF J- i- 0 IL ( 0 It
<br />The foregOing instrument was aCknowledged
<br />before me this .~i:-f?7. r , 19.!lL by
<br />
<br />Pr (L~ DrJtq(,,(, Y k tJ(}vJ ~
<br />who is personally known to me or who bas
<br />produced
<br />::k~d::t~:~~~D and who did/did Dot
<br />~Mu /J.~
<br />(Signature23dZ UCr. IJ \ /)SrJ3~L
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />BRUCE A, ASBEL
<br />Notary Public, ~t:tte ot" Florida
<br />My Comm. expirt., June 22, 1998
<br />Comm. No. CC 3.62272
<br />
<br />BRUCE A. ASBEL
<br />Notary Public, State of Florida
<br />My Comm. expiru June 22, 1998
<br />Corom. No. CC 386272
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