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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 IDlY 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 reguired to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as reguired by law, both the OlDer and contractor lay be
<br />cited for a lisdeleanor violation under state IaN. If the ONner or intended contractor are uncertain as to what licensing
<br />reguirelents lay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />188-6611.
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<br />FurtherlOre, if the ONner 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 wishes IOU 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 ~1
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<br />D. CONSTRUC'I'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 _ HoIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is 8OIeOOe other than the
<br />.0wnerD, I certify that I have obtained a copy of the above described doculent and prOlise in good faith to deliver it to the
<br />DownerD prior to COllenCelent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance 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 worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled to Jeet 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 goverDlental 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 lilited to:
<br />f Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic lanks
<br />f US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certIfy that, if fIll laterial is to be used in Flood Zone DA- or -A,etc.-, it is understood that a drainage plan
<br />addresSing a "colpensating volUle- will be sublitted which is prepared by a professional engineer registered in tbe 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 issuance of a perlit prevent the Building Official frOl thereafter
<br />reguiring a correction of errors in plans, construction, or vioiations of any code. Bvery penit issued shall beeme invalid
<br />unless the work authoriled by such perlit is cOll8nced within sil IOnths of issuance, or if work authorized by the peClit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tille, lay 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 lust be logged during each sil IOnth period, or the project will be considered abandoned.
<br />WARNING TO OIIMER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICK FOR IIIPROVIIIIIIS TO YOUR
<br />PROPERTY. IF 1'OU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBJlDIlR OR All ATTORIBY BEFORE RlCOHDING YOUR MorICI OF
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<br />7" ~5lIl! IN VAtUl 00 IllJT NIiID ro IlICfll/D AID POS'A:1:;O-. . . I
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<br />SIGlAIUIUI: llmR OIl AGm~ -SI~
<br />
<br />--
<br />
<br />STATE OF FLO~,,'"
<br />COUNTY OF
<br />The forego1ng instrumenf-was ~Utowledged
<br />before me this CS0?~~ \ 0 , 19:Ji. by
<br />
<br />~~lc:l \"-\~~~
<br />who is personally known to me or-whe-has
<br />pradueed N\. ~\'
<br />as identification and who did/did not
<br />
<br />~"-:~ ~. \~"""--
<br />(Sign ure) ,
<br />JUNE M. HERNDON
<br />(Name Typed, d t.tl" . 1
<br />NOTARY PUBLI :TIlnl_NlIIclJn\lelV<<ll8ll
<br />
<br />STATE OF FLORIDA ",
<br />COUNTY OF ,~(:)
<br />The foregOing instrument was ~~wledged
<br />before me this ~ ~ ' \ () , 19\ by
<br />
<br />C:....-~~~\~~ \:J. ~oo \li;(
<br />who is personally known to me or who lias-
<br />PEOdaeed ' ~ 'J \ f\-"
<br />as identification and who did/did Dot
<br />
<br />~~.~~<\~
<br />(Signat re)
<br />
<br />
<br />(Name Typed, oQ
<br />NOTARY PUBL i;&: . ~~ MY COMMISSION' CC S9llOO9
<br />_ \ ~i EXPIRES: FebnIaly 1. 2001
<br />-, ..Rf.-x:.'t-'.- Bonded 11IIu NolIIy Publlc uncIIlwI1lIII
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