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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 asslmes respoJlsibility (or co.pliance Ifith allY 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 Ifork, they .ay 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 lay be
<br />cited (or a .isdeteanor violation under state IaN. If the ONner or intended contractor are uncertain as to wbat licensing
<br />require.ents .ay apply (or the intended Nork, they are advised to contact the City of Zephyrhills Building Departaent, (813)
<br />788-6611.
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<br />Furtber.ore, if the ONner bas 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 tbey wi]] be responsible. If you, as the OIQler sign as the contractor,
<br />you are indicating tbat you, rather than the contractor, are responsible for the work. If tbe contractor wisbes 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. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUC'fION LIEN L1\.W (CHAPTER 713, FLORIDA STATUTES I AS AMENDED)
<br />I certify tbat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConSlmer Affairs. If the applicant is sOleQDe other than the
<br />"owner", I certify tbat I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"oNner" prior to co..ellce.ent.
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<br />E. CONTRACTOR' S/OWNER 'S AFFIDAVI'l'
<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, zoning, and land developlent.
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<br />Application is bereby .ade to obtain a per.it to do work and instailation as indicated. I certify tbat no worl or
<br />installation bas cOllenced prior to issuance of a per.it and tbat all work will be perfotted to aeet standards of all laws
<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 goverDlental agencies lay apply to the intended wort, and tbat it is
<br />,y responsibility to identify Nhat actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
<br />t Deparllent of BnviroDlental Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater rreallent
<br />t Southwest Florida Water Hanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar.y Corps of Bngineers - Seawalls, Docks, Navigable Waterways
<br />t Departtent of Healtb , Rehabilitative Services, BnviroDlental Healtb Unit - Wells, Wastewater rreallent, Septic rants
<br />t US Environtental Protection Agency - Asbestos abate.ent
<br />I also certify tbat, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpensating volute" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it, 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~nce of a per.it prevent the Building Official frUl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petllt issued shall hecoIe invalid
<br />unless the work authorized by such per.it is cOllenced within Sil IOnths of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of six IOnths after the ti.e the wort is cOllenced. One 90 day eatension of tile, l8y be
<br />allowed for the per.it 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 six IOntb period, or the project will be considered abandoned.
<br />WARKING TO ONIER: YOUR FAILURE TO RECORD A NOTICE OF COHHBICIHBHT IlAY RESULT II YOUR PAYING fllICK FOR IHPROVIIIEIts TO YOUR
<br />PROPERTY. IF YOU INTIND TO OBTAIN FINANCING, CONSULr WITH YOUR LINDER OR AN AnORIEY BEFORE RECORDING YOUR NOIICI OF
<br />COMMENCE ,r. JOBS UNDER $2,500 IN VALUE DO lOT NIED TO RBCORD AND ~T A "N~ICB OF COHHBIfCElllHTII.
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<br />.Y-t' ~' "-(~ ;f~~
<br />B OR AGENT SIGNATURE: COlT R /
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<br />, I
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<br />STATE OF FLORIDA ~
<br />COUHTY OF ~
<br />The foregOing instrument
<br />before me this II - '7
<br />
<br />STATB OF FLORIDA ~
<br />COUNTY OF -L~
<br />The foregoing instrument was aCknOWledged
<br />before me this / /- ~ , 19 9'7 by
<br />
<br />
<br />who is~ known to Be or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.'-I1. /1 ~ tI.. Jh~, I, .
<br />
<br />(Signature) ;V AG /1 1A d7f.)-
<br />__8-Y\ LJL Cl FI & cJ V
<br />(Name Typed, Printed ~r Stamped) I
<br />NOTARY PUBLIC
<br />
<br />was acknowledged
<br />, 19-f.2. by
<br />
<br />who i nown to me or who has
<br />produ
<br />as identification and who did/did not
<br />take an oath2:1 Cl ~ L,
<br />
<br />(Signature) ;V ;:~<t A &f:-
<br />
<br />(Name Typed, Printed r Stamped)
<br />NOTARY PUBLIC
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<br />
<br />Nancy A. Moody
<br />~}\\il""~~" CC534806 EXPIRES
<br />,~. ,-~\ ~ CQMt.ISSION' """"
<br />',:": :": ftblU8IY 21. ~ Nt
<br />,~. E 1lIOY FAIlIlIlSIIIUIIICE.\ '
<br />;1."..... 1IOIllIED1\IIU
<br />',M" '
<br />
<br />,\'tUIf"I Nancy
<br />.~.,.v.~ A. Moody
<br />f.:,~:~ MY COMMISSION' CC534806 EXPIRES
<br />~';;,....., ~~ FebI\l8/Y 21. 2OlIO
<br />',P.f,.!l\' . BONDED ntRU TROY FAIN INSIJRAHCE. INC
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