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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'b, under'ignol undor'land, thai !hi, p'",11 oar be ,.bj,cI to 'dooi r'.lrlcli.... .bleb oar 10 war, r"lrlcll.. lhaa eltl
<br />regulations. The undersigned assu.es 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 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 II' be
<br />cited C.r · .iol......r vl.l.tl.. und'r ,1'1. I... iC lb. ....r .r Intended conlractor are ....rtai. as to .Iot li....iag
<br />requirOlents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8Il)
<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 />'C..lractor Secll.... .C this .pplicalloo Cor -hicIJ they -mile "_sibl.. If JIlU, as the -. alp as 1M -tor,
<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
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<br />D. CONSTRUC'l'ION LIEN L1\W (CHAPTER 713, FLOIUDA STATUTES" AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Plorida's Construction Lien Law _ HoIeoIner'. Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is SOleODe other than the
<br />"owner", I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllenceaent.
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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.
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that DO wor1 or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perf OIled to leet standards of all 1118
<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 governtental agencies lay apply to the intended worl, and tbat it is
<br />Iy responSibility to identify what actions I lust take to be in cOlpliance. Such agencies inClude but are not .ilited to:
<br />I Deparllent of EnviroRleDtal Regulation - Cypress Barheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I De rblent of Healtb , Rehabilitative Services BnvirODlental Healtb Unit - Wells, Wastewater !reattent, Septic lanla
<br />I US EnviroDlental Protection Agency - Asbestos abateaent
<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.pensating volUte" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit, issuance.
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<br />. A perlit issued sball be construed to be a license to proceed with tbe 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 fIOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of an, code. Svery per.it isaued &ball beCOll invalid
<br />unless the .orl authoriled b, such perlit is cOllBnCed within six IODths of issuance, or if wor1 autboriled by the PBCllt is
<br />suspended or abandoned for a period of six IOnths after the tile the worl is COMellCed. One 9(} da, llI,tension of u., ., be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to tbe Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARJlIHG TO OIIRER: YOUR FAILURE TO RECORD A NOTICE OF COHHBRCKJlBfft' KAY RBBULT IN YOUR PAYING !IIICK FOR IHPROVIIIIO'S ro YOUR
<br />PROPERTY. IF YOU IlfTiND TO OBTAIN PINANCING, CONSULT WiTH YOUR LODER OR AN AmHilEY BBFORE RICORDING YOUR HarlCE OF
<br />COHHBlfCIHBHT. JOBS UNDER $2,500 IN VALOi DO HOT NIBD fa RICaRD AND POST A ~rICB OF Cf1IIBH ".
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<br />LlCOCO.1 ()4.?A 1- 0
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<br />STATB OF FLONDA
<br />COUlfTf OF -ill SC l ')
<br />The foregOing instrument was aCknowledged
<br />before me this bJo V 10 , 1901 by
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<br />STATB OF FLORIDA
<br />COUNTY OF PAS CO
<br />The foregOing instrumen~was aC~9wledged
<br />before me this NOV 10th ..' 19~ by
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<br />who is personally known to me or who has
<br />produced FL])L LlrF'~SE ~
<br />as identification and who did,-1d n~
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<br />take a~ ~~~
<br />(Signat~) ,
<br />~~ '"S.. (Cb~-\-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIS
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<br />who is personally known to me or who bas
<br />produced FLA DRIVERS LICENSE
<br />as identification
<br />t ~tb.
<br />
<br />
<br />(Name Typed, Printed or St ped)
<br />NOTARY PUBLIC 'iii: MARSHA L UNll5e'/
<br />. * My commiuion CC04S1791
<br />Expires April 9, 1999
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