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<br />:i' CONDITIONS OF PERMIT AFFIDAVIT
<br />Si~. NOTICE OF DEED RESTRICTIONS
<br />{The undersigned understands that this peI'lit lay be subject to "deed restrictions II which lay be lore restrictive than City
<br />.1f:~egulations. fhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
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<br />VD.J,\. UNLICENSEP CONTRACTORS AND CON'fRACTOR RESPONSIBILITIES
<br />.~tf the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />'J~8tate and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />.:~~ted for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing
<br />tw.requireaents lay apply for the intended wori, they are advised to contact the City of Zephyrhills Building DepartJent, (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 />,;RContractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />f!!ou are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />:~ contractor that aay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />l'~Bity of Zephyrhills. ,
<br />
<br />~g.
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<br />TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br /><D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />'iI, certify that I, the applicant, have been provided with a copy of uFlorida's Construction Lien Law _ Hoaeowner's Protection
<br />Guide" Pt'epared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is so.eone other than the
<br /><~OlfDer", 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 couenceaent.
<br />
<br />~. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />'~~!~certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />' ."t~::
<br />'~p'plication is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or
<br />'~tallation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws
<br />~~gulating construction, City codes, zoning regulations, and land developllent regulations in the jurisdiction. I also
<br />,~ertify that I understand that the regulations of other goveI1llental agencies lay apply to the intended work, and that it is
<br />If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />'~;'DepartJent of Environmental Regulation - Cypress Bayheads, Wetland Areas and Enviroruaentally Sensitive Lands,
<br />'.: Water/Wastewater TreatJent
<br />t::SOUthlfest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />~.;!rIy Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t.)DepartJent of Health & Rehabilitative Services, Environllental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t.US EnvirODlental Protection Agency - Asbestos abatement
<br />t 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 uCOIpensating volUle" will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to pel1lit issuance.
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<br />Apmit 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 permit prevent the Building Official frol thereafter
<br />r~quiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall become invalid
<br />unless the Nork authorized by such perlit is cOlllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, lay be
<br />allowed for the perJit 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 six IOnth period, or the project will be considered abandoned.
<br />~ING TO OWNER: YOUR FAILURE fa RECORD A NOflCE OF COHHENCKHEHf HAY RESULT IN YOUR PAYING TWICE FOR IHPROVKHBHTS TO YOUR
<br />~ROPEIlfY. IF YOU IBEJID fa OBfAIN FIW'CING, CONSULT WUB YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOlJR NOTICE OF
<br />CQIOID 500 IN VALUE DO NOT NEED TO RECORD AND P OT! COHHENCOONT" .
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<br />SrATE OF FLORIDA
<br />coum OF
<br />The foregoing inst
<br />1:[~~ore me this
<br />
<br />was acknowledged
<br />19_ by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~
<br />The foregOing inst t was acknowledged
<br />before me this , 19_____ by
<br />
<br />
<br />who is per~nallv
<br />produced
<br />as identification and who did/~d not
<br />take an oath.
<br />
<br />BOBBIE J BURKE
<br />My Commission CC543871
<br />Expires Mar. 31, 2000
<br />
<br />
<br />amped)
<br />J BURKE
<br />MYCo~~nCC543871
<br />Ellpir.... Mar. 31, 2000
<br />
<br />(Signatu
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