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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 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 la' be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what 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, be is advised to have the contractor(s) sign portiooa of the
<br />"Contractor Sections" of this application for wbich 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 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 L'I\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOMDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If tbe applicant is soaeone 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 coaaenCelent.
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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 no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all lils
<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 governaenLal agencies aay apply to the intended worl, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not ll1ited to:
<br />* Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />* Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health' Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic ranks
<br />t US Environaental Protection Agency - Asbestos abateaent
<br />I 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 "cOlpeDsating volUle" will be sublitted 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 the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of tbe technical codes, nor shall issuance of a per.it prevent the Building Official fCOl thereafter
<br />requiring a correction of errors in plans, construction, or vioiations of any code. Ivery petlit issued shall beCD18 invalid
<br />unless tbe work authorized by such per.it is cOllenced witbin Sil IOntbs of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of sillOnths after the tile the work is cu.enced. One 90 day eltension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. The 8ltension 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 />WARRING TO OWNER: YOUR FAILURR TO RRCORD A HOTlCR OF COIIHENCKHKIfT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVIIIBI1'S TO YOUR
<br />PROPRRTY. IF YOU IIfTEND TO OBTAIH FIHANCIHG, CONSULT WITH YOUR LENDER OR All AnORIEY BEFORE RECORDIHG YOUR lallCll OF
<br />COMMRNCEHBHT. JOBS UNDRR $2,500 IH VALUR 00 NOT HEED TO RRCORD AND POST A "HOTICR OF COHMINCIHKHI".
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<br />STATE OF FLORIDA fb.:s.
<br />COUNTY OF . ~(J
<br />The foregoing instrument was a~nowledged
<br />before me this f{ov 10 , 19~ by
<br />
<br />---Lh tL L. SrV\ ~K
<br />~s ~ersonallY kno~ me or who has
<br />pro uce .~
<br />.. identification and who did/~
<br />tak'Y71 oath. J t;
<br />(U).,a~ Jr ~ J 'l:JKU4- .
<br />(Sign~re) . / .
<br />a 55/YYJ 1'4. r-. 0[>DJ6h t./
<br />(Name Typed, Printed or Stamped) I
<br />NOTARY PUBLIC
<br />
<br />"ij"'" 'U't'et CASSONDAA F ~
<br />* MY~:zooo
<br />* ~Apr. 30.
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<br />SIGNATURE: CONTRACTOR
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<br />I
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<br />STATR OF FLORIDA J')
<br />COUHTY OF IO!> CO
<br />The foregoing instrument was ac~owledged
<br />before me this M) 1/ /3 , 19~ by
<br />
<br />~klL- L., j/)1l. 'H~
<br />o is personally known or who has
<br />pro uce
<br />as identification
<br />take &dIoath.
<br />Cd / 1\t1-
<br />(Signat~) r- ~
<br />( ~as5IJrdl/i/i... r. C YODI.!:h1j
<br />(Name Typed, Printed or Stamped) /
<br />NOTARY PUBLIC
<br />
<br />
<br />...., '111.
<br />'lilo CASSONDRA F 000L8BV
<br />.. * MY~ionCCl581731
<br />" Explree Apr. 30, 2000
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