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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 CON'l'RAC'l'On 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 lay 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 DepartJent, (813)
<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 />"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 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'I'ION LIEN L-nW (CHAPTER "13, FLORIDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HDIeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone 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 couenCelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<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, zoning, 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 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, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverRIental agencies aay apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
<br />* Departlent of KnvironJental Regulation - Cypress Bayheads, Wetland Areas and BnvironJentally 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 />* De artlent of Health & Rehabilitative Services BnvironJental Health Unit - Wells, Wastewater TreatJent, Septic Tants
<br />* US KnvironJental Protection Agency - Asbestos abatelent
<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 "colpensating 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 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 frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOJe invalid
<br />unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if wort authoriled by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eztension of tile, lIy 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 six IOnth period, or the project will be considered abandoned.
<br />WARIIING TO OIiNiR: YOUR FAILURR TO RECORD A NOTlCR OF COHHBNCEHBNT HAY MSULT IH YOUR PAYING RICE FOR IHPROVEllBIIl'S TO YOUR
<br />PROPBRTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDBR OR AN ATTORREY BEFOM RECORDING YOUR HOIICE OF
<br />COHHENCBHBNT. JOBS UNDER $2,5 IN VALUE DO NOT NiBD TO RBCORD AND POST A "NOTICB OF COMKBNC "
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<br />STATB OF FLORID~
<br />COUHJY OF ----.to-.-j <L.V
<br />The foreg ing instrument was acknowledged
<br />before this Nov. ;}. ~ , 1911 by
<br />
<br />A. /lJl>~ ko W\ 1{ .
<br />nally known to me or who has
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<br />STATK OF FLORIDA ~
<br />COUNTY OF ~
<br />The foregOing instrument was acknowledged
<br />before me this It Z . 191.Z.. by
<br />
<br />iJ~A-d . /~
<br />who is personally known to me or who has
<br />produced If h'~~~-;>~OI-Ljcf --..S~tI, D
<br />as identification and who did/did not
<br />take an oathLlt _ () ~4
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<br />(Signatore) . d ~\<C ~'" ol y
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<br />(Name Typed, Printed gr Stampe) /
<br />NOTARY PUBLIC
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<br />....~':Jll.",..
<br />~~"J~\ Nancy A. Moo!tj
<br />~*! :"1 MYCOM\ISSIO'UCCS:i.;.'::. ".:
<br /><.,." Februery 21. .\.
<br />, # '.' BONOm1HAU'FR(WFAIMif."50P/-;."._
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