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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 Lo "deed restrictions" which aay be lOre restrictive than City
<br />regulations. The undersigned assWles responsibility for co.pliance wiLh any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'On RESPONSIBILI'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, 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 for a .isde.eanor violation under state IaN. If Lhe ONner or intended contractor are uncertain as to what licensing
<br />requiru.ents .ay apply' for the inLended Nork, Lbey are advised to contact the City of Zephyrhills Building Departlent, (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 />"Contractor Sections" of this application for which they will be responsible. If you, as the OIIDer sign as the contractor,
<br />you are indicating that you, rattler than the contractor, are responsible for the work. If the contractor wishes 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 IMPAC'r FEES AND UTILI'ry CONNECTION FEES ,,~
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<br />D. CONSTRUC'l'ION LIEN L1\W (CHAPTER '113, FLORIDA STATUTES I AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is SOleODe other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior to couencu.ent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the infor.ation in tbis application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, laning, and land developlent.
<br />I
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<br />Application is hereby .ade to obtain a per.it to do work and instailation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a per.it and that all worl will be perfoCled to teet 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 goveInlental agencies aay apply to the intended wort, and that it is
<br />.y responsibility to identify what actions I .ust take to be in co.pliance. Sucb agencies include but are not 11Ilted to:
<br />t Deparltent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t De arltent of Health' Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater !reattent, Septic rants
<br />t US EnviroDlental Protection Agency - Asbestos abatu.ent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan
<br />addressing a "cOlpensating volute" will be sub.itted whicb 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 tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery peIlit issued shall beCOle invalid
<br />unless the wort authoriled by such per.it is cOllenced within sil IOntbs of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the worl is cOllenced. One 90 day IItension of tite, l8y 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 .ust be logged during each sil IOntb period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTlCH OF COHHHNCHHHNT HAY RHSULT IN YOUR PAYING fIIlCE FOR IHPROVIIIHIIS TO YOUR
<br />PROPIRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDIR OR AN ATTORNEY BEFOHI HlCORDING YOUR HorlCl OF
<br />COHHENCKHKHT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECOR~MIl POST OF ~. i1
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<br />_ .,~I(/1/~
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<br />SIGNATURE: OIflfER OR AGENT SIGNATURE: COJlrRACTOR
<br />
<br />, I'
<br />
<br />srArl OF FLORIDA . h
<br />COUNTY OF ' / b JfOU
<br />The foregoing instr nt .,was acknowledged
<br />before me this 19 q1 by
<br />
<br />
<br />~ imown to:Jil, or who has
<br />produced- -
<br />as identification and who did{did not~
<br />
<br />~A(M:iViIttn.
<br />( ign ture) .
<br />~mtl fJ. .A{tUUVlI/ID
<br />(Name ped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF D ~ Z
<br />The foregOing in~t~~nt was aCknowledged
<br />before me this 'K- lk~ ::bu.q..,.i~19 en by
<br />b ~+- 1::.~ luc
<br />who is ally kno
<br />produce
<br />as identif.1CatiOD an~ ~did not
<br />t~~(~1t~. J 1j))1/b/lJ1);_
<br />
<br />~'-l ' Ii>.
<br />VjJ/~jnl("; b, /illflnJoll /u
<br />(Name yped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />....~~~~.~' VIRGINIA B. MANSOLlLLO
<br />f.'f \;; MY COMMISSION /I CC450799 EXPIRES
<br />~: :..E April 4 1999
<br />'~;;f.R"l'rl..~~ BONDED THRlI TROY FAIN INSURANCE, INC
<br />I 'ltH'
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