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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />-A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peClit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUJes responsibility f~r cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas 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 requ~red by lall, both the ollIler and contractor lay be
<br />cited for a lisdeleanor violation under state lall. If the ollIler or intended contractor are uncertain as to IIhat licensing
<br />requirBlents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813)
<br />788-6611.
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<br />Furthermore, 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 IIhich they lIill 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 1I0rk. If the contractor IIi shes you to sign
<br />as contractor that lay be an indication that he is not properly' licensed and is not entitled to per.itting priVileges in the
<br />City of Zepbyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I; the applicant, have been provided with a copy of "Florida's Construction Lien Lall _ HOIeOllDer's Protection
<br />Guide" p+epared by the Florida Department 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 pro.ise in good faith to deliver it to the
<br />"ollner" 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 compliance with all
<br />applicable lalls regulating construction, zoning, and land developlent.
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<br />Application is hereby lade to obtain a permit to do 1I0rk and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a per.it and that all 1I0rk lIill be perfoCled to leet standards of all lalls
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverIllental agencies lay apply to the intended lIork, and that it is
<br />my responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Department of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastellater TreatJent
<br />t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Army Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Services, Environmental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />* US EnviroDlental Protection Agency - Asbestos abatement
<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 volUJe" 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 permit issued shall be construed to be a license to procf;Gd 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 frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued shall becOle invalid
<br />unless the work authorized by such permit is cOllenced lIithin six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the ti.e the lIork is couenced. One 90 day extension of ti.e, laY be
<br />allolled for the perlit with fee charge of $15.00. The extension shall be requested in IIriting to the Building Official. An
<br />approved inspection .ust be logged during each six IOnth period, or the project lIill be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERrY. IF YOU INTEND TO OBTAIN FINANCI!lG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR !IO'fICE OF
<br />r.oHMENCSMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM!lliNCEHSNTII. _
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<br />~4J- ~~4^L~
<br />SIt!lATURE: DliNER O~NT ,. SIGNATURE: CONTRACT
<br />,
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF 'i:::\:-~ ~
<br />The foregoing instrument was acknowledged
<br />before me this \ -I , ::. 9 ~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF \:Q... '}-.., ~
<br />The foregoing instrument was aCknowledged
<br />before me this \._) , 19~ by
<br />
<br />who i ersonally known~o me or who has
<br />d ~
<br />pro uce
<br />as identification and who di~_~o~
<br />take an oath. I\. ".. ",,,-y .
<br />~tt~.-~~~ 1'<''' "'"_
<br />(Signature)
<br />
<br />who i~rsonally ~ to me or who has
<br />produced--
<br />as identification and who di~
<br />take an oa~. "_ \\ ~/'
<br />~%.~~~ $) ",~~-
<br />(Signature) '."6."'~ Annette H Kenner
<br />* *My Commission CC70312~
<br />(Name Typed, Printed ot.. ,~
<br />NOTARY PUBLIC
<br />
<br />
<br />(Nam~ Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />or Stamped)
<br />""6"~ Annette H Kenner
<br />*~ *My Commission CC703125
<br />......" ".".- ExpIres December 16, 2001
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