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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 Lo "deed restrictions" which ~y 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 CONTRAC'!'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 aay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat 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, 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 tbe contractor wisbes you to sign
<br />as contractor tbat lay 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 IMPACT FEES AND UTILI'ry CONNECTION FEES
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<br />D. CONSTRUC'!'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES" AS AMENDED)
<br />I certify that I, the applicant, bave been provided witb a copy of .Florida's Construction Lien Law _ HOIeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOl8ODe other than the
<br />.owner", I certify that I have obtained a copy of the above described doeulent and prolise in good faith to deliver it to the
<br />"owner" prior to co..encelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and tbat 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 work or
<br />installation has cOllenced prior to issuance of a perlit and that all worl will be perf oIled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify tbat I understand that the regulations of otber govern.enlBl agencies ~y apply to tbe intended vorl, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not Iilited to:
<br />t Departlent of EnviroDlental RegUlation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater rreatlent, Septic rants
<br />t US EnviroDlental 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 B .cOlpeDsating VOIU8e" 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 tbe work and not as authority to violate, caocel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall heCDII invalid
<br />unless the work authorized by sucb perlit is cOllenced within six IOnths of issuance, or if work authorized by the petlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day I!Itension of tile, II' be
<br />allowed for the perlit with fee cbarge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sil IOntb period, or tbe project will be considered abandoned.
<br />WAMING TO OWNER: YOUR FAILURE TO RECORD A NOTICR OF COIfIIRNCKHBNT MAY RESULT IN YOUR PAYING !VICE FOR IHPROVEIIBIIS TO YOUR
<br />PROPERTY. IF YOU IH1'END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORIEY BEFORB RBCORDING YOUR NOTICE or
<br />COHHENCKKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RRCORD AND POST A .NOTICR OF COHKRNCKHRNr-.
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<br />1~ ~ /fcdJ d/~ ,(J. g~
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<br />SIGNATURE: ER OR AGENT SIGNATURE: COHTRACTOR
<br />
<br />, I
<br />
<br />
<br />er "ltu has
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<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foreg 'ng
<br />before me f .
<br />
<br />81' H9 bas-
<br />
<br />(Sig~tur 1/.'/
<br />~(;)lJ 04- L, !:n{t'Atl ,...)~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />...1.~:.J:}/",,--
<br />... Br9llda L Bucha/1I1"
<br />* * My CommiSSion CCS1S5Sd
<br />.,. " .
<br />~, ,~ExPlres January 27 2001.
<br />FOFl!:\'O(<;
<br />
<br />L. &lcL~~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />"'. ,~
<br />~'6 ~ Brenda L Buchanan
<br />
<br />* JiiJJ * My Commission CC616554
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<br />~~ ,~ Expires January 27. 2001
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