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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 assnaes 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 lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents 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 />FurtberlOre, 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 whicb tbey 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 fOU to sign
<br />as contractor that lay be an indication tbat 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 />, ~'
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<br />D. CONSTRUCTION LIEN L~W (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOJeOIDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsOler Affairs. If tbe applicant is SOleone other than the
<br />"owner", I certify that 1 have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to co..enceaent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that 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 lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
<br />installation bas cOllenced prior to issuance of a perlit and that all work 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 that I understand that the regulations of otber governaental agencies lay 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 lilited to:
<br />· Deparllent of EnviroDJental Regulation - Cypress Baybeads, Vetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Vastewater Treatlent
<br />· Southwest Florida Vater Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Vatercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, EnviroDlental Healtb Unit - VeIls, Vastewater Treablent, Septic Tanks
<br />· US EnviroDlental Protection Agency - Asbestos abateaent
<br />I also certify tbat, 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 volnae" 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, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official lrOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if wort authorized bf the per.it is
<br />suspended or abandoned for a period of six IOnths after the tite the work is COIIenced. One 90 day eltension of tile, I8f 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 six IOnth period, or the project will be considered abandoned.
<br />VARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHKlfI HAY RKSULT IN YOUR PAYING f1fICK FOR IHPROVRllDrS TO YOUR
<br />PROPERTY. IF YOU IlfIKND TO OBTAIH FINANCING, CONSULT VITH YOUR LENDER OR AN ATTORIEY BEFORE RECORDING YOUR KorICI OF
<br />COKKRNCRHRNT. JOBS UNDRR $2,500 IN VALUR DO NOT NERD TO RRCORD AND POST A "NOTICR OF COHKEHCKMKNI".
<br />
<br />
<br />H ~ ~ q.L- )::L~-e ~
<br />~IiR: OWNRR R AGR SIGH8liRR: CON RACTOR
<br />
<br />. I
<br />
<br />STATR OF FLORIDAo
<br />COUlfIY OF r Ax 0
<br />The foregoing instrument
<br />before me this 2- - '2.-- 7
<br />
<br />not
<br />
<br />STATR OF FLORID~
<br />COUNTY OF . A Sc ()
<br />The foregoing instrument was ac~wledged
<br />before me this J..-- 2- L ,19 fo by
<br />
<br />fli:tuD~'i
<br />who is personally
<br />produced
<br />as identification and who did/did not
<br />
<br />~t~ ~ IWuJL
<br />(SYf~)A- ( It Sf3fiL
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />ktV~
<br />known to me or who bas
<br />
<br />was acknowledged
<br />, 19~ by
<br />
<br />k IV J-vvL.;
<br />known to me or who has
<br />
<br />.p Ii/Ih {) t..f t:}- L0 10.{
<br />who is personally
<br />produced
<br />as identification and who did/did
<br />tak~ oath. . o.J..u.Q.
<br />
<br />(S1 . at~:, f}Sr';;>G L--
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />SRuce A. ASSEt.
<br />f\k;tary Public, State of Florida
<br />MV (: ,..nun, expirt';S JUriS' 1$398
<br />Comm. tile. C~:1i~tt2.7;t:
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