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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />ThB undersigned understands that this per.it .ay 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 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 />requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrhills 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 the contractor wisbes 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 LftW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law _ HDIeOWDer'. Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleDne 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 COllenCelent.
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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, loning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do work and installation 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 aeet 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 other goverDlentaI agencies lay apply to the intended worl, 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 />t OepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and InviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, InviroDlental Health Unit - Wells, Wastewater TreatJent, Septic tanks
<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 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 frOl tbereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bver,'perJit issued sball becOIe invalid
<br />unless the work authoriled by such per.it is cOllenced within sil IOnths of issuance, or if work authorized b, the perJit is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is cOlleRced. One 90 day 8Itension of tile, 18' 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 sil IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHlNT HAY RESULT IN YOUR PAYING flfICE FOR IHPROVIIIIII8 '10 YOUR
<br />PROPERTY. IF INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENOIR OR AN ORIIIY BEFORE RECORDING YOUR MICE OF
<br />ClIIIIEIICIIIIl, T I IN lIIl 00 HOT IIIiIlD TO RRCOlIIJ AIID roSf ~ ~~ . . I
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<br />CONT CTORD{-1t -A3:J.-5 - ')33'- Shlo-47o
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<br />STATI OF FLORIDA ~ .
<br />COUNTY OF ~ ()
<br />The foregoing :~~t .a. ~~iedged
<br />before me this , 19 by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF rq Scv
<br />The foregoing i.ns~ent
<br />before me thiS.~
<br />
<br />was aC~ledged
<br />, 19-U.:. by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an oa~_ yV)Dn!1t .
<br />(Signature) . h~
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />take an oath.0nlA~ fV)011b:tArll....
<br />
<br />(Signature) W:Y I
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />-
<br />
<br />CARRIE MONBARREN
<br />Not",,,. Public - State of Florida
<br />My CC'mmi~s'on Expires Apr 23, 2lO1
<br />C0m"Tllsslon # CC64()Ijl42
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<br />-
<br />
<br />CARRIE MONBARREN
<br />N('lt~~' Pu~f1c - State of FIorIdO
<br />Mv C("~~^'^"on ExpIres Apr 23, 2001
<br />('r ~"T11sslon # CC640942 .
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