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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 assUles responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTMC'l'Ons AND CON'I'UAC'I'OU RESPONSIBILI'!'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 Jay be
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirBlents lay apply for the intended work, they are advised to contacL the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />FurtberlOre, if the owner lIas 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, ratller than the contractor, are responsible for the work. If the contractor wishes 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. CONS 'l'RUC'l' I ON LIEN L'1\W (CHAPTER 713, FLORIDA STA'rUTES, AS AMENDED)
<br />I certify tbat I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law _ BoIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If tbe applicant is sOIBone other than the
<br />"OIfIler", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
<br />"owner" prior to cOlIBnceaent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land develop.ent.
<br />I
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<br />Application is hereby lade to obtain a per.it 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 work will be perf OIled to lBet 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 goveIDlental agencies .ay apply to the intended wort, and that it is
<br />,y responsibility to identify what actions I .ust tale to be in co.pliance. Such agencies include but are not lilited to:
<br />t DepactJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />, Water/Wastewater TreatJent
<br />t Southwest Florida Water HanagBlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health' Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic lanks
<br />t US EnviroDlental Protection Agency - Asbestos abateaent
<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 "co.pensating voIUleN will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it, 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 issuance of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or vioiations of any code. Every perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllBnced within six IOnths of issuance, or if work authorized by the peIlit is
<br />suspended or abandoned for a period of six IOnths after the ti.e the work is cOllBDced. One 90 day eatension of tile, Jar be
<br />allowed for the per.it 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 six IQntb period, or the project will be considered abandoned.
<br />WARNIHG TO OWNER: YOUR FAILURE TO RECORD A NOTICI OF COHHINCEHKNT HAY RISULT IN YOUR PAYING TlUCK FOR IHPROVIIIDl'S TO YOUR
<br />PROPERTY. IF YOU IHTEHD TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORIEY BEFORE RECORDING YOUR HorlCB OF
<br />COHHENCEHENT. JO UNDER $2,5~ IN VALUE DO NOT NEID TO RECORD AND POST A "NOTICE OF COHHENCEHKHTw.
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<br />s:1r\,1 ~ ~
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<br />SIGNATURE: OVIIER OR AGENT SIGNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF FLORIDAD/\
<br />COUNTY OF rnSQ.O
<br />The foregOing instrument was acknowledged
<br />before me this 1.84 , 19 9$ by
<br />. ,4PelL
<br />(JJ-Il/5 MOOIL
<br />who is personally known to me or who has
<br />produced
<br />as identi did not
<br />take an 0
<br />
<br />(Signature)
<br />
<br />
<br />STATE OF FLORIDAr.:M <-
<br />COUNTY OF r 1'\ J<!-O
<br />The foregoing instrument was aCknowledged
<br />before me this :J.:!3-f!.. , 19 7'8 by
<br />. J AFett. -
<br />RoB Nl)eTH~f
<br />who is personally known to me or who has
<br />produced
<br />os i~ ~did not
<br />take an C'I-
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />\J SANDRA C. ANGEL
<br />MN~_Public, Staee of Aorida
<br />Y ......"rn. Expires Apri/29 1999
<br />No. CC ....7473 '
<br />.. Bonded Thill .~cllJ ..." .,..,.
<br />1-(800, 723-0121
<br />
<br />(Name Typed, Pri
<br />NOTARY PUBLIC
<br />
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