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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 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 tay 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 (or 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 thel will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, ate 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 U'fILrfY CONNECTION FEES
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<br />D. CONSTRUC1'ION LIEN L1\W (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 _ HOIeOMDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If the applicant is SOl8ODe 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 AFFIDAVI1'
<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.
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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 has cOllenced prior to issuance of a perlit and that all work will be perf oIled to l8et 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 goverRlental agencies aay 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 litited to:
<br />· Deparllent of BnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />· Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tan1s
<br />· 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 "cOlpeDsating volute" will be subtitted 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued shall beCOll invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOnths after the til8 the work is cOll8nced. One 90 day eltenaion of tite, laY 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 six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCHHENr HAY RESULr IN YOUR PAYING nUCE FOR IHPROYEIIDrS fa YOOR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IIITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOrICI 01'
<br />COHHENCKKBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMBNClKKNT".
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<br />SI A URE: ONNER 0 AGENT
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<br />. I
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<br />STATE OF FLORID~
<br />COUNTY OF t'P.r'5L 0
<br />The foregOing instrument
<br />before me this r~ I f
<br />
<br />I. (J,
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />t~::~ail. r:tltdJ
<br />( i!9natuie' n. /
<br />IbfuH,( ,4. O:.~B~,-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />, r
<br />
<br />STATK OF FLORIDA f2.
<br />COUNTY OF A--"'C,o
<br />The foregoing instrument was aCkn9Pledged
<br />before me thisSVNtZ' I~ , 19 9r by
<br />
<br />f ~fi f." D ttfA-u.;'( tlUb IA /"J
<br />who 18 personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />;({fu;'tbt). lMd!
<br />~ture) J)
<br />Mete . II~I!EL
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />, j
<br />
<br />was aclnowledged
<br />, 19.!iL by
<br />
<br />SRUCE A. ASBEL
<br />Notary Public, Sl'lte of Florida
<br />My Comm. expirt-.3 June 2.2, 1998
<br />Comm. No. CC 386272
<br />
<br />BRUCE A. ASBEL
<br />Notary publie. State of Florida
<br />My Comm, expirt.;~ June 22., 1998
<br />Comm. No. Cc 38a:.t/~
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