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<br />i,l
<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this peI'lit lay be subject to "deed restrictions II which lay be lore restrictive than City
<br />regulations. The undersigned assUles responsibility for. compliance with any appiicable 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 />requirements lay apply for the intended work, they are adrised to contact the City of Zephyrhills Building Department, (813)
<br />~ 788-6611.
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<br />,_';Further.llore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions'6f+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 r are responsible for the work. If the contracto~ wishes you'tci /sfgn
<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. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of IIFlorida's Construction Lien Law _ HOIeowner's Protection
<br />Guide" p~epared by the FI2J:ida Departllent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />1I00merll, I certify that [have obtained a copy of the above described docUlent and prolise iogood faith to deliver it to the.
<br />1I0wnerll prior to couenCl!1lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />L,1
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<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work orte.' "
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other ~overnJental agencies lay apply to tbe intended work, and that it is
<br />~y responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br />~ Department of Environmental Regulation - Cypress nayheads, Wetland Areas and EnVironmentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />~ Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />~ Army Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />~ DepartJent of Health & Rehabilitative Servicaq, EnvirODl~'tal Health Unit - Wells, Wastewater Yreablent, Septic Tanks
<br />~ US Environmental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "All or "A,etc.", it is understood that a drainage plan.
<br />addressing a IIcOJpensating volute" will be subJitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to permit issuance.
<br />
<br />
<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alterl~pr
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frOJ tbereafte~ _
<br />requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall become invalid
<br />unless the work authorized by such permit is commenced within six lonths of issuance, or if work authorized by the permit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOlllenced. One 90 day extension of tile, laY be
<br />allowed for the permit 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 COHHENCRKBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVRHKNTS TO YOUR
<br />PROPERTY. IF OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NptIcg OF
<br />COMMEN T. JOBS UNDER $2, 00 IN VALUE DO NOT NEED TO RECORD AND POST" OF COMMENCEMENT".
<br />
<br />
<br />
<br />
<br />
<br />
<br />-e-~
<br />who s. personally
<br />produced ...-
<br />as identificat'
<br />take an oath
<br />
<br />
<br />STATE OF FLORIDA
<br />COUlflY OF
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregOing inst
<br />before me this
<br />
<br />r~
<br />
<br />(Signature
<br />
<br />(Nam~ Tyoed, Printed or Stamped)
<br />P. ......I\y PfI#
<br />NOTARY UBLIIC.6. ".-.. BOBBIE J BURKE
<br />~~~ MYCo~~nCC~71
<br />'" ~ Expires Mar. 31, 2000
<br />~ ~
<br />I-t Of f\.\)~
<br />
<br />(Signature)
<br />
<br />(~~~~~~~LI~r;~~ S~,'~~1
<br />
<br />~ ~ . ~ Expires Mar. -91;'2000
<br />""t Of f\.O~~ -
<br />
<br />
<br />t war. acknouledged
<br />, 19~ by
<br />
<br />has
<br />
<br />-
<br />~
<br />who is personallY-kno
<br />produced --
<br />as identification
<br />take an oq,tb.
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