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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />. .A: NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perJit 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. UNLICENSEP 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 lisdeteanor violation under state law. If the owner or inte~ded 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.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections II of this application for which they Ifill 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 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. CONSTRUCTION LIEN LAW (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 _ Homeowner's Protection
<br />Guide" p{epared by the Florida Department of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />Nowner", I certify that I have obtained a copy of the above described docUJent and prolise in good faith to deliver it to the
<br />"owner" prior to couencelent.
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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 compliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
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<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a permit and that all work will be perforled 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 ~oveInlental agencies .ay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to:
<br />t Department of Environmental Regulation - Cypress nayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater !reatJent
<br />* Southwest Florida Water KanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health & Rehabilitative Servica~, Environm~1tal Health Unit - Wells, Wastewater 1reatlent, Septic Tanks
<br />* US Environmental Protection Agency - Asbestos abatement
<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 NCOlpensating voluae" will be suhlitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />A pertit 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 issuance of a perlit prevent the Building Official frol 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 peClit is cOlJlenced within six lonths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllllenced. One 90 day extension of tile, JaY be
<br />allowed for the peClit 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 OWHER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCKHENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVKHEHTS TO YOUR
<br />PROPERTY, IF YOU Iln'BHD TO OBUIK FI.!IANCnIG, CONSULT WITH YOUR LENDER OR All ATTOID/EY BEFORE RECORDING YOUR NOTICE OF
<br />COKKENCKHEN 500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOfICE OF COMMENCEMENT".
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<br />
<br />STATE OF FLORIf)AJj) /l A n
<br />COUNTY OF Lu..u VL/
<br />The foregOing instrument was a~Dwledged
<br />before me this , , 19_~ by
<br />
<br />eJ/ /U
<br />\Ii is ersonall
<br />produced
<br />as identification and who did/did not
<br />take ~_a;~ ia d /iJz~
<br />(Si9~~) Ie.. t
<br />
<br />(Na.m~ Typed, Printed or Stamped) .
<br />NOTARY PUBLIC
<br />
<br />
<br />STATE OF FLORIDA, ~ /1~
<br />COUNTY OF (.,.(J.;C/'
<br />The foregoing instr~ent wa~ a~tlledged
<br />before me this 7~Si; ei , 19~ by
<br />
<br />
<br />
<br />
<br />did/did not
<br />. P/-fJ'V<J
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />"::'~""" Angela l Helms
<br />.-:1*My CommiMlon CC8OO247
<br />..,~' Expires January 3. 2003
<br />
<br />'~<." ~ i ,elms
<br />*~ *My Commission CCa00247
<br />"'... 1m.... Expires January 3. 2003
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