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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Th~ 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 CONTRAC'!'OU 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 aay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for 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 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 tbe
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~J
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<br />D. CONSTRUC'!'ION LIEN Lf\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOWRer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is &oIeOne 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.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all tbe inforlation in tbis application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />I
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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 cOIIenced prior to issuance of a perlit and that all work will be perfoIJed to aeet 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 govefRIental agencies lay apply to the intended wnrk, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not Iilited to:
<br />· DepartJent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands,
<br />Nater/Nastewater TreatJent
<br />· Southwest Florida Water Hanagelent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· DepartJent of Health & Rehabilitative Services, EnviroRlental Health Unit - Wells, Wastewater Treallent, Septic Tanks
<br />· US EnviroRlental 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 "co.pensating volUle" will be sublitted wbicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit, issuance.
<br />
<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 peIlit issued sball beCOlB invalid
<br />unless the work authorized by such per.it is cOllenced within sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day eztension of tile, I8Y be
<br />allowed for the perlit with fee cbarge 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 tbe project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTlCR OF COHHRNCBHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIlIIID'S TO YOUR
<br />PROPIRTY. IF YOU INTEND TO OBTAlH FINANCING, CONSULT WnH YOUR LENOIR OR AI AnOllllY BEFORE RECORDIKG YOUR KOIICB OF
<br />COMMENCEHRNT. JOBS UNDER $2,500 IN VALUR DO NOT NEED TO RECORD AID POST A "NOTICE OF COMHBNCBIIDT".
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<br />STATK OF FLORIDA f) 1/
<br />COUNTY OF ~() I IS..
<br />The foregOing instrument was acknowledged
<br />before me this ;J:t ~, J..9"~by
<br />
<br />who iC~~~l~~~~to me or who has
<br />
<br />produced fatl.r:.'s/)hC4.lI;ft ~wt1
<br />as identifi ation and ho did/did not
<br />t e an oa h
<br />
<br />STATR OF FLORIDA ~ ~
<br />COUNTY OF J
<br />The foregoing instrument was acknowledged
<br />before me this ~~ rr1Cu..f ,~~ by
<br />
<br />:Jey~~ ~/o()~
<br />who is personal y known t me or who has
<br />produced ~u.s{)Ylf.< "'ft, !4t..(JU)n
<br />as identifi ation and ho did/did Dot
<br />take a oath
<br />
<br />
<br />
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<br />1'( 1Ill1l1l1ll1lllllldllllll/lIl1lllllNr'? 111/1/1/,\:.
<br />~ ~".'oy PYb Bonnlyn Patricia Carpen~er f
<br />(~~J'O Nota:y Public, Stale ofFlo~da ,;,
<br />~ ~W''-~ Couunission No. CC 5624:>4 r
<br />( ~ OFf\,'0'" My Commission Exp, 06/25/2000 ,',
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<br />( l,81lO.3,NOTARY. Fla. Notary Service & Bending Co, ,<
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<br />re),
<br />I1n
<br />(Name Typed, Printed 0 Stamped)
<br />NOTARY P r.f'PllllllIIlIIIIIIIIIIIIIIIIIIIIIIllIIIIIII<:
<br />( I'\\Y'.Uo Bonnlyn Patricia Carpenter ;
<br />~ ~~A(,..7: ;-].)t~:y ~u~tic, State ofFlo~;.!1
<br />~ ~~$l ,-2: Coml:ussJO,n No. CC 5624?" ." /,
<br />< ~o ,\,()'<- My CommiSSIOn Exp, 06/25/l1Jd, ,'.
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<br />< l,800.3.NOTARY, FI" Not;ry ServIce & llenam,' '.A), )
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