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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 liy be
<br />cited for a lisdeieanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
<br />requir8lents 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 OlDer 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 per8ittiDg 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. ~ONSTRUC'I'ION LIEN L'I\W (CHAPTER 713, FLORIDA STA'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOI8OIOer's Protection
<br />Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is sOleone 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 COllenC8lent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<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, laning, and land developtent,
<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 cOllenced prior to issuance of a perlit and that all work will be perfoCJed to teet 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 governaental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance, Sucb agencies include but are not li8ited to:
<br />· Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Rnvirontentally Sensitive Lands,
<br />Water/Wastewater rreallent
<br />· Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Arl' Corps of Engineers - Seawalts, Docks, Navigable Waterways
<br />· Deparllent of Health & Rehabilitative Services, Bnvirontental Health Unit - Wells, Wastewater rreattent, Septic ranks
<br />· US Bnvironaental Protection Agency - Asbestos abat8lent
<br />I also certify that, if ffJl lJilterial is to be used ill Plood Zone "A" or ~A,etc,., it is understood that a drainage plan
<br />addressing a .co.pensating volute" will be sublitted whicb 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 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 lrOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Bvery pettit issued shall beCOle invalid
<br />unless the work authorized by such perlit is COll8nced within Sil IOnths of issuance, or if work authorized by the perJit is
<br />suspended or abandoned for a period of six IOnths after the Ule tbe work is c(8C!nced, One 90 day IItension of tbe, Ii, be
<br />allowed for the perlU with fee cbarge of $15.00, Tbe extension sball be requested in writing to the Building OffIcial. In
<br />approved inspection lust be logged during each six IOntb period, or tbe project will be considered abandoned.
<br />WAMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMtIBNCEHBlff HAY RlSUL! IN YOUR PAYING TIIICE FOR IHPROVIIIBII8 TO YOUR
<br />PROPERTY, IF1'OlJ INTEND TO OBTAIN FINANCING, CONSULT WI'I'H YOUR LENDER OR All ATTORBEY BEFORB RECORDING YOUR lIO!'ICB OF
<br />COKHENCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RICORD AND POST A "NOTICE OF COHHINClHBlff., .
<br />
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<br />SIGMI1lIIIl: OIIJIBR OR AGBIlt S~ro.!/I;,. ~ -
<br />
<br />. I
<br />
<br />STArl OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />STATI OF FLORIDA
<br />COUNTY OF fJlMAG4:f
<br />The foregoing instrument was acknowledged
<br />before me this /114,./ /J , ~~ by
<br />I
<br />;p.vj;:/f,/ 'aL5 t.r N'C /l--
<br />who i personally kno 0 me or who bas
<br />produce
<br />as identificatio~~~~hO ~id/did not
<br />
<br />(~~.Y/~
<br />(2~~U~)5 r C~/~
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />""', Lynn 5 Conlen
<br />
<br />:'.fiJJ * My Commission CC90!!320
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<br />\._# o:-u... March 26, 2004
<br />I', ., flP- ItC"F
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