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<br />CONDITIONS OF PERM ~ AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to .deed restrictions' which may be &ore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictioos.
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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 Illayb~-~-~q~-i-~-;'d-t;-b;-iicensed in accordance "i th
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor ~ay be
<br />cited for a lisdeleanor violation under state IaN. If the ONner or intended contractor are uncertain as to "hat licensina
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart~ent, (213)
<br />7BB-bb 11.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sJ sign pe'rtions of the
<br />"Contractor Sections" of this application for which they Mill be responsible. If you, as the owner sign as the contracte,r,
<br />you are indicating that you, rather than the contractor, are responsible for the work, If the contractor wishes vou to sion
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privil~ges in t~e
<br />City of 2ephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONN~CTION FEE~
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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 - Hoeeowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is so~eone other than t':2
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it tD the
<br />'owner" prior to cOllencelent.
<br />
<br />~ E. CONTRACTOR'S/OWNER'S AFFIDAVI~
<br />f'."
<br />, I certify that all the inforaation in this application is accurate and
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<br />applicable laws regulating construction, zoning, and land developaent.
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<br />that all work will be done in co~pliance with all
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<br />i
<br />i
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<br />Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installation has coalenced prior to issuance of a perlit and that all work will be perfor~ed to seet standards of all Ie'S
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governf2ntal agencies may 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 tc,;
<br />t Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ~entally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />t Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Waterc(,urses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t De artlent of Health ~ Rehabilitative Services Environmental Health Unit - ~ells! Wastewater Treat~ent! Septic Tan~s
<br />t , Environ.ental Protection A enc - Asbestos abatement
<br />I also certify that, if fill laterial is to be used in Flood Zone "A' or "A,ete.", it is understood that a drainage pIc
<br />addressing a "coepensating volute" will be sublitted which is prepared by a professional engineer registered in the St:. e,f
<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 alt . or
<br />set aside any provisions of the technical codes, nor shall issuance of a ~erlit prevent the Building Official froe there '\er
<br />requiring a correction of errors in plans, construction, or violations of )ny code. Every periit issued shall beco~e ; ,311d
<br />unless the work authorized by such perlit is co..enced within six months of issuance, or if "Drk authDrized by the per:, IS
<br />suspended Dr abandoned for a period of six lonths after the tiDe the work is cOffiIDenced. One 90 day extension of ti~e, be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Offic!;: An
<br />approved inspection lust be logged during each six month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO jR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCI~G, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR 1I0TICE OF
<br />COMIIENCEIIENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMI1EliCEMEIH".
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<br />SIGNATURE: OWNER OR AGENT KEV I JJ t1. SM IrH
<br />PI.. Df:<. SG3DS/37 0 42-2 .. 0
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<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The fc.regoing instl-umhlt was acknowledged
<br />befcq-e me this /017-1 ~ 19 q-z... by
<br />
<br />P-4-5 CO
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befo\-e me th i s
<br />
<br />,')25 ae k no,.J! ed fJ,
<br />, 19 bv
<br />
<br />kevlN M. ~M 111-1
<br />who is personally known to me or who has
<br />pH.duced r:=t.. DR Lie
<br />as identification and who did/did not
<br />take75an oath}'. C" .
<br />,J Ola \_' ~ -t-ftJ1'1
<br />(Signature)
<br />DQAJA- ,I. ~U -rr oAJ
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />My commission expires Jan. 28, 1995
<br />Bonded thru Patterson - Becht Agency
<br />
<br />I'Jho is pel-sc.nall'y kno\.m to me C'I- ,'Jhc. he:,
<br />
<br />pl-oduced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />(Name Typed~ Printed or Stamped)
<br />NOTARY PUBLIC
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