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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />'file undersigned understands that this pentt .y be subject to 'deed restrictions' wbicll.y be .re restrictive than City
<br />regulations. !be undersigned assU188 respcmsibility for cmpliance with any applicable deed restricUCII8.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ClImer bas hired a contractor or contractors "to undertab wort, they .y be regu1red to be UC8II8Ilt in ac:c:ordaDce with
<br />state and local regulations. If the contractor is not licenaed as rllQUirecl by law, both the 0Imer and,COIltractor ., be
<br />cited for a lisdeleanor violation under state law. If the 0WD8I or intended contractor are uncertain as to ..lIat licensiag
<br />requiretents .y apply for the intended lfOrt, they are advised to COJtact the City of ZepbJl'hills BuildiDg DepirtleDt, (813)
<br />788-6611.
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<br />",,", ~.....,." , _. ""'" - ~;'", ,lr~'''''.'.i':'*'"'
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<br />Furt.berlore, if the OlDer bas bired a contractor or contractors, be is advised to have the contractor(s) sign portiC118 of the
<br />'Contractor Sectilll8' of this application for whicll they will be respoosible. If JOU, as the Eer Sign as the contractor,
<br />you are iDdicating that you, rather than the contractor, are responsible for the worl. If the contractor ..iabes fOU to lign
<br />as contractor that .y be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
<br />City of zephyrbills.
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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 'Plorida's COnstrucUon Lien Law - ......'s'Protection
<br />Guide' prepared by the Plorida Departlent of Agriculture and consUlleI' Affairs. If the applicant il ..... other than the
<br />'owner', I certify that I have obWned a copy of the above described docuIent and prcaise in good faith to Wher it to the
<br />'owner' prior to co.enC8llllt.
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<br />E. CONTRACTOR' S/OWER' S AFFIDAVIT
<br />I certify that all the intonation in this application il accurate and that all wort ..ill -be done in CCIIpliance with all
<br />applicable 1_ regulating construction, Joning, and land, developleDt.
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<br />Application is hereby lade to obtain a perlit to do worl and insWlation as indicated. I certify that no al or
<br />installation bas co.enced prior to isauance of a perlit and that alllfOrl will be perfOIJed to _t standards of alllaa
<br />regulating construction, City codes, lODiag regulations, and land develO(JMllt regulations in the jurisdiction. I. also
<br />certify that I understand that the regulations of other goveruental agencies .y apply to the intenc1ecJ at, and tllat it is
<br />IIJ responsibility to identify 1fbat actions I at tale to be in co.pliance. Sucll agencies include but are not lilited to:
<br />t DePaItlent of Invil'Ollllelltal Regulation- Cypress Baybeade, lIetland Areas and InvirODlentally Sensitive Lands,
<br />lIater/llastewater !reatlent
<br />t Southllest Plorida lIater Hanagetent District - IlelIs, Cypress Baybeac18, lIetland Areas, Altering lllatercourses
<br />t AIIY COIPS of Ingineers - Seawalls, Docb, lavigable lIaterways
<br />t DepartJent of Health' lebabilitative Services, InvirODl8J1tal Health Unit - lIe11l, lIastewater !reatlent, SepUc .!anb
<br />t US lnviI'OlllellW Protectioo Agency - Asbestos abatl!lent
<br />I also certify that, if fill .terial is to be used in Plood ZODe 'A' or 'A, etc. " it is understood that a clraiDage plan - _
<br />addressiag a 'COIp8D8ating vo1_' ..ill be sublitted whicll is prepared by a professiODal engineer registered iD the State of
<br />Plorida prior to peIlit issuance. '
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<br />A ~it issued sball be construed to be a license to proceed ..ith the lfOrk ami not as autllority to violate, c:aDCI1alter, or
<br />set aside any provisions of the tecbnical codes, nor sball issuance of a penit prevent the Building Official fa tbereafter
<br />reguiring a correction of errorl in plans, construction, or violatiC118 of any code. bery pmlt lssuedaball .... invalid
<br />unlesl the work autllodled by 8uch peIlit is ~ced within IDlOIltbs of issuance, or if work autJlodHll b.r tile pmit 18
<br />suspended or abandoned for a period of aU IOIltba after the tile tile ak II ~ced. ,ODe gO day atens1C1l of tile, .y be
<br />allOlfed for the perait ..ith fee charge of $15.00. 'file atenaion sball be Iel)Ue8tedin Kiting to the Building Official. An
<br />approved iD8pection _t be logged during each Iii 8th period, or the project ..ill be COII8idend abaDikIJed.
<br />IIIIUIIIG 10 (IIDR: YOOI PAILURlIO RICORD I forlCl OF aIIIIIcmr lilY 1ISUl.! II YOOR PID !IIICI POI .IJIPIIJVIIIIIIS to YOOR
<br />PROPBRrY. IF YOU UIIIID to OBDII PIIlICIIG, COISUL! IIIIB YOOR LIIDIR OIB IftOIIDY BI10RI DaBlDUG fOUl DICI OP
<br />aIIMIICIIIIR!. JOBS lJIDIR. '2,500 III VlLUI 00 IIOf IfIID to RICOID lIfD POS! A 'lIorlCl OP co.IfCIIIIn'. . .
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<br />SIGIfltuBl: (IOIIR OIlG11f!
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<br />srAR OP FLORIDA
<br />coum OP
<br />The foregoing instru.ent.was acknowledged
<br />before .e this , 19_ by,
<br />
<br />srlR OP FLORIDA
<br />COOllY OP
<br />The foregoing instrument was acknowledged
<br />before me this , 19 by
<br />
<br />who is personally known to lie or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to _ or who has
<br />produCed
<br />as identification and who did/did not
<br />take an o~th.
<br />
<br />(Signature)
<br />(Hue Typed, Printed or Stuped)
<br />HOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Hue Typed, Printed or Stuped)
<br />NOTARY PUBLIC
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