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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rJJe undersigned understands that this penit lily be subject to 'deed restrictions' which lily be lOre restrictive than City
<br />regulations. Ihe undersigned assDles responsibility for CCIIpliance with any applicable deed restrictiODS.
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<br />B. - UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the Mer haa hired a contractor or contractors to undertake work, they liiy be required to be licensed in accorclance with
<br />state and local regulatiODS. If the contractor is not licensedaa regui~ by law" bo~ the OIlIer and contractor lily be
<br />cited for a lisdeleaDOr violation under state law. If the owner ot intended contractor are .&certain aa to "hat lic8D8ing
<br />reguireents lily apply for the intended work, they are advised to contact ,the ,City.ot ZepbJJ;hiI18~Bui1d.ing ~tlent, (813)
<br />788-6611. ., , '<e" ,,"..
<br />
<br />Furthenore, if the OlDer has hired a contractor or contractors,.he is advised to have the contractor(s) sign portions of the
<br />ICon tractor Sections' of this application for which they will ber.ponsib.\t!. If rol,~lII the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are resporisible for the wort. If the contractOr wishes you to sign
<br />as contractor that lily 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 UTILI'l'Y 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 Construction Lien Law - lkIIemmer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUlll!l' Affairs. If the applicant is 8OIN!OD8 other than the
<br />lownerl, I certify that I have obtained a copy of the above described c10cUElt and prOlise in good faith to deliver it to the
<br />"owner I prior to co.enceent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforliltion in this application is accurate and that all wort "ill be done in COIpliance with all
<br />applicable la"8 regulating construction, zoning, and land developleDt.
<br />
<br />Application is hereby Jade to obtain a peoit to do work and installation as indicated. I certify that no wort or
<br />installation haa CDleDced prior to issuance of a penit and that all IOrt will be perfOlled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develo(lleDt regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goveIDleDtal agencies laY apply to the intended vorl, and that it is
<br />IY responsibility to identify what actions I lust tate to be in COIpliance. Such agencies include but are not lufted to:
<br />t Departlent of KnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
<br />Water/Wastewater Ireablent
<br />I Southwest Florida lIater Hanageent District - lIells, Cypress Baybeads, Wetland Areas, Altering Watercourses
<br />I Any Corps of Engineers - Seawalls, Docks, lIavigable Watenays
<br />I Departlent of Health' Rehabilitative Services, EnvirODlBDtal Health Unit - Wells, Wastewater lreablent, Septic lanls
<br />I US EnvirODlBDtal Protection Agency - Asbestos abateent
<br />I also certify that, if fill taterial is to be used in Flood Zone IAI or lA, etc. " it is understood that a drainage plan
<br />addressing a 'COIpen8ating VOlUl81 will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to peoit issuance. .
<br />
<br />~~,k#.y
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<br />A perlit i88ued shall be construed to be a license to proceed "ith the IOrt and not as authority to violate, caoce1 alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a peoit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every penit iuued shall becme invalid
<br />unless the IIOrt authorized by such perlit is co.enced within sillODthe of issuance, or if wort authorized by the penit is
<br />suspended or abandoned for a period of sillODtbs after the tile the IIOr1 is COIIeIlced. One 90 day atenaion of tile, lilY be
<br />allowed for the peoit with fee charge of $15.00. fhe atension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
<br />WAJUlIIIG fO omR: YOUR FAILURE fO RECORD A lorlCK OF CCHIIICIIIBIf lilY RESULf III YOUR PAYIIIG !lUCK FOR INPROVBIIIIrS fO YOUR
<br />PROPIRIY. IP YOU IIDlID ro OarAIJI 'FIlWlCIIG, COISULf WIIB m LIlIDER OR 111 AnoRRIY BEFORIl RICOJIDIJIG YOUR ROrICK OF
<br />O>>IMDCIHKIft'. JOBS UlfDER $2,500 III VALUE DO lor lIUD TO RECORD AIfD POSf A '.orICI OF CCHlDCIIID!'.
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<br />tf~UJ4I
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<br />STATE OF FLORIDA A
<br />coum OF ~
<br />The foregoing instrument was acknowledged
<br />before me this ~/ & r' , 19 '1(, by,
<br />
<br />:O~FPLORIDA .,P ~
<br />
<br />The foregOing ins~t was aCknowledged
<br />before me this ~ ' , 19 ~ by
<br />
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did DOt
<br />take an O~(!.ttU'J:/~cPA~
<br />
<br />(Signature) 61' J
<br />~~A-h/ C ~ft~ V( SVYt
<br />(Hue Type , Printed or Stilllped)
<br />HOTARY PUBLIC CLARALRICHARDSON
<br />~ MyC<mmExp.8117/99
<br />.. OT" BoIIdedBy Servioo 11II
<br />· JOIIUC No. CC489309
<br />~K.- II.......
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