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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" whieb Jay be lOre restrictive than City
<br />regulations. rhe undersigned assUles responsibility for COIpliance 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 undertate wort, 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 JaY be
<br />cited for a lisdeteanor violation under state law. If the mmer or intended contractor are uncertain as to "bat licensing
<br />reguireJents JaY apply for the intended wort, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />UContractor Sections" of this application for "hieb 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 wort. If the contractor wishes you to sign
<br />as contractor that aay be an indication that he is not properly licensed and is not entitled to peIlitting 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. 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 . HOIl!owner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOIl!One other than the
<br />Ummerl', I certify that I have obtained a copy of the above described dOCl1ll!llt and promse in good faith to deliver it to the
<br />"owner" prior to COJJenCetent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforaation in this application is accurate and that all wort will be done in cOJpliance with all
<br />appliCable laws regulating construction, zoning, and land develoPlent.
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<br />Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a perlit and that all wort will be perfolJed to Jeet 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 other goveIDIeDtal agencies Jay apply to the intended work, and that it is
<br />Jy responsibility to identify what actions I lust tate to be in colpliance. Sueb agencies include but are not lilited to:
<br />* DepartJent of EnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and EnvironJeDtally Sensitive Lands,
<br />Water/Wastewater rreal:Jent
<br />t Southwest Florida Water HanageJeDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Arty Corps of Engineers - Seawalls, Docts, Navigable Waterways
<br />t Deparl:Jent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater rreatJent, Septic rants
<br />* US EnvirODJental Protection Agency - Asbestos abateJent .
<br />I also certify that, if fill laterial is to be used in Flood Zone lA' or 'A,etc.", it is understood that a drainage plan
<br />addreSSing a .cOJpensating volDle" will be subJitted whieb is prepared by a professional engineer registered in the State of
<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 wort and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
<br />unless the wort authorized by sueb perlit is cOllellced within six IOnths of issuance, or if wort authorized by the perlit is
<br />suspended or abandoned for a period of six IOntbs after the tile the wort is c_enced. One 90 day extension of tile, JaY be
<br />allowed for the perlit with fee charge of $15.00. rhe extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abandoned.
<br />WARNING ro OWNER: YOUR FAILURI ro RECORD A NOIICE OF aJIMBlfCBllm' MAY RESULr IN YOUR PAYING DICE FOR IMPROVEMmS ro YOUR
<br />PROPERrY. IF YOU IIIElfD ro OB'l'AIK FINAlCIKG, CONSULr 111m YOUR LBlfDIR OR AI AftOHm' BlFORE RICORDING YOUR NorlCE OF
<br />COMHElfCBHEII. JOBS UlfDIR $2,500 IN VALUE DO Nor lfEBD ro RECORD AID POsr A "NorICE OF COMMENCBIIm'".
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<br />STArE OF FL9JUDA
<br />Comy OF .[.!'.s. Cfi}
<br />The foregoing instrument was acknowledged
<br />before me this q S~P"" , 193...k.. by
<br />
<br />c.t4tV . ~
<br />who is personal 1 to me or who has
<br />produced
<br />as identification and who did/did not
<br />
<br />~ "; ;Jtb~tf)1d J-..
<br />1 Ignature)
<br />
<br />~~~
<br />JIGlfArURK: CO
<br />
<br />
<br />srATE OF FLORIDA
<br />coum OF f~Vo
<br />The foregoing instrument was aCknowledged
<br />before me this q .s~-p-r , 19--S.:k by
<br />
<br />~ or.t. ~ Rl""" A. JeEu;J ,
<br />w 0 is ~rsOnallY kno to .JIe or who has
<br />produce
<br />as identification and who didldid not
<br />
<br />~~~h1)(~
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~.
<br />
<br />~
<br />
<br />DAVID RONDA
<br />_ "A1IICIIl~
<br />.~IIoWlH~. 211M
<br />-~~
<br />
<br />...1
<br />
<br />~
<br />
<br />DAVID RONDA
<br />CCIM STATE OF Fl~
<br />~~27.2lIlIlJ
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