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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 ollner has hired ~ contr;~~~9I'Natfontnctor,s" t~ un~ertake 1I0rk, they lay b~, reQuirl!d to be licensed",i,n ac.W'~JJ!~~,~~th"
<br />state and local regulahons. Iftne mtractor ,U 'nift licensed as required by law, both the ownerand'cDntrlcti?iiy;~bet.~!t
<br />cite~ for a lisdeleanor violati~n under state law. If the.ollner Dr intended co~tractor are uncertain .s t~~'tt,lJicenJ.i.,!l~J .
<br />requlrelents lay ~pply for the mtendedwork, they are adYlsed to contact the CI ty of Zephyrhi Ils -Buildin!J~"'Depilrh~:t~18r3)~O
<br />7BB-bb 11.
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<br />,.~aGl,. ::-(,' >
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<br />~urtherlore, if ~he ~wner h~s hire~ a ~o.ntractor.or cDntra~toT5, he is a~vised to have the contractorls)l"~~gl1"p~rJttl\ji,of}~.~,,:
<br />Contractor Sechons of thn apphcahon for whIch they lull be respon51ble. If you, as the ollner 'sign -as' theco'ntractot; ..."
<br />you are indicating that you, rather than the contriCtor, are responsible for the work. If the contractor wishe,s lQUtOugn-;;"
<br />as contractor that aay be an indication that he is not properly licensed and is not entitled to perlittingprivnege5'inth~')(A
<br />City of Zephyrhills.
<br />. -.F' 'i! .,'
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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 lIith a copy of "Florida's Construction Lien Law - HOleowner's ~ro~ect~9~
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other'thanjthe:1~}'
<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 />"ollner" prior to cOllencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliancewi~h _~ll, .'
<br />applicable laws regulating construction, zo"ing, 'and land developlent. ..'\le u~l,"^: i:i:
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<br />~pplicati~n is hereby lade to. obt!)in. a perlit to do lIo~k and installation as. indicated. I certify th~t ~lt,~ork 'O(i:~::~:~~:~;
<br />lnstallatlon has cOlnnced pnor to Issuance of a peTllt and that all work WIll be perforled to aeet s~an~ards of 'al1 1aw~"~
<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 governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify IIhat actions I lust take to be in cOlplianc!. Such agencies include but are not lilited to:
<br />f Departlent of Environlental Reaulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />""'Uater/Wastewat'er Treatlent'.J;~ :;~~i','
<br />f Southwest Florida Water "anaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlvCorps of Enaineers - Seawalls,'Docks,' Navigable Waterways '" ;.1';,',..
<br />f Departlent of Health & Rehabilitative Services. Environlental Health Unit - lIells, Wastewater Treatlent, Septic Tanks
<br />f US Environaental Protection Aaencv - Asbestos abatelent ' .'''11,; ~~,~K;~:m
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A" Dr "A,etc.', it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered irftli~listltii;of--.
<br />Florida prior to perlit issuance.
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<br />
<br />tr::~~ 'v~ ',-~r'f;;; ":i
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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, ~~~c~) al\,1,) .~r
<br />set aside any provisions of the' technical codes, nor shall issuance of a perlit prevent the Building Official (fro. , thereaffer,
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole inva~id
<br />unless the work authorized by such perlit is'collenced within six lonths of issuance, Dr if lIork authorized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the tile the work is COllenced. One 90 day extension of tile, lay be
<br />allowed .for the perlit with fee charge of tlS.QO.The extension shall be requested in wri ting to the Building Official. An
<br />approved inspection lust be logged during each six lonth periCl~' or the project wi 11 be considered abandoned. ., I .J .'
<br />II$RNINS'YOOIINER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEltENT KAY RESULT IN YOUR PAYING TIlICE FOR IKPROYEKENTS TO~YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN'FIHANCING,CO"SULT WITH YOURLEHDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF..
<br />CIllt/IEIlCEllENT. JOBS _R 12 ,500 'IN VRl.\IE.DO NOT ~lIEED TO REtORO' RIlD POST A 'WneE OF ~"ENT" ,. ,4-.' ,
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<br />~~ . . IGNATURE, CONTRACTOR '
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<br />
<br />STATE O~ FLORIDA
<br />COUNTY OF '
<br />The foregoing instrum was a~OWledged
<br />before me this ,19 by
<br />
<br />~fUn/f!ff{:~:{{ ~ho has
<br />
<br />produced
<br />as'iden 'fication and who
<br />take a 0 tho
<br />
<br />
<br />~~~~y O~/LORIDAd/e.~ /0 oL";-"'c;' '::
<br />
<br />The foregc.ing instrum ~ was acknowledged
<br />before me this , 19eL.- b'y' ",.,.,
<br />
<br />bI ,7
<br />
<br />
<br />(Name Typed, Printed or
<br />NOTARY PUBLI C
<br />
<br />Mr."" P,. """It" .',. '.'\', ." :. ,: ,.",,:
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<br />, ~ COMMISSIOt-l II CC ' . S
<br />~., f.XP'RES fEa 3.~:88n
<br />Of ~TLNfT~U~,
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<br />
<br />(Name Typed, Printed or Stamped)
<br />NOT ARY PUBLI C
<br />.....,.~.:v PV<t JEWEL C. CAVAS
<br />~&'f; COMMISSION fCC34Ml1
<br />~t' l! t~PIRtSF.E8 3,lM
<br />"?j ~ !lOHlJU) ~I
<br />Of f\l ATLANTIC 8ONOING CO..INC
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