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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 .ay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CON'I'RAC'I'OH RESPONSIBILI'I'IES
<br />If the owner has hired a contractor or contractors to undertake work, 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 OMner and contractor laY be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611. .
<br />
<br />FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which 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 work. If the contractor wisbes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />tJ-!
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<br />D. CONSTRUCTION LIEN ~W (ClrnPTER 713, FLOHIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doeulent and prolise in good faith to deliver it to the
<br />"owner" prior to co..encelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and tbat all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
<br />1\
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<br />Application is hereby lade to obtain a per.it to do work and instailation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet 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 otber goverDlental agencies laY apply to tbe intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of EnviroDlental Regulation - Cypress Bayheads, Metland Areas and BnviroDlentally Sensitive Lands,
<br />Mater/Mastewater Treatlent
<br />I Southwest Florida Mater Hanagetent District - Mells, Cypress Bayheads, Metland Areas, Altering Matercourses
<br />I ArlY Corps of Engineers - Seawalls, Docks, Navigable Materways
<br />I Departlent of Healtb , Rehabilitative Services, EnvirODlental Healtb Unit - Mells, Mastewater Treallent, Septic Tanks
<br />I US EnviroDlental Protection Agency - Asbestos abateaent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete.", it is understood tbat a drainage plan
<br />addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />. A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced within Sil IOntbs of issuance, or if work autborized by the perlit is
<br />suspended or abandoned for a periOd of Sil IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, IiJ be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six IOnth period, or tbe project will be considered abandoned.
<br />MARNING TO ONNER: YOUR FAILURB TO RECORD A NOTICB OF COHHENCBHBNT HAY RBSULT IN YOUR PAYING 1N1CE FOR IHPROVIKBIIS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT MITH YOUR LENDER OR AN ATTORNBY BEFORE RBCORDING YOUR NOIICE OF
<br />COMMENCBHBNT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RBCORD AND POST A "NOTICE OF COHIlENCIHBNT".
<br />
<br />QI.eW~
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<br />SIGNATURE: OWNBR OR AGENT
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />1). \ ~ l-V' \\::. \" r
<br />who is personally
<br />produced
<br />as identi .
<br />take a 0
<br />
<br />was acknowledged
<br />, 19.:t1 by
<br />
<br />6~~~T
<br />known to me or who has
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF \ Q <5" GV
<br />The foregoing instr~ent w~s ac~~ledged
<br />before me this C5'~ , 19 i/ I by
<br />
<br />1> I e-\-r\~ I 'P, G~hMt
<br />who is personally known to me or who bas
<br />produced
<br />as identificatio
<br />take an
<br />
<br />STATE OF FLORIDA Q r ~
<br />COUNTY OF ~. a s "-
<br />The foregoing instrument
<br />before me this 5'.... 6:
<br />
<br />( 8 . ture \ .
<br />\<..,~\ .
<br />(Name Typed, Printed
<br />NOTARY PUB~8+ ROBERT DKREITZSA
<br />. My CotTllniMllcw1 CC3313U
<br />* * EIlpir.. Nov, 1.. 1887
<br />Bonded by ANa
<br />"'?'/t Of ,..-"" 800-852-5878
<br />
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<br />
<br />ROBERT D KREITZER
<br />My Commit.ion CC331368
<br />Expir.. Nov. 18. 1887
<br />Bonded by ANB
<br />800-802-5878
<br />
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