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<br />CONDITIONS OF PElrnIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />T :J restrictions" which lay be lOre restrictive than City
<br />with any applicable deed restrictions.
<br />
<br />
<br />>n RESPONSIBILITIES
<br />I, they lay be required to be licensed in accordance with
<br />required by law, both the owner and contractor ElY be
<br />intended contractor are uncertain as to what licensing
<br />,ntact the City of Zephyrhills Building Departlent, (813)
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<br />FurtberlOre, if tbe owner has hired a contractor or contractors, he is advised to bave 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 be is not properly licensed and is not entitled to perlitting priVileges in the
<br />City of Zepbyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~<
<br />
<br />D. CONSTRUCTION LIEN LnW (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED)
<br />I certify that I, the applicant, have been provided witb a copy of "Florida's Construction Lien Law _ HoIeoIner'8 Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is 80180De other than the
<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 />"owner" prior to COllenCelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, laning, and land developlent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no vorl or
<br />in8tallation bas cOllenced prior to issuance of a perlit and that all work will be perf OIled to Jeet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I al80
<br />certify that I understand that the regulations of otber goverDlental agencies Ely apply to tbe intended vort, and that it is
<br />IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to:
<br />· Deparllent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Vastewater Treallent
<br />· Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Vatercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Kavigable Waterways
<br />· Departlent of Healtb & Rehabilitative Services, EnviroDlental Health Unit - VeIls, Vastewater Yreatlent, Septic Yants
<br />· US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "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 in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />.. A perlit issued shall 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 tbe technical codes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery per.it issued shall beCOll invalid
<br />unless the Nark authoriled by such per.it is cOllenced within six IOnths of issuance, or if work authoriled by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, IIJ be
<br />allowed for the perlit with fee charge of '15.00. Tbe extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOntb period, or tbe project will be considered abandoned.
<br />MARNIKG TO OIlIER: YOUR FAILURE TO RECORD A KOTlCE OF COHHENCEHEKY HAY RESULT IK YOUR PAYlKG !IIICE FOR IMPROVEIIBI1'S YO YOOft
<br />PROPERTY. IF YOU INTIlKD TO OBTAIK FINANCING, COKSULT WITH YOUR LENOIR OR AN AnORIEY BllFORB RBCORDIKG YOUR NO'IICI OF
<br />COHMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHKEKCBMINT".
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<br />~ ~/Yl- (( 1~
<br />DIGlIIU.. EI I AGEIlT
<br />
<br />
<br />STArE OF FLORIDA ,/~
<br />COUNTY OF t ~"...o
<br />The foregOing instrument; was acknowledged
<br />before ..e this ~"..,(. 19.i.Z by
<br />
<br />~TOHN' ~tI~
<br />who is personally known to me or who has
<br />produced L,{,.~..o) ~ Y {. ~.s....e..
<br />as identification and who d.
<br />ta,k-e- tho
<br />
<br />V::GIA~ ~~
<br />
<br />, I
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was aCknowledged
<br />before me this , 19 by
<br />
<br />( .
<br />
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(Signature)
<br />
<br />~ ..
<br />(Bame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Bame Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />,..'\~'tI-.~f~" BobbleS. 8wetIInd
<br />~~A-"l't'<. u" ..........<><>IIW * ~ EXPIRES
<br />::f/Ir: :*: fYlt ~un
<br />~~~.. .~f February 22. 2000
<br /><"1.i;iif. 'fr.'?>'- BONDED ntRU TllOY FAIN 1NSt.lRANCE. INC.
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