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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 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, botb the owner and contractor laY be
<br />cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rattler than the contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
<br />as contractor that lay be an indication tbat 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 UTILITY CONNECTION FEES ~~
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<br />D. CONSTRUCTION LIEN L~W (ClmPTER 713, FLORIDA STATUTES I AS AMENDED)
<br />I certify that 1, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoIoer'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 bave 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 this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, Joning, 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 tbat DO worl or
<br />installation has cOIIenced prior to issuance of a perlit and that all work will be perf oIled to Jest 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 goverDlental agencies lay apply to tbe intended worl, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not 11lited to:
<br />t DePirtlent of Hnvironlental Regulation - Cypress Baybeads, Netland Areas and Environlentally Sensitive Lands,
<br />Nater/Nastewater Treatlent
<br />t Southwest Florida Nater Hanag8lent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - NeIls, Nastewater rreatlent, Septic lanks
<br />t 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 the work and not as autbarity 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 ffOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. B,er, petlit issued ahall beCOll invalid
<br />unless the IOrk authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authoriled by the petlit is
<br />suspended or abandoned for a period of Sil IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, Jal be
<br />allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sil IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICR OF COHHENCEHlN'l HAY RESULT IN YOUR PAYING 'fIIICE FOR IHPROVBIIDIS ro YOUR
<br />PROPERTY. IF YOU IITEND TO OBTAIN FINANCING, COlSULT WITH YOUR LRIDER OR AN ATTORNBY BEFORE RBCORDING YOUR HOIlCE OF
<br />COKHBNCRHRNT. JOBS UIDER $2,500 IN VALUR DO NOT NERD TO RECORD AND POST A "NOTICE OF COHHENCBHENI".
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<br />SIGIAfURK:..oIlNu~o;_ ' . .- SIGNAtORE:CONtRACTOR . .
<br />
<br />STATE OF FLORIDA '0
<br />COUNTY OF '. ~5 ( 0
<br />The foregoing ins~pt was acknowledged
<br />before me this ~ , 19~ by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF T 15 ("{)
<br />The foregoing inst~ was acknowledged
<br />before me this 1 ' , 19U by
<br />
<br />
<br />who Is personally known to me or who bas
<br />produced
<br />as identification~, W",~h~O id/,did not
<br />take an oatb. e><fZ'"<A./~ ~~,
<br />
<br />(Signature) . .
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />~
<br />_e
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />A':.f,rr'sJ..... KEITH CORREIA
<br />r:"?&' .~;~ MY COMMISSION * CC 451416
<br />~~. ~l EXPIRES: May 13. 1999 I
<br />....~ ;;, ,,~r..., Bonded Thill NolaJy PIlbIIc UndeIYlliters ,
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<br />iY '..'.':f'j # CC 451416
<br />;;Ji.PIRfS: May 13. 1999
<br />80nded ThIll NolaJy PublIc lJndIrMllIrI
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