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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A: NO~ICE 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. Tbe undersigned assUles responsibility for cOlpliance witb any applicable deed restrictiooa.
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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 rl!CJuired by law, both the OIII1er and contractor Ja' he
<br />cited for a lisdeleanor violation under state law. If 'the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, tbey are advised to contact the Ci~y ~f Zephyrbills Building Departlent, (813)
<br />788-6611.. .
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<br />FurtberlOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portiooa of the
<br />"Contractor Sections" of this application for which they wUJ he r!!~pcmsible. 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 wishes you to sign
<br />as contractor that lay he an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND U'fILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN L~W (ClrnPTER 713, FLORIDA STATUTES I AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HoIeoIoer'l Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsOllr Affairs. If the applicant il sOl8ODe 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.
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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 lark will be done in cOlpliance 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 lork and instailation as indicated. I certify that DO worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will he perfoIled to leet staodards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that tbe regulations of otber goverRlental agencies laY apply to the intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />* Departlent of Envirofilental Regulation - Cypress Bayheads, Wetland Areas and Bnvirofilentally Sensitive Landa,
<br />Water/Wastewater TreaLlent
<br />* Southlest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, Envirofilental Health Unit - Wells, Vastewater Treatlent, Septic Ian}s
<br />* US EnvirODleRtal Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "I,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volOll" lill be sublitted Ihicb 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 sball be construed to be a license to proceed litb the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Jvery perJit issued shall beCDII invalid
<br />unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if lork authorized bl the perlit Is
<br />suspended or abandoned for a period of six IOnths after the tile the worl Is cOlleDced. One 90 day extension of tile, III he
<br />allowed for tbe 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 IOntb period, or the project will he considered abandoned.
<br />WARNING TO OWIER: YOUR FAILURE TO RECORD I NOTICK OF COMItENCKHBNT HAY RESULT IN YOUR PAYING IIIICI FOR IMPROVIIIIIrS TO YOOR
<br />PROPIRTY. IF YOII INTEND TO OBTAIN FINANCING, COHSULT WITH YOOK LBNDER OR AN AnORIEY BIFORE RlCORDIHG YOUR MoriCi OF
<br />COMItEHC T. JOBS UNDER $2,500 IN VALOI 00 NOT NEED TO RECORD AID POST A "NOTICI OF COHHIHCEllENT". .
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<br />STATI OF FLORIDA /'
<br />COUNTY OF 0 P~~N be.
<br />The foregoing instrument was acknowledged
<br />before me this 2.. G- "'-Je> , 197J by
<br />~e(D{ -
<br />
<br />who i~llY ~o me or who has
<br />produced . .
<br />as identification and who did/did not<
<br />
<br />take3!L~~~
<br />(Signatur~. ,/.r ~
<br />- /"J'?dma5 /77 c...U'/J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />,/~.. -.'. THOMAS M. WILSON
<br />.. My Comm Exp. 6118J98
<br />< . 'L._
<br />JlQLlC S Bonded By ServiDe _
<br />011 ~ No. CC314945
<br />.~... 11--1..
<br />
<br />STATI OF FLORIDA d)~
<br />COUNTY OF 1/ ;tlyc,o
<br />The foregoirtg instrument was aCknowledged
<br />before me this .-<JA2 ~ , 19~ by
<br />
<br />M~/flk4 H 1?Lt7a/e d
<br />(who is personally known tolme or who has
<br />produced
<br />as identification and who didl.did not
<br />take an oath~
<br />
<br />(Sig~/~d~c/
<br />(Nam~ Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />\) ROLAND l. THEROUX
<br />No!arY Pubflc, State of Florida
<br />My Comm. Expires April 7, 1998
<br />Comm. No. CC362683
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