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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. rhe 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, both the owner and contractor tay be
<br />cited for a lisdel8anor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
<br />require.ents lay apply Cor the intended work, they are advised to contact the City oC Zephyrbills Building Departlent, (813)
<br />788-6611.
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<br />FurtherlOre, if the ONner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
<br />IIContractor Sections' of this application for which they will be responsible. If you, as ~ OIIDersign a8 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 be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUC'I'ION LIEN LftW (CHAPTER 713, FLORIDA STATUTES" AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HoIeoIner's Protection
<br />Guidell prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is SOJeORe other than the
<br />lIowner", I certiCy that I have obtained a copy of the above described doculent and prolise in good faith to del1ver~Jt ta the
<br />"owner" prior to cOllence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and tbat all .ork .ill be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land de~e10plent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that DO worl or
<br />installation has COIIenced prior to issuance of a per.it and that all work will be perforled to l8et standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certiCy that I understand that the regulations of otber govefnlental agencies aay apply to tbe intended worl, and that it is
<br />IY responSibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
<br />I Deparllent of BnviroDlental Regulation - Cypress Bayheads, Netland Areas and BnviroDJentally Sensitive Lands,
<br />Nater/Naste.ater rreallent
<br />I Southwest Florida Nater Hanage.ent District - NeIls, Cypress B~yheads, Netland Areas, Altering Natercourses
<br />I ArlY Corps of Bngineers - Sea.alis, Docks, Havigable Naterways
<br />I Deparllent of Health' Rehabilitative Services, BnvirODlental Health Unit- NeIls, Wastewater rreatJent, Septic ranks
<br />I US BnviroDlental Protection Agency - Asbestos abatel8nt
<br />I also certify that, if fIll laterial is to be used in Flood Zone IIAII or IIA,etc.", it is understood that a drainage plan
<br />addressing a "cOIpensating volUle' .ill be sublittedwhich is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
<br />
<br />. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />Bet aside any provisions of the technical codes, nor shall is~u~nce of a per.it prevent the Building Official lroa thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perait issued ahall becoIe invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the til8 the work is cOllBRced. One 90 day 81tension of tile, lIy be
<br />allowed for the perlit with fee charge of $15.00. Tbe 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 />IIARHIHG TO OIIIIIR: YOUR FAILURIl ro RIlCORD A HOrlCK OF COHHBICRHHHr HAY RBSULT IH YOUR PAYIHG !lUCE FOR IMPROVIlllftS TO YOUR
<br />PROPllRTY. IP' YOU INTIHD ro OBrAIH FIHAHCIHG, COHSULr WITH YOUR LBHDBR OR AN AnORIIY BIFORB RBCORDIMG YOUR NOTICE OF
<br />COHMBHCIHIlHT. JOBS UHDIR $2,500 IH VALUE DO HOT HBBD TO RICORD AHD posr A 'HOTICB OF COHMKHCRHHII1'II..
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<br />~~~/Jf~ KGII~cm:;;-~
<br />
<br />srArK OF FWRIDA R
<br />COUNTY OF (19 n
<br />The foregoing instrum~t was acknowledged
<br />before me this Dtt. LR , 19 Cj1 by
<br />
<br />rnlc.hae.1~ r f('~lLtfY\CU')
<br />~ho is persona !! bluw~o me or who has
<br />produced
<br />as identification and who di~~o~
<br />
<br />tl"~~~ V, bnalJL;= -
<br />
<br />(~gnature) /
<br />QS~()rYt VI;(. F L~[)D/~
<br />(Name Typed, Printed or St ped)
<br />NOTARY PUBLIC
<br />
<br />
<br />STATK OF FLORIDA ()
<br />COUHn OF rt2:Jl?cJ
<br />The foregoing instrument was a~OWledged
<br />before me this ttT. g , 19 by
<br />
<br />oh L. Srn~
<br />o 18 personally tOo me or who has
<br />
<br />\.
<br />(SI nature) .c:- /'~ . {
<br />. . n'"c', C:JDD S1ot.
<br />(Name Typed, Printed or Stamp d)
<br />NOTARY PUBLIC
<br />'ii.tJi if '!'Ii. OASSONDAA'; ~
<br />*My~
<br />* filq)lre8 Apr. 30. 2000
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<br />My QomrnilIeIon CClS511'37
<br />* * Expiree Apr. 30, 2000
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