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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. Tbe undersigned assutes responsibility for co.pliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If tbe 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 laY be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />reguirBlents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />700-6611.
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<br />FurtberlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor SectionsR 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 wort. If tbe contractor wishes 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 l'
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<br />D. CONSTRUCTION LIEN LnW (ClmPTER 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 _ HoIeowner's Protection
<br />GuideR prepared by the Florida Departlent of Agriculture and Consuter Affairs. If tbe applicant is 8OIeODe other than the
<br />Rowner", 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 COllenCBlent.
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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 wort will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developlent.
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<br />Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no worl or
<br />installation has cOIIenced prior to issuance of a perlit and that all worl will be perforaed to teet standards 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 the regulations of otber goverDlental agencies laY apply to the intended warl, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are DOt lilited to:
<br />* Departlent of EnviroOlental Regulation - Cypress Bayheads, Netland Areas and Bnvirontentally Sensitive Lands,
<br />Nater/Nastewater Treallent
<br />* Southwest Florida Nater HanagBlent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />* Departtent of Health & Rehabilitative Services, EnviroDlentalHealth Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />* US Environtental Protection Agency - Asbestos abatBlent
<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 Rcolpensating volute" will be sublitted which 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 shall be construed to be a license to proceed with tbe wort 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 perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall becoIe invalid
<br />unless the wort authorized by such perlit is cOll8nced within sil IOnths of issuance, or if work autboriled by the petlit is
<br />suspended or abandoned for a period of sil 80nths after the till the work is cOlleDced. One 90 day utension of tile, ., be
<br />allowed for the perlit with fee charge of $15.00. The l!lltension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each sil IOnth period, or tbe project will be considered abandoned.
<br />WARMING TO O'IfIlER: YOUR FAILURB TO RECORD A NOTICE OF COHHENCRMENT HAY RESULT IN YOUR PAYING niCE FOR IHPROVIIID1'S TO YOUR
<br />PROPERTY. IF YOU IlfJEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORIEY BEFORE RICORDING YOUR HOliCK OF
<br />COMHENCBHENT. JOBS UNDBR $2,500 IN VIlLUB DO N BBO TO RBCORD AND POST A "NOTlCB OF COHHEIfCEMEIfI".
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<br />STATB OF FLORIDA
<br />COUlfJY OF jJ q C; r (')
<br />The foregOing instrQrnent was acknowledged
<br />bef...or. .. tbi:~(q d~_ by
<br />'-In. Tl3 q r f::v; V{9~ ...J, . rl<e v-
<br />,'a/~~ hL Y1). . ~n'
<br />who is personally known to me or who has
<br />produced rL. /OIL fJtR::Yr070-SD-{-;{)~--0
<br />as identification and who did/did not..
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<br />ta/J:P~~~/JUL -y/). p~
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<br />(Signature) .
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<br />STATB OF FLORI9Al
<br />COUNTY OF ~& cD
<br />The foregoing instr.um1 ent was acknowledged
<br />before me this ID 11 , 19 q7 by
<br />r
<br />~hn m/Ils
<br />who is ~ersonally known to me or who has
<br />produced
<br />as identification and who did/did not
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<br />t~9~a~5;f~ A1~
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<br />"fSignature)
<br />
<br />(Name Typed, p:r,;m or ~flMvmER
<br />NOTARY PUBLlq':{ 'd MYCOMMISSIONICC4G13EXPIRES
<br />~"'~ March i. 1999
<br />""~iff. :f;.~., BONDEO THRU TROY FAIN INSURANCE, INC.
<br />
<br />(Name T .. "r~~.rintHl..wIlE"~d)
<br />NOTARY - '.i.~~;Y COMMISSION' CC 446812
<br />J -:;..; ....;.iI;,"::. ,t;":RES: April 24, 1999
<br />, '"f R~- :~\?~.,,, ~.'or'!~i'ct i hni Notal'v PublIc Underwrttars
<br />:~";''';''-;-;-~:~'~ ";;;:"'~J'~'~ .,;~in;... _~~~,..~_\~
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