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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned underBtands lhat lhis perlIt lay be Bubject lo "deed restrictions" .hich la, be lOre re8trictiY8 than Citr
<br />regulatIons. The undersIgned assWles responsIbilIty for cOlplIance .Ith any applicable deed restrictions.
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<br />B. UNLICENSED CONT.RAC'l'ORS AND CON'l'.RACTOn RESPONSIBILITIES,
<br />If the owner has hIred a contractor or contractors to undertale .orl, they lay be regulred to be llcenled in accordance ,Ith
<br />Itate and local regulations. If the contractor is not licensed as required b, law, both the OImer and contractor ., be
<br />cited for a lisdeleanor violation under state la.. If the owner or intended contraetor are uncertain 8S to what licensing
<br />reguiretents lay apply for the inlended worl, lhey are advised to contact the City of Zephyrbills 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 ha,e the contractor(s) sign portioaa of the
<br />"Contractor Sections" of this application for .hich they will be responsible. If you, al the OImel 81ga 88 the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the IIOrl. If the contractor ,illles fOIl to llga
<br />as contractor that la, be an indication that he is not properly licensed and is not entitled to peoUting prlYlltgll fa tilt
<br />City of ZephyrhillB.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES i i
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<br />D. CONSTRUC'I'ION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Consttdctlon Lien Li, - no.eo.aer'l Protectloa
<br />Guide" prepared by the Plorida Departlent of Agriculture and Consuler Affairs. If the applicant 18 IOIIOn8 other than the
<br />"owner", I certIfy that I have obtaIned a copy of the above descrIbed doculent and prOlise in good faith to dell,er it to the
<br />"owner" prior to COllenCl!lent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in tbis application is accurate and that all IOrl will be done in ~llance .l~ all
<br />applicable laws regulating construction, loning, and land de,eJoplent.
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<br />Application is hereby lade to obtain a perlit to do worl and instailation as indicated. I certif, that no worl or
<br />installation has COIIenced prior to issuance of a perlit and that all .orl will be perforl8d to lilt .tIadarda of III ....
<br />regulating construction, City codes, lonlng regulations, and land developlent regulationl In the jurisdiction. I al80
<br />certify that I understand that the regulatIons of other 9O'IInlentBl &gehcies ~1 appl, to the intended worl, ana ttlt It II
<br />IY responsibility to identify .hat actions I lUst tale to be in COIpUance. Sucb agenclel Include but are not U.ltec1 to:
<br />· Departlent of BnviroRIIRtal Regulation - CypresB Ba,heads, Wetland Areat and Bn,irORlentall, Sensitl,. Lande,
<br />Vater/Vastewater Treatlent
<br />I Soutbvest Florida later Hanagl!tent District - Vells, C,presl Bayheads, letland Areas, Altering Ifatercourle8
<br />· Ir., Corpl of BDgineers - Seawalll, Docks, lavigable latellars
<br />· Departlent of Healtb , Rebabilitatbe Benices, IndrOllleDtal Health Unit - lells, Wastewater freallent, Septic Iws
<br />· US In,irORlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill aaterlal Is to be used in Flood Zone "A" or "A,etc.", it is understood that I drainage plan'
<br />addressing B "COIpeDBatlng volUle" will be subtitted whIch Is prepared by a professional engineer registered in tbI 8t1te of
<br />FlorIda prior to perllt, issuance.
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<br />. I perlit issued shall be construed to be a license to proceed with tbe IOrl and not as authoritr to ,iolate, caace1 alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~ce of a per.it pr.,ent the Building Official frot ~ter
<br />requiring a correction of errors in plans, construction, or ,Iolations of an, code. B,err pertlt llsued ahal1 becaIe lnta11d
<br />unless the IOrl authoriled by such periit is cOll8nced within sia IDnths of issuance, or If work authorl.ed br the pertlt II
<br />suspended or abandoned (or a period of six IOnths after the till! the worl i8~. One 90 cla, at_Ion of Ute, -J be
<br />allowed for the perlit with fee charge of $15.00. The ellension shall be requuted In writing to tile BuUc1lng Official. AD
<br />appro,ec) inspection lUst be logged during each sil IOOtb period, or tile project wUI be conalt1erec1 abIndonec1.
<br />WARRIIG TO OIlER: YOUR PAILORI TO RICORD A DICK or CdIIDCIIIBII1' lilY RBSULf II YOOR PIllIG !IIICI FOR IIIPROVIIIQI' 10 100II
<br />PROPERTY. I' YOU IIIIIfD TO OBTAIN PIIIAIICIIIG, COllSULT "ITR YOUR LBIIDIR OR AI AnORlll "PORI RlCCllDIIG YOOR JIOI'ICI OF
<br />COHMIIICIJIKNT. JOBS OIDIR '2,500 II VALUI DO lOT 11110 TO RICORD AID POST A "lIOTICK OF aJIIBlICIIIDJw.
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<br />SI~lMIBBYiGI' -S..../~ ·
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<br />
<br />STArB OP FLORIDA ~
<br />COUIIY OF . ;----~
<br />The foregoing instru.ent was acknowledged
<br />before me this 10 ';)...1 ' 1977 by
<br />
<br />.' I"
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<br />STATK OF FLORIDI_~
<br />COUIIY OP , ---t-~-D
<br />The foregOing instrument was acknOWledged
<br />before me this Jp -~, 19f!L by
<br />
<br />
<br />.......----~~
<br />;~~~~e~~~~~-~~ to me or who bas
<br />
<br />as identification and who did/did not
<br />take lln oath~ a. 1Jt~
<br />
<br />(Signature) . AI. ~ 4 11 I
<br />Ol-ncv , t"dv
<br />(HOe Typed, Printed/or S uped) /
<br />NOTARY PUBLIC
<br />
<br />own to me or who has
<br />
<br />and who did/did not
<br />
<br />,",....."" Nancy A. Moody
<br />W"~~~~ Mf COtIMSSION' CC534806 EXPIR,'
<br />=*~ : ~ F8bnIaIY 21. 2000
<br />"",... . 1lOIlDED1IRlTRO'fFAlllINSURANCE, :~!
<br />'/~.
<br />
<br />'~. '& Nancy A. Moody
<br />/$) :~~ ~ COMMISSION # CC534806 EXPIRf:
<br />~,~. : J FeIHUary 21, 2000, ,,'
<br />,,~~.....,,'lJ BONOE01llll\JTRO'fFAININSURANC',lt"
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