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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands Lhat Lhis per.it .ay be subject Lo "deed restrictions" which .ay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for co.pliance wiLh 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 .ay 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 OlDer and contractor lay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents .ay apply for the intended Nork, they are advised to contact the City of Zephyrbills Building Deparllent, (813)
<br />788-6611.
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" 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 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 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. CONSTRUC'!'ION LIEN LnW (CHAPTER 713, FLORIDA STATUTES, 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 />Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If tbe applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllenceaent.
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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 work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />I
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoIJed to leet 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 otber governaental agencies laY apply to the intended worl, and that it is
<br />,y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />· Deparllent of HnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentall, Sensitive Lands,
<br />Water/Nastewater Treallent
<br />· Soutbwest Florida Water Manageaent District - Wells, Cypress Bayheads, Netland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treallent, Septic Tanks
<br />· US InviroOleDtal Protection Agency - Asbestos abateaent
<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 authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor sball is~u~nce of a perlit prevent the Building Official lrOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued sball heCOl8 invalid
<br />unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work authoriled by the peIlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day IItension of tile, Jar be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each sil IOnth period, or the project will be considered abandoned.
<br />WARNING TO OIIHER: YOUR FAILURH TO RECORD A HOTICH OF COHHENCEHBHT HAY RESULT III YOUR PAYING NICE FOR IHPROVEIIDIS TO YOUR
<br />PROPERTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LRHORR OR AH ATTORlBY BBFORE RiCORDING YOUR ROIICE OF
<br />COfIMENCKHENT. JOBS UNDER $2,500 IN VALUE 00 Nor NElm TO RECORD AJlD POST A "NOTICE OF COHHBNCBHIIft'''.
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<br />
<br />"~W~ ~~d:.tJ~
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<br />
<br />STATE OF FLORIDA
<br />COUNTY OF fJlIJe 0
<br />The foregoing instrumorl}t was acknowledged
<br />before me this ,?.r ~t/, 19-17 by
<br />-
<br />
<br />hhJt T- fi1~~
<br />who is persoually kno t me or who has
<br />produced ccJ ,~...>\\~ D,."';'-rf L te, l <''' C S 7fj Lf j 2. Y
<br />as ide ification and who did/did not
<br />take n oa
<br />
<br />
<br />
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<br />"'., .. """'~s.'."~
<br />"'. TImOthY 5CQtt
<br />" '<;. riv COMMISSION /I CC511101
<br />., .,' j IIllIIlEDdIIlOOtB! 21~..
<br />'" "" !l<\"- 1lOHIlED'iilIIlJ'flllf{f.C\I( .
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<br />
<br />I
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF j---'" ~
<br />The foregoing instrument was ac~owledged
<br />before me this II - ..3 , 19fL by
<br />
<br />~/ -.S- ;)-1- ~/ 7 ~ (, '7 -.Do -0
<br />who is pe>>,ona}.lY kn4 _ to me or who has
<br />produced ~ L .tl.il~.A;2
<br />as identification and who did/did not
<br />take an oatbo'71 a J11=4
<br />
<br />(Signature) /n rt /f 0 0"7-
<br />
<br />(Name Typed, Printed o~Stamped)
<br />NOTARY PUBLIC
<br />.,~~'1'~, NancY A. Moody .T
<br />l~i}":'''' ~ COMMISSION II CC534806 EXPIR,L
<br />a*{:~ FebrUaIY 21. 2000 ,
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<br />"'f.iif.~ ounu.u I""U
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