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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The und~rsigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulatJons. The undersigned assUles responsibility for co.pliance 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 under tale worl, 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 ONDer and contractor IIr be
<br />cited Cor a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirl!8ents lay apply for the intended work, they are advised to contact the City of ZephyrhiUs Building Departlent, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner has 'Iired a contractor or contractors, he is advised to have tile contractor(s) sign portloDl of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the ONDer sign as the contractor,
<br />you are indicating that you, raUler than the contractor, are responsible for the worl. If the contractor wi.hes IOU to sign
<br />as contractor that lay be an indication that he is not properly licensed and Is not entitled to per.ftling privileges in the
<br />Cily of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONS'l'RUC'l'ION LIEN L1\.W (CIIAP'l'EIl 713, FLOlUDA STA'l'UTES, AS AMENDED)
<br />I certify that I, ihe applicant, have been provided with a copy of "Florida's Construction Lien Law _ 8oIeoMoer', Protection
<br />Guide" prepared by the Florida Departlent of Agricullure and Consuter Affairs. If the applicant ia aOl8ORe 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 cOllence.ent.
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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 worl 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 work and instailation as indicated. I certifr that no vorl or
<br />installation has COIIenced prior to issuance of a perlit and that all work will be perfoIlBd to leet standards of all IllS
<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 oLher go'erRlenLal agencies laY apply to the intended worl, and that It i8
<br />IY responsibility to identify what actions I lust Lake Lo be in cOlpliance. Such agencies include but are not 11lited to:
<br />· Deparllent of EnvirORlental Regulation - Cypress BByheads, Wetland Areas and EnviroRlentally Sensiti,e Landa,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water Hanagl!8ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Engineers - Seawalls, Docls, Navigable Waterways
<br />I Departlent of Health' Rehabilitative Services, Environlental Health Unit - Wells, Wastewater rreallent, Septic ranls
<br />I US Environlental Protection Agency - Asbestos abatelent
<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 'oIUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Plorida prior to per.it. issuance.
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<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 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. Ivery per.it issued shall beCDII iD,alid
<br />unless the work authoriled by such perlit is cOllenced within sil IOnths of iSSUance, or if vort authoriled by the per.it is
<br />suspended or abandoned for a period of six IOnths after the Ule the work is cOIIenced. One 90 dar utlll8ion of u., III 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 lust be logged during each six IOnth period, or the project will he conaidered abandoned.
<br />WARNING TO OWJlER: YOUR FAILURE TO RECORD A NOTICE OF COHIIEJlCBHENT HAY RESULT IN YOUR PAYING tlflCB FOR IIIPROVIIIIfts 10 YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORIEY BEFORB RBCORDING YOUR MOTICI OF
<br />COKMENCBHBNT. JOBS UNDBR $2,500 IN VALUE DO NOT NBBD TO RRCORD AND POST A "NOrICR OF COHKBNCKKENT".
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<br />SIGNATURE: OWNIR OR AGINT SIGNATURB: CO RACTOR
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<br />STATI OF FLORIDA ()
<br />COUNTY OF 't' QS CD
<br />The foregOing instrumt!nt was acknowledged
<br />before me this 161-11\, "lOll 19 ~ by
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<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF DLSCO
<br />The foregoing instrument was acknowledged
<br />before me this Ilm)_ l~, 19C)( by
<br />
<br />~l~ ~ h~
<br />who s ersonaIly own to me or who has
<br />produced ________
<br />as identification and who di
<br />take an o~th.
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />~.
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />..-:;,:r~u,.. Dana M. Giella
<br />f~f'.'Jj;,~~~ MY COMMISSION 1/ CC661123 EXPIRES
<br />0..: ~.:~.: July 14, 2001
<br />"..J;,;,.....;;..~l BONDEOTHRU TROY FAIN INSURANCE, INC.
<br />'iI,,9ft,fi',\"
<br />
<br />"\,'~I"',,,*- Dana M. QieIIa
<br />:(f'''~~~ MY COMMiSSION' CC661123 EXPIRES
<br />~~:.~.~f July 14, 2001
<br />o"4'o;~~" BOlIlEDT1RJTIOY FAIN INSIJIIAHCE.INC,
<br />",...,.i\
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