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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 .ay be lOre restrictive than City
<br />regulations. The undersigned assu.es 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 ONner and contractor tal be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requiretents lay apply (or the intended work, they 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 have the contractor(s) sign portions of the
<br />DContractor 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 tbe contractor wishes you to sign
<br />as contractor tbat lay be an indication tbat be 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 />I ~I
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<br />D. CONSTRUC'I'ION LIEN L1\W (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 />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOleoDe other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />DownerD prior to COllenCelent'
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all work will be done in cotpliance with all
<br />applicable laws regulating construction, Joning, and land developlent.
<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 DO wor1 or
<br />installation bas COIIenced prior to issuance of a perlit and that all work will be perfofl8d to teet standards of all laws
<br />regulating construction, City codes, Joning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goverDlental agencies .ay apply to tbe intended worl, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />t Departlent of Environtental Regulation - Cypress Bafbeads, Vetland Areas and Bnvironaentall, Sensitive Lands,
<br />Vater/Vastewater Treatlent
<br />t Southwest Florida Vater Hanagetent District - VeIls, Cypress Bayheads, Wetland Areas, Altering Vatercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Healtb & Rehabilitative Services, BnvirODlental Health Unit - VeIls, Vastewater freattent, Septic lanks
<br />· US BnviroDlental 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 voluteD 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 witb the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official frOt thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCOle invalid
<br />unless the work authorized by such perlit is cOllenced witbin six IOnths of issuance, or if IOrk authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tite the worl is cOllenced. One 90 day 81tension of tite, lay 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 IOntb period, or the project will be considered abandoned.
<br />WARMING TO OIlIER: YOUR FAILURE TO RECORD A NOTlCR OF COHHBNCIHBNf HAY RESULT IN YOUR PAYING !VICE FOR D1PROV111BIIS TO YOOR
<br />PROPERTY. IF YOU INTHND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORIBY BEFORB RBCORDING YOUR KOIICI OF
<br />COHHENCEHRNT. JOBS UNDER U,500 IN VALUR DO NOT NEED TO RECORD AlfD POST A 'NOTICB OF COHHBNCBMiNT".
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<br />SIGlAIURK: ~~~~,~ SI_:~~~EIA I
<br />
<br />STATE OF FLORIDA f;;
<br />COUNTY OF S CO
<br />The foregOing instr~ent.was acknowledged
<br />before me this ~ )-0 , 19 ~ by
<br />(
<br />
<br />STATE OF FLORIDA 0
<br />COUNTY OF r ~O;J .
<br />The foregoing instrument was aCknowledged
<br />before me this , 19_____ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification .~nd w~id/dld nnt
<br />take an oa~~ ~~
<br />
<br />(Signature) ( .
<br />
<br />who is personally known to me or who bas
<br />produced
<br />as identification ~~o
<br />take an oath. ~~
<br />
<br />(Signature)
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLTr
<br />.......... KEITH CORREIA
<br />l~~~>!\..f~~ MY COMMISSION' CC 451416
<br />:*: :*~ EXPIRES' May 13 1999
<br />~.. ;J: .,
<br />..~ OF ~~~~., Bonded TIvu NolIIy PubIlc lJnderwritlll
<br />"Ilftt'"
<br />
<br />(Name Typed,
<br />NOTARY PUB
<br />
<br />
<br />). MY COMMISSION' CC 451418
<br />~} EXPIRES: May 13. 1999
<br />s.l BondId Thru NoIIIy PublIc ~
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