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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned und.ratands tbat thia P.raIt "r he aub].ct to 'deed reatrictiona' .blcb "r be lOr. restricti.. than Cltr
<br />regulations. rhe undersigned assOles responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the ....r bas bired a contractor or contractors to uodortal. eorl, !bey .ar he ragulred to be liOO8Oed io accooIaoce .ill
<br />atat. and iocal regulatlona. If th. contractor ia not Ilceoted as required br I.., loth th. ..... and coolIactor oar 10
<br />cited for a .ied.....or .Iolatlon uod.r atat. I... If th. ....r or inteoded contractor are uocertaIn aa to 8Iot II....iog
<br />r.gulr....ta "1 applr lor the Int.nded eorl, ther are ad.ined to contact tb. Cltl of Z.pbrrbilla BlUldlng OeIortoeot, (BI3]
<br />788-6611.
<br />
<br />Furlheraor., If tb. ....r bas bired a contractor or CODtractora, 10 ia oi.iaed to 10.. th. contractor(a) algn porti... of 1Io
<br />'Cootractor Sectiona' of thia application for .blcb 1II.r .iII be ",_.Ibl.. If JlIU, as 1Io mmer aign as lIIa COOlIactor,
<br />you ar. indicating lIot rou, rathsr tban th. contractor, are r88pDnslbl. for the IOrl. If 1Io contractor ...... JlIU to alga
<br />a. contractor lIot "1 be an Indication tbat 10 i. not properll licensed and I. not eotltled to per.itlinv privileges in 1Io
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND U'fILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN ~W (ClmPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien taw _ HoIeoIner'. Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConsOler Affairs. If the applicant is SOllODe other than the
<br />.owner", I certify that I have obtained a copy of the above described docOlent and prOllise in good faith to deliver it to the
<br />.owner. prior to cOllence.ent.
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<br />E. CONTRACTOR I S fOWNER 's AFFIDA VI 'I'
<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, loning, 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 worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfolled to Jeet standards o[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 other goveCDlental agencies laY apply to tbe intended worl, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Deparllent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands,
<br />. Vater/Vastewater rreallent
<br />t Southwest Florida Nater Hanage.ent District - NeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Vaterways
<br />t De artlent of Health i Rehabilitative Services EnvirODlental Health Unit _ NeIls, Vastewater rreatlent, Septic ranks
<br />t US EnviroDlental Protection Agency - Asbestos abate.ent
<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 volOle. 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 />" I per.it i..ued BIoII b. cou.trued to 10 a lice... t. proceed .Ith tb. work and not as aolboritl to .I.late, .....1 liter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a per.it prevent the Building Official ftOl thereafter
<br />requiring a correction of errors in pJans, construction, or violations of any code. Ivery per.it issued shall becole invalid
<br />unless the work authorized by such perlit is cOllenced within Sil Iantha of issuance, or if work authoriled by the peClit is
<br />suspended or abandoned for a period of six lanths after the tillS the work is co.enced. OIle 90 daYlltension of tile, laY be
<br />allowed for the perlit with fee charge of $15.00. The extension sh~ll be requested in writing to the Building Official. An
<br />approved inspection lUst be logged during each six lanth period, or the project will be considered abandoned.
<br />VARNING TO OIINER: YOUR FAILURE TO RECORD A NOnCE OF COHHENCKHBNT HAY RESULT IN YOUR PAYllfG IIIICB FOR IHPROVIIIIIrS ro YOUR
<br />PROPERTY. IF YOU INrEND TO OBrAIN FINANCIlfG, CONSULT VIrH YOUR LENDER OR AN AnORlIY BEFORE RECORDING YOUR lfDrICB OF
<br />COHHENCKHENT. JOBS UNDER $2,500 IN VALUE DO Nor NEED TO RECORD AND POST A "NOTICE OF COHHElfCBHENr".
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<br />SIGM~~~
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<br />tA/c~ -~~
<br />SIGNATURE: OlfJRACrOR
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<br />, I
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<br />SrArE OF FLORIDA
<br />CooNrY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STArE OF FLORIDA
<br />COUNTY OF
<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 and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who bas
<br />produced
<br />as identification and who did/did not
<br />take an oatb.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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