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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Ibe under.lgooi ooder.taods tbat tbl. ....It oar be .obJect to 'deed re.trlction.' whlcb oar be BOre ,estrictl.. than City
<br />regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'On RESPONSIQIL.ITIEB
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a .I.d.....or violation ooder .tate I". If Lbo o.ner or Inteodoi contractor are uocertaln as to rlat li....ing
<br />requir8lents lay apply for the intended work, they are advised to contact tbe City of Zephyrbills Building Deparllent, (813)
<br />788-6611. .
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<br />FurtherlOre, if the ONner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of tbe
<br />.Contractor Sections" of this application for which tbey will be responsible. If you, as tbe ONDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If tbe contractor wisbes 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.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND U'!'ILITY CONNECTION FEES
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<br />D. CONSTRUC'l'ION LIEN Lnw (CHAPTER '113, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeOWOer's Protection
<br />Guidft" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is SOlBOne 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 />"owner" prior to cOllenCelent.
<br />
<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'!'
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance witb all
<br />applicable laws regulating construction, loning, and land developlent.
<br />,
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a perlit and tbat all work will be perf OIled to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in tbe jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlental agencies lay apply to the intended wort, and tbat it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
<br />· DeparLlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlBDtally Sensitive Lands,
<br />. Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· De arllent of Health & Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic 'ants
<br />I US EnviroDlental Protection Agency - Asbestos abat8lent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood .tbat a drainage plan
<br />addressing a "cOlpensating volUle" will be sublitted which is prepared by a professional engineer registered in tbe 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 shall is~u~ce of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beCOlB invalid
<br />unless tbe work autboriled by such perlit is COllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eltension of tile, JaY 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 IOntb period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCBHBNT HAY RESULT IN YOUR PAYING 'fIIICE FOR IHPROVBIIDIS TO YOUR
<br />PROPBRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDBR OR AN ATTORNBY BEFORE RECORDIMG YOUR NOTICI OF
<br />COHHIIOiHIHr. J088 UIlOR 12,500 IN VAtUl bo NOT HIID IV "!CORD AND lUST A 'NOTICE or~'.
<br />
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<br />SIOOTwm: ~L~ ~
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<br />SIGNATURE: OWNBR OR AGBNT
<br />
<br />. I
<br />
<br />STATB OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF F(.t)t'C'A
<br />The foregoing instrument
<br />before me this 17~
<br />
<br />was acknowledged
<br />, 19.1!- by
<br />~ 1f1(.Uf
<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 />
<br />who is known to me or who bas
<br />produ
<br />as ide ~on and who did/did not
<br />take an Jt;~
<br />
<br />(Signature)
<br />11 K C"l1tDSc
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />OTHY L GROSZ
<br />..fIl'I .... TIM isslon Cca81218
<br />if My Comm
<br />Expw.. Apr. 04. 1998
<br />* * Bonded by ANB
<br />"-i 1300-852-5878
<br />","",
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