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<br />CONDITIONS OF PEI~IT AFFIDAVIT
<br />A. NOTICE OF DEED RES'j'IUC'l'IONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" wbich lay be lOre restrictive than City
<br />regulations. The undersigned assUles respollsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRAC'l'ORS AND CON'1'UAC'l'OR UESPONSIBILl'j'IES
<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 tbe owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for 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 bave the contractor(s) sign portions of the
<br />"Contractor Sections" of tllis application for wbich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratfler 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'j'ION LIEN LftW (CIIAP1'ER 713, FLOIUDA STA'rU'l'ES, AS AMENDED)
<br />I certiiy that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeowDer's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If tbe applicant is sOleone 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 co..encelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in thi8 application i8 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 i8 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 perfoCled to lOet standards of all laws
<br />regulating con8truction, City code8, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of otber goverDlental agencies lay apply to tbe intended work, and that it is
<br />IY re8ponsibility to identify what actions I IU8t take to be in cOlpliance. Such agencies include but are not Iillted to:
<br />· Deparllent at EnviroRlental Regulation - Cypre88 Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />· Southwest Florida Water Hanagelent District - We118, Cypress Bayheads, Wetland Area8, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health & Rehabilitative Services, InviroDlental Heallh Unit - Wells, Wastewater Treallent, Septic Tanks
<br />· US InviroDlental Protection Agency - Asbe8t08 abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is under8tood that a drainage plan
<br />addressing a "colpen8ating volUle" will be sublitted which i8 prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. i88uance.
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<br />. A perlit iS8ued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provi8ions of tbe technicai 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 sball hecOIB invalid
<br />unless the work authorized by such per.it is cOllenced within Sil IOntha of issuance, or if worl authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after tbe tile the work is cOllenced. One 90 day eatension of tile, IaJ 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 COHHENCEHENT HAY RESULT IN YOUR PAYING nUCR FOR IHPROVKllKnS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORH RBCORDING YOUR NOIICH OF
<br />COHHENCEHENT. JOBS UNDER $2,5 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCBHKNT".
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<br />.-fIGNATURE: CONTRACTOR
<br />
<br />
<br />
<br />and who
<br />
<br />nnt-
<br />
<br />STATE OF FLORIDA 0
<br />COUNTY OF c..Q 4 (! (')
<br />The foregoing instrument was acknowledged
<br />before me this ~~ 14 . 19 1J'il by
<br />
<br />tI.p I~()n A__o 11
<br />who is personally kAQWn to me or who has
<br />produced
<br />as i n ification
<br />ta oath.
<br />
<br />twas a~OWledged
<br />, 19q by
<br />
<br />me or who has
<br />
<br />(S1 re)
<br />Christina M. Cone
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />( . gnature),
<br />Christina M. Cone:
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />..,.},,~.y rv",'S CHRISTINA M. CONE
<br />~: ~;r<" tv'Y cm.Jl'..:.ON # CC 530210
<br />"")'l' OF';\.t:..... EXPIRES. February 13,2000
<br />1-800-3-NGi"ARY Fla ~~otary Service & Bonding Co.
<br />
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<br />1..'10'.;.3-NOT AR!
<br />
<br />CHRISTINA M. CONE
<br />MY Cm'M::;SiON # CC 530210
<br />EXPIRES: February 13,2000
<br />Fla Nota'Y SefV100 & Bonding Co
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