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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />- A. NOTICE OF DEED RESTRICTIONS
<br />Tbe undersigned understands tbat tbis perait ai' be subject to -deed restrictions- wbicb ai, be lOre restrictive than Cit,
<br />regulations. ibe undersigned assUlS! responsibility for CUlpllance witb any applicable deed restrictiona.
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<br />B. UNLICENSED CONTIlAC'l'ORS AND CONTRAC'l'On RESPONSIBILITIES
<br />If the OIOler' bas hired a contractor or contractors to undertake IIOrk, they aa, be required to be liceD8ed in accordance with ,
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and COIltraCtor .J be
<br />cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat liclDling
<br />rBquirBlents ai' apply for tbe intended work, the, are advised to c~ntact the Cit, of Zephyrhills Building Departlelt, (813)
<br />788-6611. '
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<br />FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to bave the cootractor(l) lign portl.. of the
<br />-Coo tractor Sections- of this application for which the, will be responsible. If JOU, as the OIIDer lign as the CGIltractor,
<br />,ou are indicating that you, rather than the contractor, are responsible for the work. If the contractor wi_ fOIl to lign
<br />as contractor that .y be an indication tbat he is not properly licensed and is not entitled to perlittiDg pd,Uegu 11 tile
<br />City of Zephyrbills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUC'l'ION LIEN Lnw (CIIAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided lith a copy of -Plorida's Construction Lien Liw _ BoIeowaer'. ProtectiOD
<br />Guide- prepared by the Plorida Deparllent of Agriculture and Consuaer Affairs. If the applicant ia IOIIODI other than the
<br />-owner-, I certif, that I bave obtained a cop, of the above described docuaent and prOlis8 in good faith to deli,er it to the
<br />-own8r- prior to cOllenceaent.
<br />
<br />i i
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.tlon in tbis application is accurate and that all work will be done in COIplianee witb all
<br />applicable la.. regulating construction, loning, and land developlent.
<br />,
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<br />Application is hereb, aade to obtain a perait to do work and instailation as indicated. I certify that 110 worl or
<br />installation baa C3IeIIced prior to issuance of a perlit and that allworl ,ill be perfoned to Mlt ItlDdarda of. 111 1_
<br />regulating construction, City codes, loning regulations, and land IJevelo,.ent regulations In the jurisdiction. I al80
<br />certify that I understand that the regulations of other go,ernaental agencies ai' apply to the Intended worl, and that It la
<br />a, reaponsibilit, to identify what actions I aust take to be in cOIpliance. Sucb agencies include but are not lia1ted to:
<br />· Depart8ent of Environaental Regulation - C,press Barbeads, Wetland Areas and InviroRleDtally Sensitive Lands,
<br />, Vater/Wastewater !reataent
<br />· Southwest Plorida Water "anageaent District - NeIls, Cypress Baybeada, Wetland Areas, Altering KatercourB81
<br />· AllY Corps of Iogineers - Seawalls, Docks, lavigable Ifatenays
<br />· DellU'taent of Health' Rehabilitative Services. InvlrOlllleDW Health Unit - lfeUs, llastewater Ireatlent, Septic llOb
<br />· US lD,iIODleDtal Protection Agency - Asbestos abateaent
<br />I allO certify that, if fill ..terial i8 to be used in Flood ~ -.- or -.,etc.-, it ia understood that I drainlge plan
<br />ac1dr8l81ng I -COIpenSating vol..- ,ill be 8ub11itted which is prepared by a professional engineer reglatered iJl the Statl of
<br />Florida prior to perait, issuance. ,
<br />
<br />. I perait lllued sball he construed to be a license to proceed with tbe work and not as authority to violatl, caacel alter, or
<br />set aside anI provisions of the technical codes, nor sball is~u~e of a perait prevent the Building Official frOl tblreafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery pera1t IIBued Iball becaIe lo'all4
<br />unless the IIOr1 authorlled by sueb perlit is co.enced within lillOIltbs of illuance, or If worl authorlled hI the penlt i.
<br />suspended or abandoned for a period of sil IOIltba after the tiM the work is co.enced. One 90 day at_ion of tile, -, be
<br />allowed for the perait lith fee cbarge of $15.00. Tbe otension sball be requested in writing to the Building Official. II
<br />approved inspection aust be logged during each sil IOIlth period, or' the project will be COIlIldered abandoned. '
<br />VARNIIG TO <<*110: YOUR FAILURE TO RICORD A IIOTICH OP ~ lilY RlSULT II YOUR PAYING rllla FOR DIPROVIIIBIIS to 1001
<br />PROPlm. IP YOU IIUIID to OBTAIII PIUICIIIG, COISULI VITH YOUR LIIDIR OR All AnORlII BIPORB RICOIDIIIG YOUR IIOrICB OF
<br />COItHIII I. JOBS UNDER 2,500 II VALUIIlO 1101' MIlD to RICORD AID POST A -II01'ICH OP,~-.
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<br />K ,'I
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<br />
<br />STATI OP FLORIDA
<br />COUllfl OF
<br />Tbe foregoiDg~rqoeot wae acknOWledged
<br />before .e thi L2-f>" 19!iL by
<br />
<br />S~I\J S. B>D~
<br />
<br />who is personally known to me er whe has
<br />preduGed-
<br />as id60Lifi~on and W~d/did oot
<br />take \en~~ .LtA __
<br />(Signat t5. ' &, ch - ,
<br />~()+ L. ilL O.At2.-.J
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />rko
<br />
<br />
<br />CJJOm OF P II-SCo
<br />The foregoing i~t was a~ledged
<br />before me this ' LJ. , 19q Y by
<br />
<br />TFrhu ~. toledw
<br />who Is personally known to _ or wile lias
<br />Pl'edu\Oud'"
<br />
<br />
<br />tJY '11.
<br />...' 6.~'io Brenda L Buchansn
<br />*~ * My CornmIlIionCC816554
<br />~fItfR ~.. expire. J-.y 'ZT. 200f
<br />~.",...-
<br />
<br />:\..... "u#.
<br />,~ 6 ''I- Brende L Buch8n8n
<br />* ~ * My Commlision CC618M4
<br />'::.~~ ~~ ElCpire. J-.y 27, 2001
<br />'" II" fl.O"
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