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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 lay be lOre restrictive than City
<br />regulations, The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
<br />
<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 owner and contractor lay be
<br />cited for a lisde.eanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
<br />788-6611.
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<br />FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the
<br />.Contractor 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 wisbes rou 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. CONSTRUCTION LIEN L~W (ClffiPTER 713, FLORIDA STATUTES~ AS AMENDED)
<br />I certify 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 sOleDne other tban 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 couenceJent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<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 certifr that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all worl will be perfolled to leet standards of 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 goverlllental agencies lay apply to the intended wort, and that 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 />· Departlent of Envirolllental Regulation - Cypress Bayheads, Netland Areas and Envirolllentally Sensitive Lands,
<br />Nater/Nastewater Treallent
<br />· Southwest Florida Nater HanageJent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docls, Navigable Waterways
<br />· Deparllent of Healtb & Rehabilitative Services, Bnvironaental Health Unit - NeIls, Wastewater TreatJent, Septic 'ants
<br />· US Bnvirolllental Protection Agency - Asbestos abateJent
<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 volUle" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance,
<br />
<br />. A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official lrOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Ivery petlit issued sball beCOle invalid
<br />unless the worl authorized by such perlit is cOlleoced within sil lOoths of issuance, or if work authoriled by the peflit is
<br />suspended or abandoned for a period of sil IOnths after the tile the worl is cOllenced. One 90 day eatension of tile, Jar be
<br />allowed for the perlit with fee charge of $15,00. The eltension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or tbe project will be considered abandoned.
<br />WARNING TO OWNBR: YOUR FAILURE TO RBCORD A NOTICK OF COHHENCKHKNT HAY RKSULT IN YOUR PAYlIfG !lIICE FOR I~ROVIllDl'S TO YOUR
<br />PROPERTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT NITH YOUR LBNDBR OR AN AnORNEY BKFORBRICORDIMG YOUR MOlICE OF
<br />COHMKNCBHKNT. JOBS UNDER $2,500 IN VALUK DO NOT NBBD TO RKCORD AND POST A "NOTICE COHHBNC "
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<br />SIGNATURE: OWNKR OR A T
<br />
<br />
<br />. I
<br />
<br />STATE OF FLORIDA
<br />COUNTY or-t>a ~C.d
<br />The foregOing instrument was acknowledged
<br />before me this ~vVh' I ,19 ~ by
<br />
<br />Wp~~n~f1:'f~1n to ma or who has
<br />
<br />producea-
<br />as identificatio and who d' /did not
<br />
<br />STATB OF FLORIDA
<br />COUNTY OF SEMINOLE
<br />The foregoing instrument
<br />before me this June 1
<br />
<br />was aCknowledged
<br />, 19 98 by
<br />
<br />L nn S. Nid
<br />personally known to
<br />
<br />
<br />
<br />who did/did not
<br />
<br />or who has
<br />
<br />((
<br />(Signature) p /? .;1
<br />-rJIo~ A S l. ~N~ ':fir ~ A.~
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI
<br />..",~;:~ THOMAS P. CUNNINGHAM
<br />It :.\ MY COMMISSION , CC 378288
<br />: . ~k.J EXPIRES: June 2.19B8
<br />~~', 1IondICI11Pu NoIIIy PublIc lblIIwrnIII
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />~, ~ James L Smith
<br />:i1Jr *My Commission CC718584
<br />':!!.; Expires February 22, 2002
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