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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 Lo "deed restrictions" which lay be lOre restrictive than City
<br />'regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CON'l'RAC1'OU RESPONSIBILI'l'IES
<br />· If the owner has hired a contractor or contractors to undertake work, they lay be reguired to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as reguired by law, both the owner and contractor aay be
<br />cited for a lisdeleanor violation under state law, If Lhe owner or intended contractor are uncertain as to wbat licensing
<br />reguirelents lay apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
<br />788-66U.
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />.Contractor Sections. of this application for which tbey will be responsible. If you, as the OlDer sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for tbe work. If the 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,
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LnW (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 - HoIeowner's Protection
<br />Guid~" prepared by tbe Florida DepartJent of Agriculture and ConsUler Affairs, If tbe applicant is sOl8ODe otber 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 couencelent.
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<br />E. CONTRACTOR' SjOWNER' S AFFIDAVI1'
<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.
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<br />Application is 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 perf oIled 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 governaental agencies lay apply to tbe intended work, 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 />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />. Nater/Wastewater Treatlent
<br />t Southwest Florida Water Hanagelent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
<br />t Departlent of Health & Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater Treallent, Septic ranks
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "An or "A,ete.", it is understood tbat a drainage plan
<br />addressing a .colpensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit. issuance.
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<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~nce of a per.it prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Bvery perlit issued sball beODle invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the peClit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, lay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be reguested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
<br />NARNING TO ONNIR: YOUR FAILURI TO RECORD A NOTICI OF COHHENCKHRNT HAY RBSULT IN YOUR PAYING TWICK FOR IMPROVRHBIrS TO YOUR
<br />PROPERTY. IF YOU INTIND TO OBTAIN FINANCING, CONSULT NITH YOUR LENOIR OR AN ATTORNEY BKFORB RBCORDIHG YOUR HOIICI OF
<br />COKHRNCRHINT. JOBS UNDRR $2,500 IN VALUE DO NOT NIED TO RRCORD AND POST A "NOT CB OF COMMBNCRKKNJ".
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<br />SIGNATURE:
<br />
<br />
<br />. I
<br />
<br />STATI OF FLORlDA-J'\
<br />COUNTY OF ~~.
<br />The foregoing ~trmoent
<br />before me this ~ I
<br />
<br />was acknowledged
<br />, 19 9~by
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF .~ ~
<br />The foregoing instrument was acknowledged
<br />before me this Cb.t~f , 19 9J/ by
<br />(/
<br />
<br />who is pers09ally-known to me ~~ who has
<br />produced ~~tJ-DJ..~-?~o- 3~ - tJ
<br />a entific 10 and who did/did not
<br />ta n o. "Y; . a IJ1hrL1
<br />(Signature) . /j/, ~ r1 /f, I a
<br />a:l-h. c.. v 0 JJ cLV
<br />(Name Typed, Printed/or Stamped) I
<br />NOTARY PUBLIC
<br />
<br />known to me or who has
<br />--SO . 3.3~-o
<br />entificat and who did/did not
<br />an oathL11 Q YYI ~ f~ .
<br />
<br />(Signature) II/~ A Ai (J ~~~
<br />~h~ 171}1J V
<br />(Name Typed, Printed r-Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />.:o~~''!i:.t,,,~ Nancy A.. Moody
<br />l*'f~;~ MY COMMISSION' CC534806 EXPlr.,
<br />~ ; . i FebnJaIy 21, 2000
<br />~iIi:, " 80IIIlEIl TIIllJ TIlOI' FAIN INSURAN~f.
<br />
<br />....,'~~/",
<br />~~:&11\""~~ Nancy A. Moo,;
<br />E*f i~ MY COMMISSION /I CC5.14c;" ,:'.'
<br />~. ."': Febru
<br />"':r......~.... ary 21, 20lJO
<br />,,vr.,t':' 8OHDeo THRu TROY F/'.fN INSllf.;!',i ;1'
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