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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. ~OTICE 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.
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<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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
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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 they Ifill be responsible. If you, as the mmer sign as the contractor,
<br />you are indicating that you, rather 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. CONSTRUCTION LIEN LAW (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOJeOIfDer's Protection
<br />Guide" prepared by the Florida Departlent of Agricultur~ and ConSUler Affairs. If the 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 cOllenceJent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<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, zoning, and land developlent.
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<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfofled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govefRIental 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 EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater TreatJent
<br />* Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* DepartJent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
<br />t US EnviroDlental 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.
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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 issuance of a perlit prevent the Building Official frOJ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if wort 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 extension of tile, laY 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 IOnth period, or the project will be considered abandoned.
<br />WARNIHG TO OWNER: YOUR FAILURE TO RECORD A HOTICE OF COHHRNCEHENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU IIITEND T BTAIII FIHANCING, CONSULT WITH YOUR LENDER OR All ATTORREY BEFORE RECORDIIIG YOUR MorICE OF
<br />COHHENCEKENT. JOBS U 2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTIC KNCEMENT" .
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<br />STATK OF FLORIDA ~ STATE OF FLORIDA/:-)
<br />COUNTY OF ~_c5"'A COUNTY OF,"__~ ') ~-' f)
<br />The foregoing instru.~t was a~~w1edged The foregoing inst~t was a~~edged
<br />he fore me this ;2d-;;tfj 19.2k:. hy hefore lie thiQ~~' 19 hy
<br />
<br />W.-?-r1 ,~. \-/ I'J~ !.Uc~ __' ~
<br />who is pe.[~onallX,~!lo"~l!..to-1l1e .Qr who has who is personally known to me or who has
<br />produced produced
<br />as identification and who did/did not as ide ification and who did/did not
<br />.t~,~. ,~O.~~ ta.k<Y'an0'1 h. .v c.... '. '.~
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<br />~:E. re)~ g;~~' ~(~~ e) 2 ~:;E
<br />. (Name ~:'iriDted Dr St~;)Nl~ (N~ ~/-r.in~r St~d) v A. . .
<br />NOTARY PUBLIC NOTARY PUBLIC
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<br />,...;>.. Bobbie S. SWIlIIIId ......y'..",
<br />., ~w GOMMISSION # CC534927 EXPIRES ,'~:!<!Il.~.. AN.J.._ S ~_~
<br />... FebnJaIy 22 2000 oft: . .. MY fY1Ia~. '-..uana
<br />.~;,(~;1; BONDeD TMRU TROY FAIN INSlMIAHCf,lHC. ~~~:if;.or..i ~'"'"E ~ EXPIRL
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<br />""IT FAIN 1l'fSURANcE, ,Nt;
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