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<br />CONDI'l'IONS OF PERMI'l' AFFIDAVI'l'
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assllles responsibility for co.pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRAC'l'ORS AND CON'l'UAC'l'On HESPONSIBILI'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they .ay 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 what licensing
<br />requirelents .ay apply (or the intended work, tbey are advised to contact the City of Zephyrbills Building Departlent, (BI3)
<br />7BB-661J .
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<br />Furtherlore, 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 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 the contractor wishes you to sign
<br />as contractor that I~y be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. 'l'RANSPOU'l'A'l'ION IMPAC'l' FEES AND U'l'ILI'l'Y CONNECTION FEES ,.':
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<br />D. CONSTRUC'l'ION LIEN Lnw (CHAPTER '/13, FLOHIDA S'l'A'l'UTES, AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law _ HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is 801eone other than the
<br />.owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
<br />"owner" prior Lo co..enCelent.
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<br />E. CONTRAC'l'OR' 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 certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled to teet 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 Lhat the regulations of other goverDlental agencies lay apply to tbe intended work, and that it is
<br />.y r~Bponsibility to identify what actions I .usl lake to be in co.pliance. Such agencies include but are not li.ited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways
<br />· Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />· US EnviroDlental Protection Agency - Asbestos abat8lent
<br />I also certif, that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan
<br />addressing a .co.pensating volllle. will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it, issuance.
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<br />. A perlit issued 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 provisions of the technical codes, nor shall is~u~ce 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 shall becOl8 invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eJtension of tile, 181 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 />WARNING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKKKNT HAY RESULT IN YOUR PAYING fNICI FOR IHPROVKMlIrS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIH FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORIEY BEFORB RECORDING YOUR NOTICI OF
<br />COKHENCKHENT. 'JOBS U R $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMBNCKMlNT".
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<br />~J.# .1
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<br />SIGNATURE: CONTRACTOR
<br />
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF t:>a"c.c..o
<br />The foregOing instrument was aCknowledged
<br />before me this 1lU~\ , ~~ by
<br />
<br />
<br />who is:;:~gIia~lY~~~;n tO~or who has
<br />produced
<br />8S identification and who did/did not
<br />take an oatl.3--/// -"~/;?(f" ~
<br />. f.//41~ ~
<br />(Slynature) ,
<br />()~i\'I~ A. LOVETT
<br />(Name Typed, Pro ~ ~ u~282~
<br />NOTARY PUBLIC i n Y c:}mm, No, CC572916
<br />
<br />STATE OF FLORIDA
<br />CCHlNTY OF Pd ~ ( u
<br />The foregoing instrument was acknowledged
<br />before me this 01 J =3 ) ,:H} LUW by
<br />I
<br />
<br />~~~,Ab)~
<br />who is 8 na knO~ me or who bas
<br />produced
<br />as identification and who did/did not
<br />
<br />ta~e an oa~
<br />(S~gnature) , ." - ovm \
<br />0:,,\,1\ A.,. L t Florida
<br />(Name Typed, Pro _ ~ t! 2916 I
<br />NOTARY PUBLIC i n ~~"NO,... 5
<br />
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