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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 .ore restrictive than City
<br />regulations. The undersigned assWles 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
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<br />Furtberlore, 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 wltich they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, ratlter titan the contractor, are responsible for the work. If tbe contractor wisbes you to sign
<br />as contractor tbat 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 I! ~'
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<br />D. CONSTRUC'l'ION LIEN L'I\.W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOJeOWDer's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If tbe applicant is sQl80ne other tban tbe
<br />.owner", I certify that I have obtained a copy of tlte above described doculent and prolise In good faith to deliver it to the
<br />.owner" prior to COllenCelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify tbat all the inforlation in lbis 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 work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled to l8et standards of all lils
<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 goverDlenlal agencies lay apply to tbe intended wort, and that it is
<br />IY responsibility to identify what actions I lust take lo be in cOlpliance. Such agencies include but are not liJited to:
<br />t Departlent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t DepartJent of Health , Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<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 autbority 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 ftOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery peIlit issued shall beCOl8 invalid
<br />unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work autborized by the petlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOlllenced. One 90 day 81tension of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
<br />WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTlCR OF COffHENCRHRNT HAY RESULT IN YOUR PAYING !WICE FOR IHPROVEllBllrS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORMEY BEFORE RECORDIKG YOUR JialICE OF
<br />COHHENCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOnCE OF C NT".
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<br />sl.l~R .!
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<br />srATE OF FLORIDA ~
<br />COUNTY OF '-;/ /Is Cc
<br />The foregoing instrpm~nt
<br />before me this oZ~
<br />/
<br />
<br />~///V /"), CotE
<br />who is pers~ally known to m, or who has
<br />produced / 'E,f!S6N/"ftt~/ AdCu.//y
<br />as identification and who did/did not
<br />
<br />;:~~~~ ---
<br />
<br />was acknowledged
<br />, "'..;4.CQ by
<br />K'-<..)-
<br />
<br />STATR OF FLORIDA.~ '
<br />COUNTY OF ;"//l/E ~ L..,-Y <:..,
<br />The forego{ng inst~ent was acknowledged
<br />before me this ;2. L/ , ~<.IC by
<br />" ;d '-<)-
<br />bAA-r V~..L~u/~
<br />who is per~al ... known to m~r who bas
<br />produced / rre S6A//f/Cy .A. h(JC-VN
<br />as identification and ,lio did/d.!~.~ot
<br />
<br />ta~!:*,~/
<br />(81 ature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC-,-~~_... A'_~
<br />
<br />KARl A. WEBB
<br />Notary PublIC - State of Florida
<br />My Commsalcn expires Aug 5. 2IJCD
<br />Co/m'lIUICln I CC552161
<br />
<br />KARl A. WEBB
<br />Notary PublIC - State of RorIda
<br />My CommIUIcn expires Aug 5. 2IJCD
<br />Cor1'V'nIIII<ln I CC562161
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