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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 wdeed 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 wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />FurtherlOre, if the ONner 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 lay be an indication that he is not properly licensed and is not entitled to peIlitting 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 LftW (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 - HoIeoIner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsOler Affairs. If the applicant is 8OI8ORe 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 CORenCl!lent.
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<br />E. CONTRACTOR'S/OWNER'S AFI:IDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance 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 Jeet 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 otber goveCDlental agencies laY apply to the 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 li.ited to:
<br />· Departlent of BnvirODlental Regulation - Cypress BByheads, Vetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Vastewater Treallent
<br />· Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses
<br />· ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways
<br />· Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - VeIls, Vastewater Treatlent, Septic lanks
<br />· US EnviroDleDtal Protection Agency - Asbestos abateaent
<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 volOle" will be sublitted which is prepared by a professional engineer registered io tbe 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 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 frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery peIlit issued ahall beCOll IDvalid
<br />unless the work authorized by such per.it is cOllenced within Sil tonths of issuance, or if work autboriled by the perlit is
<br />suspended or abandoned for a period of sil IOnths after tbe tile the work is cOIIenced. Ooe 90 day 81tension of tile, aal 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 IOntb period, or the project will be considered abandoned.
<br />VARKIIG TO OVtIER: YOUR FAILURE TO RECORD A NOTICE OF COMMEICBHHIT HAY RESULT IN YOUR PAYIIG TlUCE FOR IIIPROVEIIBIl'S TO YOUR
<br />PROPERTY. IF YOU IKTEID TO OBTAIN FIKAICIKG, COISULT VITH YOUR LEIDER OR All AnORlKY BEFORE RICORDIHG YOUR HO'IICE OF
<br />COHH . JOBS UNDER 0 IN VALUE DO NOT NEED TO RECORD AID POST A .IOTICE OF COHIIBICBMDI..
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<br />STATE OF FLORIDA n.
<br />COUKn OF ru..SC' 0
<br />The foregoing instrument was acknowledged
<br />before me this Q..1\c!. , ~Q)O by
<br />
<br />JCe fX-lahrr~
<br />who is p~sonally ~n to ~~ or who has
<br />produced
<br />as' ntificati n~~. ho did/dl'd not
<br />ta n ..path _4)
<br />7l,(,~ J _rn.GL~
<br />( ignature)
<br />
<br />
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<br />inginstrument was acknowledged
<br />thi s rY'\J) Jf ~ tJ \), ~.d..O.QQ by
<br />
<br />(Name Typed,....g~.~nted ~~Ia~~~
<br />NOTARY PUB~T~ MYCOMMISSIONICC776815 EXPIRES
<br />~ q~ September 20, 2002
<br />."1.'i;.....~$ 80NDEDTHRU TROYFAIN INSURANCE, INC
<br />"',P,f,,~'
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />",\1""" Usa Gaye Biglin
<br />~r:r\commiSSion # CC 789147
<br />=; JiE Expires DEe. 20, 2002
<br />;'t1 .....~~:: BONDED THAU
<br />"'"OF VIl,,\,\ ATLANTIC BONDING CO.. INC,
<br />'u"
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