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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned underBtands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned as sOles responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRAC'I'ORS AND CON'l'RAC'l'On RESPONSIBILITIES
<br />If the owner has hired a contractor.or contractors to under tale worl, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contracLor is not licensed as required by law, both the owner and contractor Jay be
<br />cited for a lisdeleanor violation under state law. If Lhe owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended worl, they are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
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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, ratller than tile contractor, are responsible for the worl. If tbe contractor wisbes IOU to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting 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. CONSTRUC'I'ION LIEN L'I\W (CHAPTER 713, FLOIUDA STA'rUTES, AS AMENDED)
<br />I certify that 1, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection
<br />Guide" prepared by the Florida Departlent of ngriculture and ConsUler Affairs. If tbe applicant is sOleDne 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 C018enCelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVI'l'
<br />I certify that all the inforlation in this application is accurate and that all worl will be done in cOlpliance with all
<br />applicable laws regulating construction, laning, 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 worl or
<br />installation has cOllenced prior to issuance of a perlit and that all worl will be perfoCJed to leet standards of all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. J also
<br />certify that I understand that the regulations of otber goveCRIental agencies lay apply to tbe intended wort, and that it is
<br />IY responSibility to identify what actions I lust tale to be in cOlpliance. Such agencies include but are not li.ited to:
<br />t Departlent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands,
<br />Vater/Vastewater Treallent
<br />t Southwest Florida Vater Hanagetent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses
<br />t Arl' Corps of Engineers - Seawalls, Docls, Navigable Vaterways
<br />t DepartJent of Health & Rehabilitative Services, BnviroDl8Dtal Health Unit - VeIls, Vastewater rreallent, Septic ranls
<br />t US EnviroDlental Protection Agency - Asbestos abat8lent
<br />I also certify that, if flll laterial is to be used in Flood Zone "A" or "A,ete.", it is understood tbat a drainage plan
<br />addressing a "colpensating vol Ole " 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 tbe worl 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 shall beCDle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sil IOnths after the tile the worl is cOllenced. One 90 day 81tension of tile, JaY 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 sil IOnth period, or the project will be considered abandoned.
<br />NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCBHBN1' HAY RBSULT IN YOUR PAYING flUCE FOR IHPROVIHEIfIS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT VITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR MorICI OF
<br />COHHENCBHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHINCBMKNT..
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<br />(lL~U. tL.k >L~
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />tL~ VI )1~~
<br />SIGNATURB: CONTRACTOR
<br />
<br />, I
<br />
<br />STATI OF FLORIDA ~
<br />COUNTY OF I ~ $(..D
<br />The foregOing instrument was acknowledged
<br />before me this 1-.;17 , 19.,'2a>5"by
<br />
<br />Debr4. W. St-~
<br />who is ~~nally ~ to me or who has
<br />produced
<br />as ident' ication
<br />take a ath.
<br />
<br />STATE OF FLORIDn
<br />COUNTY OF r:?:t,Su;J
<br />The foregoing instrument was acknowledged
<br />before me this /-;27 , 8 ~S- by
<br />
<br />[)~hra. W, S~
<br />who is personally known to me or who bas
<br />produced
<br />as identif'
<br />take an 0
<br />
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC Suzanne Bahr
<br />i".mml'ssian #00\57\3\
<br />\,l!:. 2006
<br />* J::.xpJres. Nay \5,
<br />-, Bonded Thru
<br />,\r.i:.:ntic Bonding Co., Inc:
<br />
<br />(Name Typed, Printed
<br />NOTARY PUBLIC
<br />
<br />
<br />
<br />or Stamped)
<br />
<br />-'UZaIme Bahr
<br />i':mrnission #00157131
<br />..: Expires: Nay \5,2006
<br />Bonded Thn..
<br />l,tL.miw Bonding C0.0 Jnc
<br />
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