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<br />CONDITIONS OF PElrnIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The un.dersigned understands that this peuil: lay ~esu~ject to "deed restrictions" whiell lay be lOre restrictive than City
<br />regulations. The undersigned assUles respO/lsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CON'rrmCTOHS AND CON'l'Rl\CTOH RESPONSIBILI'l'IES
<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 ONner and contractor lay be
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!.lents lay apply for the intended work, Lhey are advised to contact the City of Zephyrbills Building Departlent, (813)
<br />788-6611.
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<br />Furtheflore, if the owner has hired a contractor or contractors, he is advised to have till! contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wflich they will be responsible. If you, as the OlIner 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 per.itting priVileges in tbe
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~.
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<br />D. CONS1'RUC'!'ION LIEN L1\W (CHAPTER 713, FLORIDA s'rA'rUTES, AS AMENDED)
<br />I certify thai~l:he applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture 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 docu.ent and prolise in good faith to deliver it to the
<br />"owner" prior to COllle/lCl!lent.
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<br />E. CONTHACTOR'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.
<br />I
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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 perforled to leet standards of all laws
<br />regulating cOllstruction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverlllental agencies lay apply to the intended work, and that it is
<br />IIY responSibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
<br />· Deparllent of Bnvironmental Regulation - Cypress Bayheads, Wetland Areas and Envirolllentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />· Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· ArlY CQ!Ps of Engineers - Seawalls, Docks, Navigable Waterways
<br />· De arllent of Health & Rehabilitative Services Envirolllental Health Unit - Wells, Wastewater Treallent, Septic Tanks
<br />· ~irolllental Protection Agenc! - 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 voIUle" 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 work and not as authority to violate, cancel alter, or
<br />s.et aside any provisions of the technical codes, nor shall is~u~nce of a peuit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becCle invalid
<br />unless the work authorized by such perlit is cOlllenced within six lonths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOIIenced. One 90 day eltension of tile, aay be
<br />allowed for the per.it 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEKKHTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORH RBCORDING YOUR NOTICE OF
<br />COHHRNCEHEH'f. .JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKHENCHHHNT".
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<br />STATE OF FLORIDA
<br />COUNTY OF Pel SL-D
<br />The foregOing instrument
<br />before me this 3.2..J
<br />
<br />was acknOWledged
<br />, T9x:tJ.:jby
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PctSLo
<br />The foregoing instrument
<br />before me this 3. 2/
<br />
<br />was acknowledged
<br />, -l9 LOC::fl>y
<br />
<br />John "BollJl1d&
<br />who is personally known to me or who has
<br />produced PL-DL
<br />as identification and who did/did not
<br />take an oath. I!"VII. /II ~ A / J j
<br />f1fJHi1JCl cy.~~
<br />(S 'ynatur~) J.., ,
<br />YV1-fvlICl L. """fuv~trL_VTCYl
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />.
<br />
<br />'[X) U~Cl 5 R ' IV1 VVI\oI 't:
<br />who is rsonal y. known to me or who has
<br />produced PLc1-
<br />as identification and who did/did not
<br />take an nath. . (:f/ ~
<br />~\AJct .
<br />(Si nature) , .
<br />~ ~~ ~ l. 1:nVvl Vl v!L;V1
<br />(Narn 1'yped, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />.... 'f/f: .~ SYNTHIA L BOHANNON
<br />~ .f~~
<br />. :*~ MY COMMISSION # DD 185612
<br />. j EXPIRES: February 19,2007
<br />Bonded Thru NotaIy Public Undlrwr1tell
<br />
<br />~~~
<br />t{~:~}
<br />~~~P.Y.lrr~"
<br />
<br />SYNTHIA L BOHANNON
<br />MY COMMISSION ~ DD 185612
<br />EXPIRES: February 1 i1,2007
<br />Bonded Thru Notal}" Public Underwriter.
<br />
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