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<br />CONDITIONS OF PER~IT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit 'lay be subject to "deed restrictions" which, lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliancp. 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 contrlCtor is qpJ licensed as required by law, both the owner and contractor lay be
<br />cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to Hhat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor Is) 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 per.itting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~,
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<br />D. CONSTRUCTION LIEN LAW (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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consu.er 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 pro.is! in good faith to deliver it to the
<br />"owner" prior to cOltence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation 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 />
<br />Application is hereby lade to obtain a pertit to do Mork and installation as indicated, I certify that no work Dr
<br />installation has cOltenced prior to issuance of a perlit and that all work Mill be perforled to leet stand~rds of all laws
<br />regulating construction, City codes, zoning regulations, and land dfveloplent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay appl~' to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cotpliance" Such agencies include but are not lilited to:
<br />I Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environ.ental Protection AQency - Asbestos abatelen~
<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 pertit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro! thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every perl it issued shall becole invalid
<br />unless the work authorized by such pertit is cOltenced within six lonths of issuance, or if work authorized by the pertit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, 'lay be
<br />allowed for the pertit 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 RECOR0 A NOTICE OF COKKENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINAN,:ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />'"".ENe::::I. 10DS UNBERi~~lUI' 00 NOI NE'O 10 R"ORD RND ,"S:;:"i~JII" OF 'O"'NC"'NI:,
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<br />A5//~/fif)~p7/~./ '//;;
<br />SIGNATURE: OWNER OR AGENT
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<br />
<br />STATE OF FLORIDA '1-;. I'
<br />COUNTY OF . - n .> C 0 _
<br />The foregoing instr~,i:t was acknowledged
<br />before me this ,/ ~ ' 19~ by
<br />
<br />C fA 'I L)l\ t LJct'-tl.-
<br />."J;.ILI ~':; 'p-=i =-l.}JI~l,ll} k.-.i)Wn tei mE CI~\..rlTdS
<br />r;;. oJuct:rcf
<br />as i den~i f 'c, ~-. ' nand
<br />take In at~/ '
<br />A_t"e<< 0;?1.
<br />(Slgrla LB ey/ '
<br />,(:11.1/1111
<br />(Name Typed, Prl~ted or Stamped)
<br />NOT.BBY .PuBLIC -'.,.,,.....tf.....
<br />., CtIIIIIIia!on b,n. Dee. 29, 1 'j, '
<br />..... n...1,., 'cll". __....
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF Lil '5 C <0
<br />The foregoing instrument was acknowledged
<br />before me this / :::rJ/f' 199 by
<br />c:: ' G /
<br />{~ J ).J/e- G !l! if J -c- c;.J
<br />whe i ~ .p.pr r:.(':I~~ v. ~:n r- C:1- ....hu hel:>
<br />produced ~_ -' lJ _ _ __~...)(.-
<br />as id~ntiic ion and who 'I i not
<br />take/an a'
<br />L /l ' ,?rf'1If'
<br />
<br />(Si?a~$ffh ) )~ Ii ~_
<br />(Name TypedJ Printed or Stamped)
<br />NOT ARY PUBU -C' ~.,., hWtt, StaN ""~h)Mir
<br />"'~lli!;1) u,,'rn ;)i'l':. ~.~, 1\'')'5
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<br />.~nd~J ~IU 7;vy f...:~" ~ '"m(,'1~':. ~n(".
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