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<br />", A-
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<br />CONDITION~ OF PFR~~~ AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONt
<br />The undersigned understands that this peraitaay be suaject to 'deed restrictions" ~h:th lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliante with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE~
<br />If the owner has hired a contractor Ir contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licfnsed as requiren by law, both the owner and c~ntractor lay be
<br />cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBI3)
<br />7B8-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 perlitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<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 Consuter Affairs. If the applicant is sOleone other than the
<br />'owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />'owner' prior to cOlaencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this applici,ion is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developtent.
<br />
<br />1,;.
<br />~
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<br />Application is hereby aade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOltenced prior to issuance of a perlit and that all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other ,.i!)vernlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I aust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetlan~ Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater l;~atlent
<br />I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways ,.
<br />I Departlent of Health l Rehabilitative Servir:~~nvi~~al Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environlental Protection AQency - Asbestos iiba1;eil:i!::l~
<br />I 21so ~ertify that, if fill laterial is t3 L~ ~sp.d in f'ivon '~n( -A" ~r 'A,etc.., it is understood that a drainage plan
<br />addressing a "cotpensating volu.?" will be sub.itt~d which is ~repared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance. ~
<br />
<br />A perait 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 frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
<br />unless the work authorized by such perait is cOltenced within six lonths of issuance, or if worK authorized by the pertit is
<br />suspended Dr abandoned for a period of six lonths after the tile the worK is cOltenced. 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 Offici~l. An
<br />approved inspection aust be logged during e~[h six lonth period, or the project will be considere~ abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CO"KENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT".
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<br />SIGNATURE: CONT~ACTnR
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />was :'<ck;"lowledged
<br />, 19_ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc.re me this
<br />
<br />STATE OF~FLORIDA
<br />COUNTY OF
<br />The foregoing instrument
<br />befc.re me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />who is personally known to me o. who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />(SignatUl-e)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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