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<br />COND~TIONS C~ PER~rT AF~IDAV;T
<br />. A.' 'NOT I CE OF DEED RESTIU CT I ON S~
<br />The undersigned understands tha.t this ~~:.it.ay bE' subject to "deed restrictions' w~ich laY be .ore restrictive than City'
<br />regulations. Th. undersigned allu.es m!i~01l5ibility for co'pliance lIith an., applic~ble deed restrictions.
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<br />B. UNL I CENSED CONTRACTQ!~S AND CONTRACTOR RESPONS r a I LIT I ES
<br />If the Ollnel' has hired a contractor or t:ontractors to undertake work, they lIay be required to be licensed in accordance with
<br />state and local regulations. If the tOllt:;rador is not licensed as required by laN, both the ollner and contractor .ay be
<br />ci led for a .isdeteanor violation under !ita'ce law:. If the owner or intended contradrlr are uncertain as to what licensing
<br />require.ents .ay apply for the intendecl 1I1)rk, ther are advised to contac:t the City of Zephyrhills Building Departae,')t, (813)
<br />788-6611. .,
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<br />Further.ore, if the owner has hired a clmtnctor Dr contractors, he is advised to have the contrac:torls) sign portions of the
<br />'Contractor Sections' of this applicatiun 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 .ay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills. .
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<br />_c.. TRANSPORTATION IMPAI;J FEES AND UTILITY CONNECTION FEES
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<br />D~ CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I tertify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection
<br />G~\de" prepared by the Florida Depart.eot of Agriculture and Consuler Affairs.' If th~ applicant is sOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described docueent and protise in good faith to deliver it to the
<br />"owner' prior to co..ence.ent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the infor.ation in this application is accurate and that all Nork ~il1 be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade tQ obtain a per.it to do IIOrk and installation as indicat~d. I certify that no work or
<br />installation has co..enced prior to issuance of a per.it and that all work will be p~rforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I .ust take to be in co'pliance. Such agencies include but are not lilited to:
<br />f Depart.ent of Environlental ReGulation - Cypress Bayheads, Wetland Areas and Environlentally Seositive Lands,
<br />Water/Wastewater Treat.ent
<br />t Southwest Florida Water "anaQ~ent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
<br />f Ar.y Corps of EnGineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health & Rehabilitative Services. 'Environlental Health Unit - Wells, Wastewater Treat_ent, Septic Tanks
<br />f US Environaental Protection Auency - Asbestos abate.ent
<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 'co.pensating volu.e" will be sub.it~ed which is prepared by a professional engineer registered in the State of
<br />Florida prior to perait 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 per_it prev~nt the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per_it issued shall becole invalid
<br />unless the work authorized by such per.it is cOI.enced within six lonths of issuancEl or if Nork authorized by the per_it is
<br />suspended or abandoned for a period of six .onths after the tile the work is co.tenced. One 90 day extension of tile, lay 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 lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT KAY RESULT IN YOt~ PAYING TWICE FOR IMPROVE"ENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FIHANCING, CONSULT WITH YOUR LENDER OR AN ATTORN~~ BEFORE RECORDING YOUR NOTICE OF
<br />COK" CE"ENT. JOBS UNDER $2,500 At" DO NOT NEED TO RECORD A D POST A "NOTICE OF CO""ENC T',
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<br />U~,'-'
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<br />
<br />STATE OF FLORIDA P
<br />COUNTY OF A.s c..o,
<br />The foregoing instrument
<br />before me this 0(;\- 14
<br />
<br />was acknowledged
<br />,19"10 by
<br />
<br />STATE OF FLORIDA()
<br />COUNTY OF r Pt5 LD
<br />The foregoing instrument "Ias acknowledged
<br />befo\-e me this _()cr IL-, 19 '1fc,. by
<br />
<br />J ee.O in ~ W. PA-eJU.IL
<br />who is persc,nal1 y known to me or wI-". lidS
<br />fl'1"o.d...\..~d
<br />as identifica~n and WhO. ~/did not
<br />take an oath. ~~
<br />
<br />(Signature)
<br />
<br />.J G'f2o/--lc; u.). P~tJ2-
<br />who is personally known to me o.F' "A6 "'a3
<br />pFeeh:lced
<br />as identifica~ti and who ~Jdid not
<br />take an oath. ~~~
<br />
<br />(Signature)
<br />
<br />-
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLI C
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />
<br />c.~
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<br />
<br />~~
<br />
<br />NAT~L1E SWAN
<br />Notary Pu blic, State of Florldl
<br />My Comrr, Exp. Oct. 12, 1999
<br />Camm. No. CC 501333
<br />
<br />NATALIE SWAN
<br />Nol~ry Public, State of Florida
<br />My Comm. Exp. Oct. 12, 1999
<br />Comm. No. CC 501333
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