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<br />. CONDITIoNS OF QS~MI~ AFF!DAV1T
<br />A; . NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this per..it 'Iay be subject hI 'deed restricti.oni" Nhich ...y be '~rI restrictive than City
<br />regulations. The undersigned aSIUDS re5~onsibility for co.pli,ince with any ilpplicable deed restrictions,
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor Dr contractors to undertake Nork, they lay be required to be licensed in accordance Nith
<br />state and local regulations. If the cont'ractor i~ not licensed as required by lalt, both the ollner and contractor lay be
<br />cited for a lisdeleanor violation under state law, If the ONner Dr intended contractor are uncertain as to Khat licensing
<br />requirelents lay apply for the intended work, theV are advised .to contact the City of Zephyrhills Building Departlept, (813)
<br />788-6611. . ,
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<br />Fur therlore , if the owner has hired a contractor Dr 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 ONner sign as the contractor,
<br />you are indicating that you, rather than .the contractor, are responsible for the Nork. If the contractor Nishes 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.
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<br />C~ TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D~ CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided ltith a copy of "Florida's Construction Lien Law - HOleoNner's Protection
<br />G~de. 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 Dbtained a CDPY Df the above described doculent and protise in good faith to deliver it to the
<br />.Dwner' priDr to cOllencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlatiDn in this application is accurate and that all Hork will be done in co.pliance with all
<br />applicable laNs regulating cDnstructiDn, zoning, and land developaent.
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<br />Application is hereby aade tQ obtain a perlit tD do Mork and installation as indicated. I certify that no Nork Dr
<br />installatiDn has cDllenced priDr to issuance of a perlit and that all work will be perforled to leet standards of all laNS
<br />regulating cDnstruction, City cDdes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulatiDns of other governlental agencies lay apply to the intended Nork, and that it is
<br />IY responsibility tD identify what actiDns I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />f Deoartlent of Environlental Reoulation .- Cypress Bayheads, Wetland Areas and Environtentally SeQsitive Lands,
<br />Water/Wastewater Treatlent
<br />f SDuthwest FIDrida Water "anaaeaent District - Wells, Cypress Bayheads, Wetland Areas, .Altering Watercourses
<br />f ArlY CDrDs Df Enaineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health & Rehabilitative Services. .Environlental Health Unit - Wells, ~astewater Treatlent, Septic Tanks
<br />f US EnvirDnlental ProtectiDn AGency - AsbestDs abatelent
<br />I alSD certify that, if fill laterial is tD be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a 'cDlpensating volule. will be sublit~ed Nhich is prepared by a professional engineer registered in the state of
<br />FIDrida prior to perlit issuance. .
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<br />A perlit issued shall be construed tD 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, nDr shall issuance of a pertit prevent the Building Official frol 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 authDrized by such perlit is cOllenced within six tonths of issuance, Dr if work authorized by the pertit is
<br />suspended or abandDned for a period of six IDnths after the tile the wDrk is cOlleneed. One 90 day extension of tite, tay be
<br />alloNed 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 IDgged during each six lonth period, or the project will be considered abandoned.
<br />WARMIHS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />CD" EKEMT. JDBS UNDER $2,500 ALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
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<br />STATE OF flORIDA P
<br />COUNTY OF A-5 c...o
<br />The foregoing instrument was acknowledged
<br />before me this~, 19~ by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF PASCo
<br />The foregoing instrument
<br />befc'l-e me this Dc.t-(4
<br />
<br />was acknowledged
<br />, 19~ by
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