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<br />CONDITIONS OF PEI~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 assOles responsibility for cOlpliance 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 contractor is not licensed as required by law, both the owner and contractor aay be
<br />cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (81l)
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />DContractor 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 tbe contractor wisbes you to sigo
<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 unw (CIffiPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of nFlorida's Construction Lien Law - HOIeOWDer'a Protection
<br />Guide~ prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant ia sOIeone other than the
<br />.owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"ownern prior to couenCelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOIpliaoce 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 instailation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoIled to leet standards of all lawa
<br />regulating construction, City codes, loning regulations, and land developlent regulations In the jurisdiction. I also
<br />certify that I understand that the regulations of otber goverDlental agencies lay apply to tbe intended wort, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
<br />t Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Landa,
<br />Water/Wastewater Treallent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t Deparllent of Healtb i Rehabilitative Services, EnviroDlental.Healtb Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "An or nA,etc.", it is understood tbat a drainage plan
<br />addressing a .colpensating volOleD will be sublitted whicb is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit, 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOl tbereafter
<br />requiring a correction of errors in plans, construction, or vioiations of any code. Every per.it issued shall beCOle invalid
<br />unless the Nark authorized by such perlit is cOllenced within six IOnths of issuance, or if Nark authorized by the per.it is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatensioo of tile, lal 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 IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICH OF COHHENCBMBNT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMIIrS TO YOUR
<br />PROPERTY. IF YOU IIITHND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORRBY BEFORB RECORDIIG YOUR 1I000ICB OF
<br />COHHENCEHBNT. J SUNDER $2,500 I V LUB NOT NEED TO RECORD AND POST A .NOTICE COHHBNCBMBNT".
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<br />SIGNA
<br />
<br />STATE OF FLORIDA<~
<br />COUIITY OF r aaA...D
<br />The foregoing in~rument was acknowledged
<br />before me this tf - dy(~ 19-1.1 by
<br />
<br />a~ C. c;J:j JM.-
<br />who ls~rsonally known tomjPor who has
<br />produced . ",' '.' '.. . , '
<br />as i tificatibo'and who 'did/did not
<br />ta oat
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~
<br />The foregoing i~trument was acknowledged
<br />before me this ~ drlOp:.J, 19 q 7 by
<br />
<br />~ C~J~
<br />who is era nally known to mil or who has
<br />produced
<br />as tification
<br />t e OCl,t
<br />
<br />and who' did/did not
<br />
<br />~
<br />r+
<br />Stamped)
<br />
<br />
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<br />
<br />RHONDA C. NAEYAERT
<br />MY COMMISSION # CC 482399
<br />EXPIRES: July 20. 1999
<br />Bonded Thnl NotaJy PublIc lMderwIftm
<br />
<br />"~~";U'" RHONDA C. NAEYAERT .
<br />i~~>"b.'Ptff-: MY COMMISSION /I CC 482399
<br />~'!':.~.''''f EXPIRES: July 20, 1999 I~
<br />"'J.~(;;;,~~,- Bonded Thnl Notary Public Unde1w1ft818 II
<br />1111"1\\'
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