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<br />CONDl'l'IONS OF PEUMI'f AFFIDAVIT
<br />A. 'NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which aay be lOre restrictive than City
<br />regulations. The undersigned assUles 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 lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents lay apply (or the intended work, they are advised to contact the City of ZephyrhillsBuilding Departlent, (813)
<br />788-6611.
<br />
<br />Furtherlore, if the owner has hired a contractor or 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 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.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />(:~!
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<br />D. CONSTRUCTION LIEN unw (ClmPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOWOer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConSUler 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 prolise in good faith to deliver it to the
<br />"owner" prior to couencl!.lent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVI'f
<br />I certify that all the inforlation 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 />1\
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no vorl or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perf OIled to leet standards of all laws
<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 other goverDIental agencies aay apply to the intended worl, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
<br />I Departlent of EnvirOfilental Regulation - Cypress Bayheads, Wetland Areas and Envirofilentally Sensitive Lands,
<br />Water/Wastewater Treallent
<br />t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Healtb , Rehabilitative Services, EnvirODlental Healtb Unit - Wells, Wastewater Treattent, Septic ranks
<br />! US EnviroDlental Protection Agency - Asbestos abatelent
<br />J also certify tbat, if fill laterial is to be used in Flood Zone .A. or "A,etc.., it is understood that a drainage plan
<br />'sddressing a .colpensating volUle" will be sublitted which 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 tbe work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official lrOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of an, code. Ivery perlit issued shall becoIe invalid
<br />unless the work authorized by such perlit is cOllenced within Sil IOntha of issuance, or if work authorized by tbe perlit is
<br />suspended or abandoned for a period of six IOnths after the Ule the work is cOllenced. One 90 day utenslon of tiae, _, 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 IOntb period, or the project will be considered abandoned.
<br />WARKlNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY MSULT IN YOUR PAYING !lUCK FOR IHPROVIIIIIIS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIK FINANCING, CONSULT WITH YOUR LINDER OR AN AnORlIlY BIFOM RlCORDIIIG YOUR 1I000ICK OF
<br />ClIIIIIIICIIIIlft'l. JOIIS UID" 12.500 II VAtUl 00 RDr IIEllD ro RKCDIID RItD nlCl UP ClIIIIRIICIIIII'. .
<br />
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<br />'I- S ITDR: DIlRER OR llGIIIIT ,/
<br />
<br />
<br />STATE OF F~A
<br />COUNTY OF . 6W
<br />The foregoing in~tr~ent
<br />before me this ~(;lS
<br />
<br />was acknowledged
<br />, 19.rr by
<br />
<br />_ Jkj( ((. &,' d~~
<br />who is personally kn n to me or who has
<br />produced h D II--
<br />as iden ification aQd who did/did not
<br />take tho
<br />
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />",tilt", SHARON L BARBER
<br />l~l:ifl' r~\ tIN COMMISSION' Cc443613 EXPIRES
<br />i*: ;*E March i, 1999
<br />~;;.,.. ...~~ BONDED THRU TROY FAIN INSURANCE. IHe,
<br />''',Rr.:~\
<br />
<br />
<br />, I
<br />
<br />
<br />. ~\ ~ Bobble 8. SWetland <-
<br />/J ~,.:\ tIN COMMISSION' CC534927 EXPIRE..:.
<br />",'. ~~E February 22, 2000 0
<br />';.:iir.i',,'f.... 30NOED THP.li T~0\' "~IN INSURANCE. INc.
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