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<br />CONDITIONS OF PElrnIT AFFIDAVIT
<br />A. NOTICE OF DEED HES'l'HIC'l'IONS
<br />The underiiigned underBLands Lhat Lhis perlii lay besubject to "deed restrictions" "bich .ay be lOre restrictive than tity
<br />regulations. The undersigned assllIes responsibility for cOlpliance "ith any applicable deed restrictions.
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<br />B. UNLICENSED CON'l'UAC'l'OnS AND CON'l'UAC'l'OH UESPONSIBILI'l'IES'
<br />If Llle mmer has hired a contractor or contracLols-tounderlale lIork, tiley lay be required to be licensed in accordance with
<br />state and local regulations. If the contraclor io not licensed as required by law, both the o"ner and contractor IIiIY be
<br />cited for a lisdeleanor violation under state law, If Lhe owner or intended contractor are uncertain as to "hat licensing
<br />requiryents lay apply for the intended Norl, I.hey are advised to contact the CiLy of Zephyrhills Building Deparl:8ent, (813)
<br />780- 6611.
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<br />Further.ore, if the owner has hired a conLracLor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for IIhich they lIill be responsible. If you, as the OIIner sign as the contractor,
<br />you are indicating that you, rat/ler than Llle contractor, are responsible for the Ifork. If the contractor wishes you to sign
<br />as conLractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPOHTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONS'l'UUC'l'ION LIEN L1\W (CIIAP'l'EH 713, FLOHIDA S'rA'rUTES, AS AMENDED)
<br />I certiiy-tha~ihe applicant, have been provided "ith a copy of "Florida's Construction Lien Law - Hoteowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Conslller Affairs, If the applicant is sOleone other than the
<br />"o"ner", I certify that I have obtained a copy of Lhe above described doculent and pro.ise in good (aith to deUver it to the
<br />"o"ner" prior Lo co_encelent.
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<br />E. CON'rRACTOU' S/OWNER' S AFFIDl\VI'l'
<br />I certify that all the in(or.ation in Lhis application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land develop.ent.
<br />I
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<br />Application is Ilereby .ade Lo obtain a per.it to do "ork and instailation as indicated. I certify that no worl or
<br />installation has cOllenced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws
<br />regulating construction, City codes, lOlling regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand Lhat Lhe regulations of oLher governlenLal agencies .ay apply to tbe intended work, and that it is
<br />.y responsibiliLy Lo identify "hat actiOlls I .usL tale Lo be in cOlpliance. Such agencies include but are not UI1ted to:
<br />t Deparltent of Environmental Regulalion - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
<br />Water/Wastewaler !reallent
<br />t Southwest Florida Water Hanagl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar.y Corps of Bngineers - Sea"alls, Docks, Navigable Waterways
<br />* Departlent of Health & Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater TreatleRt, Septic tanks
<br />t US BnviroDleDtal Protection Agency - Asbestos abatelent
<br />I also certify that, if flll .aterial is Lo be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating volOle" "ill be sub.itLed which is prepared by a professional engineer registered in tbe State of
<br />Florida prior to per.it. issuance.
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<br />. A per.it issued shall be construed to be a license to proceed "ith the 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 IrUl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCOll invalid
<br />unless the work authorized by such per.it is cOllenced within sil IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of sill IOnths after the tI.e the work is cOllenced. One 90 day 81tension of tile, IIY be
<br />allowed for the per. it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection .ust be logged during each six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHKENCRHBNT KAY RRSULT IN YOUR PAYING twlCB POR IHPROVIMBIrS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LKNDER OR AN ATTORNKY HEFOKl RECORDING YOUR MOIICI OF
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<br />IDlIIImJlRll'/. JOIIS ~~~~}X) ~ TO RRCOJlIJ ARll POSI A '''''l~,~~~;~~:=>
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<br />......~.... ".:-'-- <_..'..':.~...'~.-~~_._.._-~'- (:-:~.?" .
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<br />". -- , . (' '," -,-" ..".,
<br />sIfurn.t!!!!!i.JUfm:.OO:::AGHltT -SlGjjluRE: CONTRACTOR
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<br />STATK OF FLORIDA ~
<br />COUNTY OF r If 5' .co
<br />The foregoing instrument was acknowledged
<br />before me this I / 2. / , 19$ by
<br />. I
<br />
<br />STATK OF FLORIDA ~
<br />COUNTY OF r/tSZO
<br />The foregoing instnpllent was aC~f"ledged
<br />before me this I / 1.;2/ , 19 Z5 by
<br />/ r
<br />
<br />who is personally known to me or who has
<br />produced .
<br />as identification and who did/did not
<br />take an oat~ff ~
<br />
<br />(Signature) .
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oat~ ~-,t:)
<br />
<br />(Signature) .
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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