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<br />CONDITIONS OF PEI~IT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />rho ......Igned uDd.rstaDd. that tbl. per.lt oay b. .ubj.ct tn 'd.ed restriction.' wblcb .ay be .... restrlctl.. tbaa City
<br />regulations. rhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If !be ....r bas blred a contracter nr contract.r. t. urulerta" ..rt, they oay be regulred 10 b. II....ed in aCCOOlaace with
<br />.tat. and local r.gulatlon.. If the contract.r I. n.t licensed as required by law, both !be ..... and contractor .., be
<br />cited f.r a .I.d......r .Ielatlon uod.r .tat. law. If the ....r .r Intended contract.r are ..certal. as 10 obat li....ing
<br />r.gulr....t. .ay apply fer tb. Int.nd.d wurt, th.y ar. ad.lsed tn c.nlacl th. City .f Zepbyrbill. Building Deporloent, (813)
<br />188-6611.
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'COotract.r Secli.... .f thl. application f.r whleb tb.y will be r"ponsibl.. If you, as !be ..... sign as !be contractor,
<br />you are indicating that you, rather tbaa tb. contraclor, are r"ponsibl. f.r tb. ..rt. If lbe contractor .iobes you to .190
<br />as contractor that lay 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. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN Lnw (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 _ HOIeOWDer's Protection
<br />Guide" prepared by the Florida DepartJent of Agriculture and ConSUler Affairs. If the applicant is sOleone other than the
<br />"olfller", I certify that. I have obtained a copy of the above described docUlent and pro.ise in good faith to deUver it to the
<br />"owner" prior to cOllencelent.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the infor.ation in this 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 hereby .ade to obtain a per.it 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 perfoCJed to Jeet 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 goveCDIental agencies .ay apply to the intended vorl, 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 />t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
<br />Water/Wastewater rreallent
<br />t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />t Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />t De artJent of Health & Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater freatJent, Septic fanls
<br />t US EnviroDlental Protection Agency - Asbestos abatelent
<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "co.pensating VolUleR will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it, issuance.
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<br />. A per.lt i..ued shall b. construed t. he , lice.., t. proceed witb lb. wort and not as authority 10 .Iol,te, canool 'Iter, or
<br />set aside any provisions of tbe technical codes, nor shall is~u~nce of a per.it prevent tbe Building Official frOJ thereafter
<br />requiring a corr,ell.. of ,rror. in plan., construction, .r .iol,ti... of any cod,. Ever, poraIl 188001 ol?i1 becoio lDraJld
<br />unless lbe wort ,ulloriled bl .ueb p'OIlt i. COOIenced .ithin .i, oenlbo of i......., .r If wort autbor1oed If tie ,",,"I I.
<br />,",ponded or abandoned f.r a period of .1, oenlbo alt,r th. Ii.. the wort I. ......ced. Doe 90 doy "leasl.. of tioe, .., be
<br />allowed for the per.it with fee cbarge of $15.00. rhe extension sball 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 ro OIflfiR: YOUR FAILURE TO RECORD A NOTICR OF COHHENCKHBNT HAY RESULT IN YOUR PAYING 'fIfICH FOR IHPROVRIIDrS ro YOUR
<br />PROPERTY. IF YOU INTRND ro OBrAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ArTORRBJ BRFORE RECORDING YOUR 1f0000ICB OF
<br />COHHiNCiHlNT. JOBS UNDiR IN VALUR 00 NOT NRiD ro RRCORD AND POsr COHMENCiHBlfTR.
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<br />, I
<br />
<br />srArR OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATR OF FLORIDA
<br />COUNTY OF
<br />The foregOing instrument
<br />before me this
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an oath.
<br />
<br />who is personally known to me or who has
<br />produced
<br />as identification and who did/did not
<br />take an Oath.
<br />
<br />(Signature)
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
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