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<br />CONDITIONS OF PEI~IT AFFIDAVIT
<br />A" NOTICE OF DEED RES'1'RICTIONS
<br />rbe und.rslgned und.rstands that this p.rolt oay be subJ.ct to 'deed rantrlctio..' .bieb oay be ..r. rantrlctl,. tbao City
<br />regulations, The undersigned assUles responsibility for cOlpliance with allY 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 Cor a oisd"....r 'Iolation uod.r stat. I... IC tho oon.r or Intended contractor are oocorlaio as to .Iot llCODBIng
<br />require.ents lay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
<br />788-6611.
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<br />Furtherlore, if the owner has llired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections" of this application for wllich they wUI 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 JOU 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. CONS1'RUC'l'ION LIEN L1\W (CHAPTER 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 Departlent of Agriculture and ConsUlBr Affairs. If the applicant is SOleODe 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.
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<br />E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
<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.
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other goverDlental agencies lay apply to the 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 />* Deparllent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and Bnvirolllentally Sensitive Lands,
<br />Vater/Vastewater Treatlent
<br />* Southwest Florida Nat~r Hanagetent District - NeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Vaterways
<br />* De artlent of Health & Rehabilitative Services Envirolllental Health Unit - VeIls, Vastewater Treallent, Septic lanks
<br />* US Envirolllental Protection Agency - Asbestos abate.ent
<br />I also certify that, if fIll laterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
<br />addressing a "colpensaling volUle" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit, issuance,
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<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 the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Bvery'perlit issued shall hecOle invalid
<br />unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
<br />suspended or abandoned for a period of six IOnths after the tile the work is cOllenced, One 90 day 81tenslon of tile, IaJ 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 />NARNING TO OVHER: YOUR FAILURI TO RICaRD A NOTICH OF COHHBHCIHRNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIIIBKrS TO YOUR
<br />PROPIRTY. IF YOU INTEND TO OBTAIN FINANCING, COHSULT VITH YOUR LENDER OR AH ATTORNEY BEFORI RICORDIHG YOUR HorICE OF
<br />COHHHNCRHINT, JOBS UHDER $2,500 IN VALUE 00 NOT NEED TO RHCORD MfD POST A "NOTICE OF COHHBNCKHINT",
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<br />STAR OF FWRIIlA _~
<br />COUNTY OF ~
<br />The foregoing i~tpuD~t
<br />before me this ~~
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF ~.s(;O
<br />The foregOing tb~rJllll~t was acknowledged
<br />before me this ~-6 , 19 1," by
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<br />(Sign
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<br />, I
<br />
<br />was acknowledged
<br />, 19 5/' by
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<br />to me or who has
<br />
<br />(Name Ty
<br />NOTARY
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