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<br />CONDtTtONS 'ot.JJlBhMl't.AFFIDAVIT
<br />A. NOTtCg OF DSgD RESTltICTIOHS . 'l"v'i~.t~'.: "~j .
<br />'he undersigned underRtand' that thl. petllt .ay be IUbJIt~lto~'eId't@ltrlctlonBR which lay be lOre restrictive than City
<br />regulation.. the Uhddr.lgned .1.UIeI tfSponRibil1tt tor totpll~ce ~lth any applicable deed restrictions.
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<br />B. UNLICENSEUCOH1RACTOhS AND CONtnACTOR RESPONSIBILITIES
<br />If the owner h48 hired a toftliactor or eontractors to undertake IOrk, they .ay be required to be licensed in accordance with
<br />Rtate and loedl t~laUon.~ If the contractor II not lleenltc1 I. required by law, botb the owner and contractor JaY be
<br />cited tor a 81sdeleanor flolatlon under Btat~ law. It the dMntt or Intended contractor are uncertain as to what licensing
<br />requlrelftntl lal applt tot the Intended IOrl, they are ad,l.ea t~ contact the City of Zephyrbills Building Deparllent, (813)
<br />188-6611. .
<br />
<br />Furtheriore, It the owner has hired a contractor or contractors, be Is advised to have the contractor(s) sign portions of the
<br />-contrdctorBectIOd.i of thl. application for which they will b@ responsible. If you, as the owner sign as the contractor,
<br />you are IndIcating that you, rather than the contractor, art r@Rpon8Ible tor the worl. If the contractor wishes you to sign
<br />as contractor that la' be an indication that he Is not properl, licensed and Is not entitled to perlitting privileges in the
<br />City of Zephrrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILIT'Y CONNECTION FEES
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<br />D. CONSTRUCTION LIEN ~AW (CHAPTEn 113. FLORIDA STATUTES, AS AMENDED)
<br />I c@rtify that I, the applicant, ba.e been provided with a copy of 'Plorlda's Construction Lien Law - HOIeOWDer's Protection
<br />Guide- prepared by the 'lor Ida bepattlent of Agriculture and CORlUler Affairs. If the applicant is so.eone other than the
<br />"owner", I certify that i hav! obtained a cop, of the above described docUlent and prolise in good faith to deliver it to the
<br />"owner" prior to collencetent.
<br />
<br />E. CONTRACTORtS/OWNER'S AFFIDAVIT
<br />I certify that all the Infor.ation in lbis applicalion is accurale and lhat all wort will be done in co.pliance with all
<br />applicable lawS regulaling construction, loning, and land de,eloplent.
<br />
<br />Application 18 hereb, I8dd to "btain a per.it to do work and InstiillaUon a8 indicated. I certify that no work or
<br />inetallatlon he' COIIenctd prlbt to issuance of I per.it and that III work viII be perforled to .eet standarde of all laws
<br />regulating conltructlon, tilt todee, *onlog regulation., and land developtent regulalionR in the jurisdiction. I also
<br />certify that t underlldnd that the regUlation. bt bther goterhlental agencies .a, apply to tbe'lntended work, and tbat it is
<br />IY responslbilily to identit, what action. 1 .usl take to bI,la COIPliance. Sucb agencies include but are not lilited to:
<br />. Deparltent of Bn,lronledlal Regulation - CypreBI Barbead.; Wetland Areas and InviroDlentally Sensitive Lands,
<br />Valer/Wastewater freatjent
<br />. Southwest Plorlda Vater Managetent District - Wel18, Cypre" ba,heaaa, Wetland Areas, Altering Watercourses
<br />. Ar., Corps of lnQineer' - Beawalls, Docls, la'igable Waterways .
<br />. Departlent of Health I lebabtlltiti,e Ser.icet, Infltoblenlal Health Uolt - Wells, Wastewater 'reatJent, Septic Tanls
<br />. US lo,irODleDtal Protection Agen~ - AtbeRtos abateleRt . I
<br />I alRo certify that, If fill .aterial is to be used In Flood Ioh@ 'A' or -A,etc.", it is understood that a drainage plan
<br />addressing a 'cotpensatlng ,01nteR wIll be subtitled which 18 prepared by a prOfessional engineer registered in the state of
<br />Florida prior to pet.ll. IssuaAte.
<br />
<br />. A per.lt Issued shall b8 construed to be a license to proceed .lth the work and not as authority to violate, cancel alter, or
<br />set aside any pro,lalon. of the technical,codes, hor shall IB8uance of a per.it prevent the Building Official frOl tbereafter
<br />requiting a corr@ctlon ~r trrore in planB, contttuttlon, bt .iolations of any code. Ivery peIlil Issued shall becOIe invalid
<br />unlesA tb8 work autborllfa bt IUch perlIt 18 tOll8nced within .1. IDDths of Issuance, or if work authorized by the peIlit is
<br />suspended or abandonea tor a period of slllOftth. after lhe UII@ the work is cOIlenced. One 90 day eltension of tile, JaY be
<br />allowed for the petitt 11th fee cbarge of t15.00. . !he ealen81on.~hall ~e requesled in writing to the Building Official. An
<br />approved InApectlon lUst be logged during each sl. .unth ~tlbd,'or the project will be considered abandoned.
<br />VIIRllllfG TO OWnA! YOOIl FAlLURI to RICORO A lOfICI or c...ICIIIft MAl RISUtT IN YOUR PAYING "'ICI FOR IHPROVEKliKTS TO YOUR
<br />PROPERTY. 1P 100 ntlllU to ()(rtAllI FIIIAItCIIG, COISULt Vld'tootI t.t1l01lA OR All ATTORIIY BEFORI RICORDING YOUR NOTlCK OF
<br />llJIIIIICIlIIII. J1.1IS" .MIIt 'I tAWlIlO lOt laD 10 Rll.llllfillD IOlIr A '1IIJflCll OF ClIIIIBIICIIIIm'.
<br />
<br />~~.,~<
<br />
<br />SIGWAIURI! UIfIIR OR 1GB'" SIGJ(!IURI: CORlRAe
<br />, I". . .
<br />Randy Allen Daniels
<br />NolarY public. stBtJ e 01' :'~~~
<br />My cornm, EXDlre5 en .
<br />No. CC614195 .
<br />. 81 Notary 5ervtce
<br />
<br />SIATI or FLORIDA
<br />comt OP
<br />The foregoing
<br />before me R
<br />
<br />
<br />. Randy Allen Daniels
<br />NotarY Public. State of Florida
<br />My Comm. Exolres Jln 16.2001
<br />. No CC614195
<br />Thru: Official Notary Service
<br />
<br />d
<br />
<br />(Si~e)
<br />: ,,, . 1/'/ /J/h'V/G~
<br />" (Name Typed, printed or stamped)
<br />. . NOTARY PUBLIC
<br />
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