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<br />CONDITIONS OF PElmlT AFFIDAVIT
<br />, A.. NOTICE OF DEED RES'l'RICTIONS
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undersigned assUles responsibility for cOlpliance lith any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If tbe contractor is not licensed as required by lal, both the OlDer and contractor lay be
<br />cited (or a lisdeleanor violation under state lal. If the olner or intended contractor are uncertain as to wbat licensing
<br />requirelents lay apply for the intended lork, they are advised to contact the City of Zeph,rhills Building Departlent, (813)
<br />788-6611. .
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<br />FurtberlOre, 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 the, will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that fOU, rather than the contractor, are responsible for the work. If the contractor wisbes 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
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<br />D. CONSTRUC'l'ION LIEN L'l\W (CHAPTER 713, FLORIDA STATUTES1 AS AMENDED)
<br />I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien taw - HOIeOIDer's Protection
<br />Guide' prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is sOleORe other than the
<br />'OlDer", 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 cOllencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all lork will be done in cOlpliance with all
<br />applicable laws regulating construction, loning, and land developaent.
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<br />Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perfoIled to leet standards of. all laws
<br />regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
<br />certif, that I understand that the regulations o( otber goverDlental agencies la, appl, 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 BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnvirODlentall, Sensitive Lands,
<br />, Water/Wastewater !reallent
<br />· SOUthlest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />· Arl' Corps of Bngineers - Seawalls, Docks, Navigable Waterways
<br />· Departlent of Health' Rehabilitative Services, BnvirDDleDtal Health Unit - Wells, Wastewater !reallent, Septic lanls
<br />· US BnviroDlental Protection Agenc, - Asbestos abatelent
<br />I also certIfy that, If fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understoodtbat a drainage plan
<br />addressing a .colpensating volUle" will be sublitted 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 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 fIOI thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Svery perlit issued sball becOle iDvalid
<br />unless the work authorized by such per.it is cOll8nced within sil IOnths of issuance, or if .ort authoriled b, the perllt is
<br />suspended or abandoned (or a period of sillOnths after the tile the worl is cOIIenced. One 90 day eltension of tile, ., 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 sil IOnth period, or'the project will be considered abandoned.
<br />WARNIIIG TO OWIIER:~OUR LURK TO RECORD A NOTlCE OF COHHENCHHBNT HAY RlSUL! I" YOUR PAYING BICI FOR IHPROVHHBIIIS 10 YOUR
<br />PROPERTY. IF YOU I NT D" ..' O. BTAIN. F.I..,," ,A. ICING, CONSUL! WITH YOUR LINDKR OR AN ATTORIIIY BEFOR! RICORDIMG YOUR MorICI OF
<br />COHMINCEHINT. JOBS N $2,5 IN VAL NOT NEID TO RlCORD AND POST A "NOTICI OF COIIIIBJICBHIIIIIl. I
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<br />srATE OF FLORI;! _
<br />COUI" OF pK-LcAJ
<br />The foregoing instrument was acknowledged
<br />before me this II-/~ , 19f& by
<br />
<br />jJAvt, tJlL ~
<br />c:Jdm1s persona lUlu".. Lv me :t>r who has
<br />produced
<br />as identification and who did/<<lfil no1:)
<br />take an oath.~/~
<br />
<br />(Signature)
<br />
<br />STATI OF FLORIDA/.1
<br />COUNTY OF &4(..4./
<br />The foregoing instrument was acknowledged
<br />before me this 1/---/6"-, 197"6 by
<br />
<br />@ecrA J1l~
<br /><:JIfffif ersonally known to .is> or who bas
<br />produced
<br />as identification and who di~
<br />take an oath. ~h_M ~ ~
<br />
<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
<br />
<br />11 Ronald R RollbInI
<br />* * My eomm_c:c:elMe
<br />~ ~ Expirel MIlICh 30. 200t
<br />1fo.,,'t.Q~
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