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<br />CONDITIONS OF PEI~IT AFFIDAVIT
<br />A. _ NOTICE OF DEED HES'l'UICTIONS
<br />The' undersigned understands Lh~thi~ii-.aV-be subject to "deed restrictions" which lay be lOre restrictive than City
<br />regulations. The undeuigned assllIIes respoJlsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTMC'l'OnS AND CON'l'HAC'l'On RESPONSIBILI'l'IES
<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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
<br />requirl!.lents lay apply Cor L1le intended work, they are advised to contact the City of ZephyrbiJls Building Deparblent, (813)
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have tile contractor(s) sign portions of the
<br />.Contractor Sections" of this application for which they will be responsible. If you, as the owoer sign as the contractor,
<br />you are indicating that you, ralller 1I1an the contractor, are responsible for the work. If the contractor wishes rou to 8igo
<br />as contraclor that lay be an indication thal he is not properly licensed and is not entitled to per.itting priVileges in the
<br />Cily of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />l' ~\' ~r
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<br />D. CONS'l'RUC'l'ION LIEN Lf\.W (CIIAP'l'ER "/13, FLOIUDA s'rA'rUTES, AS AMENDED)
<br />I certiiy-Ihat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWner's Protection
<br />Guide" prepared by the Florida DepartJent of ngriculture and Consuler Affairs. If the applicant is sOleOne other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good Caith to deliver it to the
<br />"owner" prior to cO.lencelenL
<br />
<br />E. !=ONTMCTOU' S/OWNER' S AFfI~AV 1'1'
<br />I certify that aU the inforlation in this application is accurale and 1I1at aU work will be done in co.pliance with all
<br />applicable lalfs regulating construction, zoning, and land developlent.
<br />I \ t
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<br />Application is hereby lade lo obtain a perlit to do work and instailafion as indicated. I certify that no worl or
<br />installation has cOIIenced prior to issuance of a perlit and that all work will be perforled to leet 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 otber goverDlental agencies laY apply to tbe intended worl, and that it is
<br />IY responsibility to identify what actions I lust take lo be in cOlpliance. Such agencies include but are not li.ited to:
<br />* Departlent of ~nviroDlental Regulation - Cypress Bayheads, Wetland Areas and RnviroDlentally Sensitive Lands,
<br />Waler/Wastewater Treallent
<br />I Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />* Departlent of Health i Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treallent, Septic Tanks
<br />I US IinviroDlenlal Protection Agency - Asbeslos abatl!llent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan
<br />addressing a "colpensating volDle" will be sublitted 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 perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />8e~ 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. Svery per.it issued 8hall becoIe invalid
<br />unless the work authoriled by such perlit is cOllenced within six IOnths of issuance, or if work autboriled by the perlit is
<br />suspended or abandoned Cor a period of six IOnths after the tile the work is coaenced. One 90 day eatension of tile, la' 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 durin ch six IOnth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE T ORD A NOTICR OF COHHRNCIiHRNT MAY RRSULT IN YOUR PAYING TWICE FOR IMPROVIRRIrS TO YOUR
<br />PROPIRTY. IF YOU IHTIiND TO IN FINANCING, CONSULT WITH YOUR LENDRR OR AN AnORlIlY BIFORI RIC OUR If ICE OF
<br />COHHINCIHHNT. JOB DE 2 N VA DO NOT NIiHD TO RHCORD AND POST A "NOnCK, C T". /
<br />' ,-,/'
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<br />S
<br />
<br />
<br />ST~~ FLORIDA
<br />COU~yO~F
<br />The foregoing instrument
<br />before me this
<br />
<br />
<br />
<br />I
<br />: I'
<br />
<br />was acknowledged
<br />, 19_ by
<br />
<br />STATH 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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