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<br />CONDITIONS OF PEHMl'f AFFIDAVI'r
<br />1\. NOTICE OF IlElm UESTfLLC'J'IONS
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<br />The undersigned understands that this perllit ~ay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulaUulls. fhe ulluersi!]lIed assUJes lesponsilJility for compliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor or conlractors to undertake work, they liay be required to be licensed in accordance with
<br />state and .local regulatiolls. If the contractor is lIol licensed as required by la"l, both the Ollller and eontractor .ay be
<br />cited [or a misdlOlIeanor violation ufiller stale law. If the owner or intended contractor are uncertain as to what licensing
<br />requirements may apply for the intended Ilork, they 1m advised to contact the City of Zephyrbills Building Departllent, (813)
<br />780-6611.
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<br />Furthermore, if the ollner has hired a cuntractor or contractors, he is (lllvised Lo have the contractor(s) sign portions of the
<br />"Contractor SecUons" of this application fpr which tbcy Kill be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that your rather than the contri1c1:or, arc responsible fur the Kork. If the contractor wishes YOII to sign
<br />as contractor that I!ay be an indit;ation that he is not properly licensed ani! is not enti tIed to peIllitting privileges in tbe
<br />City of Zephyrhills.
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<br />C !H1\.!:! SPO.n:K!.r!: I_QrL1I!r,'l~~~_E!:;I;:~LL\tl!L..Y:r.:lYr!:~_~_Qli!{~CT '!.QB_'yE_~~
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<br />IL CONS'l'RUCTIOIf l.nm ,LA\rl (CIU\P'l'lm 713, FLORIDA S'l'A'l'UTES, AS l\rvmNDED)
<br />I LCrtifi"LJ;al:-T,-ii;eai;l;nC'i'llL",~i1avi;~h('e!! p,ov.il1ell with tI COP)' of "Flurida's COP'trUl:l:ion I.ien I,ilK - IIrY'!1!:Olc'ner'g Protection
<br />GuitJ!~" prepiJreO !ty lilt' Florida f)epi)I'-';1~!ll. uf P'JliryJtU'C! iJlid Cunsuf'(;!" nffairs. If t\w upplicant is so~e()lle otlier thim the
<br />"orner" r 1 UJItify thilt I llilve ubl:C1.iul'u !J cu/')' of ;:)~ tlPOV(l u"SCribPl1 doruJ!!Dnt and pn:!:lisa in good faith to de liver it to the
<br />"lJIiI'':!r'' ['rillr I:u C(l'l[~cnr;r.,~qllt.
<br />
<br />E . ~g..!L',.~~~~TQ,~~ '? LQ!~~~!.!'~~~~~:;_}~l:!~EP}~Y~ J:
<br />I certHy Uidl. ilJl Uw ill[(J[Pi~Ut") in Ud': ,'ppliCiltiOll h accurate and tfl1lt111 tlolk nill be done \0 coppliance llith illl
<br />o!'pJ1cal'h\ ll~S rl'~j'ililUIi~ cU1l5l:rlicUell, FlIng, ,1nd liJmJ dc,;d~)p'l;:!lt.
<br />
<br />lliTIic,lUon i!; ~r:rehi natle 1.0 ulil :!in a P"fii1il: Lo (1u tlll.k illlll ill'Jtallal:iull ilH Indicateu. I cartify lhal no !fork or
<br />i;):;l,lllaticll hil'j eOMellll!ll prior In j';SP;jj.,I! ()f a pe'"U [,llIJ t'\at ilJl ,'orh wiB be perforl!'cd to neet staHdi1r~s (If all Ji.ms
<br />rr:ii(l,ll.inq io))',1.rlJdioi', CHf Cl"111, 7011hFI P'jIJIaU"i!n, uil'] l,1ud ll,!\.rel(!p~ent rcquldlioas in I.he jurislHcUoo. I also
<br />Leil i r~- UwL J u'UkniliJn'.1 llloJt lite u!'jllliJUv!l; of HUH go\!ernr'1elllili t'genc.i'lS 1"_1)' ilpply t.o tlltdnlf'lIded f.ork; and that it 1s
<br />r.,y f'\~~!!'!!jihHHy VI i!1c;;ljfy \:1:::1 ;)[1 ~'yr; I i'\l!;I, (;J';' to hI} ill ,:,wpliallc", ::lI('h i1~211d!jf,;nd\J'~'J but an! Hut F:"1ited tu:
<br />* ~r~rJ.:'.!:Tl_~~_.E~11:i~;Qr)riL'tql!!~:ti!1tI~'~ - Cnn:s:; Dayh.,.ylr;, l'ic':hnu A,r;:'l (lild Envi'.Ol;rijeiit(\Uj' Sensitive J,'.ilds,
<br />~ '.;:, r; r /~,.. tJ~i tr ,'J! -p t T.:. f: :" L,~:,'2H t
<br />to f:{);IUl\'C:!: [!:;\rk IL:!F1'C'\ii,.Pi.L, i'h - F:-lI!11 CiPlrS!~ nayh[;i':;'~1 lil'U.i1Ld /lrc~R, rdtl~ring f'id:ercOUfSE'S
<br />t ~rl~1,.~:':':!J:)n_5LL g~.~:i~~J~E,~!~ w' ~L,}~~:.,i,;ls, r''l(~;i't h:'/},!jJLlr. t:;1tC1.ljl~Y:3
<br />~ IJUiJ' tF.~ol! ~lr Il'~'\d lit I; lil'!;:l!!! Ii li'tiJc 0". r~I,'jrw,,,r.IL~] :I'>I! i h lIiiH - ~' )Jn, h'Js!. l'1fal.rr Trnl.!"cnt, SepUc Tilll/iS
<br />~ It;:l!\t,ll l'rolr:ctbI!~:JL,;Y- J1!':.';\::; i';.;lr.',II:.
<br />I ;;b) (',',i;ri'ij'!;~r-jrfI,r;,17J.I.i;~;-ji11 i;; in l;" \i,:r~ in Fh{'I] 7JIlr! ";," or "",dc.", H is lliiO\'tr:tond tl!ilt il drahl''lgp. plil.11
<br />ilil<Jn"o,j"I" '"tl;;rnnfwl.iil'! \.oJ:1r..,l,H 1:ill J<:' 1'1'1. iU:-'j :,!"ih ;1" pirl'~'(l'll'y i1 ['U)fl'!,~;k.:,~l fmgirw:'f r:~i,:\"n:'d ;ll the Slille d
<br />no/ilL pi;'; lo :{;i"it ;:,I1\W!CP,
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<br />fa [jfl).1'H. im1\td :.il(!! I 'ie CGi;r,tr!1~J 10 hll (II h'llr.e 10 ~'O':r"!~ ~ilh : III! ~{~'r.\ find nilt il~ n!:thor.; I y to vldiller caor;ll a Hp.r, er
<br />VI ,,'Ll!'. i1:l1 i".,"d...ii;!'1 1)[ p.:, ~ "rJ"du1 1.'" no" :.:..,': ;::!HI~'::C\ .r ,j V it i.,t\l'iEiii tile lip' tE'] Oflh:.t111 flc'; UH;rca[tl}r
<br />H"I'id!Hlll rYfcclicll 01 "n' If' iJ):'!;'n"r I "slr.wI'I'1\ ;If vlnh1i(;;il; ~ir i!',l' [;.:1~, [.GlY pCn1'1L .;SSU(U shall bec(}J{; Invalid
<br />unk:!i UIIl trod 1lUlknhrJ] LJ. ,:Udl r :~H I,; UI.~r'.;:(~;J wHhill six. ,"'Jllll,s of jBfl\'i":'~e, lir if i.iUd, ilUUIPd7.rd hy UI" prlrFit is
<br />s\}~).'r'ldt'0 or i,hlpihlli:ll j Of d ,do!l ': [ s h'mU' rli: "r lJil' Lilli' UK' l1(Jr~ is C!".!,;',~!r:eIL One 90 dilY elllen: ion oj lill'e, pay be
<br />(lJI'c(1 for the f.lpr,.,H -dlh L:' !ii:r~!~ of 'l'i)H). fir: {)x:.u!~t(ia fluIl!!1 ',jne:.!:;' ill xlilirlg 1.0 lh'J lllJilrJinlj ij[ficiill. An
<br />(1[\lHP~'!] jn";"'L!j[,ll .,:::. lH! II'?: .: '~'!dny .il C:;~ 1il'''ILL j1criulJ, (If I:lJn I'.ijr:' hill k (!JIir)ut 0d il(Hloild.
<br />P\!1llW' TO O"/'TH; \T,:' rrr.!.UPio '.ili '-, !Hm ,i)Ti!i\ or (("u:i~~:u:m:n W' ;i!;;,'i<: .il YOP . r.UlG run: Fon nnTDVLiElIT3 TO YJUH
<br />Pli)PFEIL IF Pl Pj;':Pjl'l(l 'Jnri\I'I':':~,,(n. 1:'):;ml(.1 VITI '!:\'In Iwn',; n[" f,7':rm:lF'!i:nW:; ncmJi;r;:G leu!! J:ilTlU: OF
<br />n:;;1iR'U;W'!C, .F';r, IJi!;FH rV.C0 P; VY:H; I' .:f liF!T :'0 i'Ff,'i'flW'l i'O~~ r, ':'171(:[: Pi' C)lI',':".:;n,lH".
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