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<br />CONDIT,IONS OF PERMIT AFFIDAVIT
<br />A". NOT r Ce: OF De:e:D Re:STR I CT IONS ;', , . '
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<br />The underslgnad underslinds that this plrllt lay bl sub3ect to 'deed re5trlctl~ns' which ~ay b~ a~r~ res'rlctlve than City
<br />regulations. The unde~slgned assules re,pons1blll', for cOlpliance with any applicabl~ deed restrictions.
<br />.:. I :'~"',',. .. .,', ,
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<br />B. UNLIGENSED CONTRACTORS AND CONTRACTOR RESPONSJ:BILITIES
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<br />If the owner has hired a contractor or contractors to ~ndDr~ake wor~, they ~ay b& r~qu\red to be licensed In accordance with
<br />state and local regulations, If tht contractor 11 not Ilc:i!f\1C!d as rt.quircd by law, both tbe ~\fner :arld'co,ntracteor nay be
<br />cited for iI Ilsdueanor violation under state lall,-, If the Clllner 'or intended cContrad(.r arc uncert~ln asto what licensing
<br />requlreaents aay apply f(or the intended work, theY are advis:?dto cClntact the City clf Zeph~th'ill!i.\~uildlng Departeent, (813)
<br />7813-6611. ' . ',',
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<br />Furtheraore, If the owner has hired a contractor or contractors, he is advised to have the c~ntractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If y~u, as the ~wner sign i1S the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wor~. If the contractor wishes you to sign
<br />as contractor that aay be an indication that he is not properly licensed and Is not entitled to per&ittlng privileges in the
<br />City of Zephyrhllls.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D.
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<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
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<br />I cedify that I, the applicant, have been providedwlth a copy of 'Flc,rida's CClnstruclion Lien Lali - HC.Deoliner's Prc,teclion
<br />Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is so~e(.ne other than the
<br />'owner', I certify that I have obtained a copy of ' the above described document and promi~e in good faith to deliver it to lhe
<br />'owner' prior to cOi~encement,
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the information in this application is accurate and that all work Hill be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land develop~ent.
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<br />Application is hereby .ade to obtain a ~er.it to"do Mork and installation as indicated. I (ertify that no work or
<br />Installation has cO&lenced prior to issuanct of a perlit and that all work Hill b~ perfor~ed to ~eet standards of all laws
<br />regulating n.nstruc:tic,n, CHy c(,des, zoning nigulations, and land develclpl!lent, requlatic.ns in the jurisdic:ticon. I also
<br />certify that 1 understand that the regulations of other governmental agencies ~ay aoplv to the intended liorK, and that it is
<br />fJY responsibility to identify what actions 1 aust'take to be in n.mpliance. Such aqencies include bllt ~1 e 1i(lt li,lited to:
<br />
<br />I Departsent of Envir'onl!ental ReQulation - Cypress Bayheads, Hetland Areas and Envirclnmentally Sensitive L~ilds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Hater ManaQeftent District - Wells, Cypress Dayheads, Hetlano nreas, hltering HatercOUfses
<br />I Army CorDS of Enoineers - Sealialls, Docks, Navigable HaterNays
<br />I Departaent of Health L Rehabilitative Services. Environmental Health Unit - W~lls: Wa!i.teHater Treat~en~. Septic Tanks
<br />I US Environ~ental Protection AQenc~ - Asbestos abatement
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<br />1 also certify that, if fill lIatr:rial is to'be used in Fl(ood ZClne "A" or 'A,etc,', it is understc'(ld t,,~t a drainage plan
<br />addressing a 'colpensating volule" will be subtitted which is prepared by a profcS!i.iDnal engineer registered in the State of
<br />Florida prior to permit is!i.~anc~.
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<br />A per~it issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, Dr
<br />set aside any provisicofls of the technical codes, nor shall issuance ()f a "pl~rmi t prevent the Bui Iding Official fre." thereafter
<br />requiring a correction (,f erTe,rs in plans, cconsnucticln, or violati~ns clf any. qo!l~~ Every per"ilit issued ohall bec'oae invalid
<br />unless Ute lioTk authorized by such permit is cDIUlenced within six months of issua'Dce, ,.r it' ,iOlk authMj,ed bi the perlit is
<br />suspended or abandconed f(.r a perlcld c.f six tonths after the tillle the;llotk is {:Mlmcl1ced.pr;e 9(;.da)' l'~lt,;o;i'<11 c.r tiae, aay be
<br />allowed for the per~it liith fee charge of $15,00, The extension shall b~ requested in ~iitinq 16 the Building Official. An
<br />approved Inspecticln I'mst be lc,ggedduring each six Mnth period, (If the protect Hill be [(.nsider"d dbaildc.ned,
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LE DER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENC NT. J UNDER $21500 IN VALUS
<br />DO NOT NEED TO RECORD AND POST A "NOTIC 0 CEMENT".
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<br />SIGNATURE_11J~_-- (J -~- -~ --
<br />OWNER OR AG~~----- CONTRA
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<br />DATE_____SZ:-~-=_1-1----------------------
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<br />DATE 2-"">- q I
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<br />NOTARY AS TO . It, /J. '
<br />OWNER OR AGENT_~_~k~~~
<br />Notwy PuIIIf. Stott .. flarklll
<br />MY COMMISSION EXPIRES__~~~!~~~J!g~-~JId
<br />........ TllfV Tf01 FolIl......_ ....
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<br />~~~~~~C~~~~~_;b::~~L~~-
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<br />MY COMI'1I 55 ION EXP I RMyE~(__=~!.G!'_~!f!rjlIL-
<br />amm Expires Oct. 9. 19"
<br />"114'; "'"' Tf01 fain. In......_lnc,
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