<br />CONDIT.IONS OF PERMIT AFFIDAVIT
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<br />A": NOT I CE: OF DE:E:D RESTR I CT IONS:. .
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<br />The under5ign~d underst~nds that this per.it .ay be sublect to "deed restrictions' which may b~ ~or~ restrictive than City
<br />regulations. The undersigned assules responsiblli'~...f~.~ co.pliance with any applicabl~ deed restrictions,
<br />.:' ':.~" ',. '. . ~
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the ONner has hired a contractor or contractors to undertake Hor~, they may b~ required to be licensed in accordance with
<br />state and local regulations, If the contractor is not licensed as required by law, both the OMner and contractor ~ay be
<br />cited for a misdemeanor violation under state laM. . If the OHner or intended contractor are uncertain as to what licensing
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<br />7BB-bbll,
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<br />Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the ce,ntractor!s) sign portions of the
<br />'Contractor Sections' of this application for which they Hill be responsible. If you, as the owner sign as the contractor,
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<br />as contractor that aay be an indication that he is not properly licensed and is not entitled to ?er~itting 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.
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<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
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<br />Guide" prepared by the Florida Departsent of Agriculture and Consumer Affairs. If the applicant is SO~Eone other than the
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<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 wort will be done 1n co~pliance with all
<br />applicable laws regulating construction, zoning, and land development,
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<br />Application is hereby aade to obtain a ~erlit to do Mork and installation as indicated. I certify that no work or
<br />installation has co&!enc~d prior to issuance of a perlit and that all wor!: Hill be performed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
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<br />I Department of Environ~ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi\iv~ L3naS,
<br />Water/WasteMater Treatment
<br />I Southwest Florida Hater ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />I Army CorDs of EnQineers - SeaHalls, Docks, Navigable Waterways
<br />I Depart.ent of Health L Rehabilitative Services, EnvirDn~ental Health Unit - W(lls, Wastewater. Treal~en~, Septic Tanks
<br />I US Environoental Protection AQenci - Asbestos abatement
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<br />I also certify that, if fillllaterial is to be used in FIMd Zone "A' or 'A,etc.', it is understc,c,d th,t a drainage plan
<br />addressing a 'co.pensating volule" will be sublitted which is prepared by a professional engineer reqist~ied in the State of
<br />Florida prior to perlit iss~ance.
<br />
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<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
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<br />unless the work authorized by such permit is commenced within six months of issuance, or if work aulhofl]ed by the perlit is
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<br />allowed for the per~it with fee charge of $15,00, The extension shall be requested in Hriting to the Building Official. An
<br />approved inspec\ie,n /!lust be lc.ggedduring each six Mnth period, CoT the prc,jl:d \iill be [(,nsidered dl)diidoned.
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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 LENDER OR AN ATTORNEY
<br />EEFDRE RECDRDING YDUR NDTICE DF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGN~~--
<br />. CONTRAC~-
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<br />__,/ \,;-:Z ~
<br />SIGNATURE_~~~ ~ -- -----~-----
<br />OWNER OR AGEN
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<br />DATE___:t~_~~_:1j-----------------------
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<br />::~::::::::::T:~~~~0~~~~
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<br />.-~~~~--~~T,f~~fS~~~IT~
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<br />DATE___:I:=:-~~--~~----------------
<br />
<br />NOTARY AS TO ~~ . "M '
<br />CONTRACTO~___ '-<!..~:'~-;:'.7F-cf!.-
<br />~ ."''1 [l'i.:"}C ST~.TF./OF fLOn,)!\
<br />MY COMMISSION EX,:: \,~,?2:i.wLLii'_,)'i~':-:';;4~2'!.-
<br />B()\\J;;;; 'In'd CS',;:":;".:. 1:';". \j,IL'.
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