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<br />bONDITIONSOF PERMIT AFFIDAVIT
<br />A.': NOTICE OF DEED RESTRICTIONS ;'. . .
<br />
<br />lh. und'rsign~d unders\ands \ha\ this plr.it lay bl lubllC\ to .d~ed res\ricti~ns' which may b~ m~r~ res~ric\ive than City
<br />regulations. lhe und~rsigned a!SUles responslbi1i'y for co.pliance with any applicabl~ deed restrictions.
<br />. .:. '.: .\..,~.. ~ .,~,
<br />'t ~~.~.J.;
<br />E. UNL I CENSED CONTRACTORS ANP' 'CONTRACTOR RESPONS I B I LIT I ES
<br />
<br />If the o~ner has hired a contractor or contractors to und~rtake work, they may bi r~quired to be licensed in accordance with
<br />s~a\' and local r,gula\lons, If the contra~tor is not llcens~d as requir~d by law, b~th the OHn~r and contract~r ~ay be
<br />CIted for a lisde.eanor violation under state 1aK,', If the owner or intended contractor are uncertain as to what licensing
<br />requlrelents lay apply for the Intended work, they are advised to contact the City of Zephyrhllls Building Departeent, 18131
<br />7BB-~~11. ,:."
<br />
<br />Furthlrlore, if the owner has hired a contractor_or contractors, he is advised ,to have the contractor(s) sign portions of the
<br />'Contractor S,c\ions' of this application for which they will be responsible. ,Jf y~u, as the ~wner sign as the c~n\ractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to p~r&itting privileges In the
<br />City of Zephyrhjlls,
<br />
<br />c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
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<br />I certify that I, the applicant, have been provided .with a copy of 'Florida's Constructi~n Lien LaM - HomeoMner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consum~r Affairs, If the applicant is SODe(.ne other than the
<br />'owner', I certify that I have obtain~d a copy of-the above described document and pro~i5e in good faith to deliver it t~ the
<br />'owner' prior to cOlmencement.
<br />
<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 Hork Mill be done in co~pliance Mith all
<br />applicable laMS regulating construction, zoning, and land developDent.
<br />
<br />Application is hereby lade to obtain a ~er~it to'do Kork and installation as indicated. I certify that no work or
<br />Installation has co&~enced prior to issuance of a per.it and that all worl: Hill be p~rformed to ~eet standards of all l.ws
<br />regulating cclnstrudicln, City cc.des, zoning regulatil.lOs, and land d~velopl1lent requlatic,ns in the )urisdictic.n. I also
<br />certify that I understand that the regulations o~ other governaental agencies may apply to the intended work, and that it is
<br />IY responsibility tCI identify IIhat actions llllust'tate to be in compliance. Such agencies include bllt ~IE Ii"l li'1ited to:
<br />
<br />I Department of EnviroMental Rellulation - Cypress Bayheads, Hetland Areas and Er:virc,nmentally Sensitive L~nds,
<br />Water/Wastellater Treatlllent
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Dayheads, Hetland Areas, Altering Haterc~crses
<br />f ArDY Coros of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environmental Health Unit - 1I~lls, Wastewater Treat~en:. Septic Tants
<br />I US Environoental Protection AQencl - Asbestos abateaent.
<br />
<br />I alsr. certify that, if fill material is to'be used in Flc.od Zc,ne "A' or "A,dc.', it is understc,od thol a drainage plan
<br />addressing a 'cr.lpensating volUle' will be sub.itted which is prepared by a professional engineer rEqist~rEd in the State of
<br />Florida prior to permit issu.ance,
<br />
<br />A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a c~rrectir.n of errors in plans, construction, or violations of any cDde. Every per~it issued shall beCDle invalid
<br />unless the work authori1ed by such permit is commenced within six months of issuance, or if Hork authorlied by the perlit Is
<br />suspended Dr abandDned f[,r a peric,d of six lonths after the tillle the u~rk is c(.Menced. One 90 day (o~\E;I~ioll (If tile, lay be
<br />allowed for the per~it Mith fee charge of ~15,OO, The extension shall be requested in uriting tD the Building Official. An
<br />approved Inspectic.n l!Iust be lc.gged'during each six month period, clr the prc,ject Iii 11 be ([,nsidered "ballot.ned.
<br />
<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 LEND OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JdBS U DER $2,500 IN VALUE
<br />DD NOT NEED TD RECORD AND PDST A "NDTlCE DF COMMfNCEM T'~., /J /
<br />
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<br />SIGNATURE__ ~- - Yf.. cf'7';;;. SIGNATunE_~ ~-:'="---
<br />VO~OR AGf;ff'UMr~ . cmnnACT~-
<br />DATE_____:;z{~~J'!:--------c--------------- DATE______~~~--------------------
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<br />~~~~~~c~~n~~u"-)A,'c~-----
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<br />MY COMMISSION EXPIREg .
<br />NOT ARv- ruBe 1c - SiirE OF FLORl6L
<br />MY COMMISSion E)~r JULY 29.1994
<br />BONDED THRU GENER~L INS. UNO
<br />
<br />NOTARY A5 TO \J' ;l;~~h Jt
<br />m.JNER OR AGENT /JI(itL~7f ~~~--------
<br />TARY PUBLIC StATE OF FLORIDA
<br />MY COMM 155 ION EXP IRE5_~..co.I4MISSIOti..E)u>_J.Ul..'i~...19.24
<br />BONDED THRU GENERAL INS. UNO.
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