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<br />bONDI~IONS OF PERMIT AFFIDAVIT
<br />A.': NOTICE OF DEED RESTRICTIONS ;', . ,
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<br />Th. undersl9nud und.rstSnds that this plr.it ..y b~ subJlct t~ "dued restrictions' whicH ~ay b~ 5or~ restrictive than City
<br />re~ulation'. The undUTslgned alSUIUI relponlibili'y for cOlpliance '11th any appllcablu deed restrictlon~.
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<br />B.
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<br />WNLICENSED CONTRACTORS AND,~ONTRACTOR RESPONSIBILITIES
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<br />If the owner has hirtd a contractor or contractors to undertake Mork, they may be f~qulrcd 10 be licensed in accordance with
<br />statt and local regulatir.ns. If the contra~tor 11 not llcensl!d .. re.qulrud by law, both thl1 ounl1r and cr.ntractc,r uy b,
<br />cited for a Ilsdeleanor violation under state law,'. If the OMncr or intended contr~ctor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, theY are advised to contact the city of Zephyrhills ~uildlng Departlent, (913)
<br />7BB-bbll. . ' ',',
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<br />Furth",o", If the o"ner has hired a cDntractor,oT tc.ntrad~l '" :ii: ~ii .~\':~d tc- ha,'~ the ec,ntrac\orlsl sign portions of the
<br />'Contractor Sections' of this Ipplicltlon for which they Mill be responsible. ,If you, as the ownur sign as the contrlctor,
<br />you are indicating that you, rather than the CDntractor, are responsible for the Mork. 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 pertittlng 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 />I certify that I, the applicant, have been provided 'with a copy of "Florida's C~nstruction Lien Law - HODeowner's PrDtection
<br />Guide' prepared by the Fl~rida Depart.ent of Agriculture and Consumer Affairs, If the applicant is somEc,ne ~ther than the
<br />'oMner', 1 certify that 1 have ~btained a copy of'the above described dotum~nt and pr~II~~ in good faith to deliver It to the
<br />"owner' prior to co.~encelent.
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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 b~ done In co~pliance Mlth all
<br />applicable laws regulating constructi~n, zoning, and land development.
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<br />Application is hereby lade t~ obtain a ,er~i~' t~'do work and installati~n as indicated. I certify that no H~rk or
<br />installation has co&tenced prior to issuance of a perlit and that all H~rk Hill b~ p~rfor~ed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land devel~prnent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations o~ other governa~ntal agencies may apply t~ the intended work, and that i1 is
<br />ay responsibility to identify lthat actions I lUSt 'take to be in compliance. Such agencies include bllt ~\~ m,tli,\lted to:
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<br />I Dellarhent of Envir'onl3enial ReQulation - Cypress Bayheads, Wetland Meas and Envire,nmentally Sensi liv~ Ldnds,
<br />Water/Wastewater Treataent
<br />I S~uthwest Florida Water ManaQeaent District - Wells, Cypress Dayheads, Hetland Areas, Altering Haterc~urses
<br />I ArDY C~ros of Enqineers - SeaMalls, Docks, Navigable Haterways
<br />I Dellartlent of Health L Rehabilitative Services. Environ~ental Health Unit - U~lls, UasteHaler Treal~en:. Septic Tanks
<br />I US Environoental Protecti~n AQencl - Asbestos abatement.
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<br />1 also certify that, if fill laterial is to'be used in Fle.od Ze.ne "1\' or 'A,elc.', it is understc,c.d ll.~t a drainage plan
<br />addressing a 'colpensating volu.e" Hill be subtitled Mhich is prepared by a pr~fessi~nal engin~er reqist~i~d In the State of
<br />Florida prior to permit issu,ance.
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<br />II pertit issued shall be conslrued to be a license to proceed wilh the Hork and n~t as authDrity 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 corrr:ction e.f erre.rs in plans, ce,nstructir,n, or violations (,f any cc,de, Every perflit ISSlled :hall becc..e invalid
<br />unless the work authorized by such permit is comftenced within six months Df iSSllanc~, Dr if Hork authoflied by the per.lt is
<br />suspended or aband~ned fe.r a perie,d of six lonths after the tile the \lorY. is cC'Menced. One 90 day e~\t;,SiOll (,f tile, /Jay be
<br />allowed for the permit Milh fee charge of $15.00. The extension shall be reqllested in Hritlng t~ the Building Official. An
<br />approved inspectl~n ~ust be logged 'during each six month period, Dr the pr~ject lIill be cDnsidered dba\~oned.
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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 />BEFORE RECORDING YOU ICE OF COMMENCEMENT. JOBS UNDE $ , 00 IN VALUE
<br />DO NOT NEED TO R ORD POST A "NOTlC~ OF CD1"7"ENT".,
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<br />SIGNATCRE SIGNATUR~~--------------
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<br />DATE _______ _ __2j!!j.'!L---- ------------
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<br />'7
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<br />MY C6MMISSION EXPIR~S___~~~-~___~___~--
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<br />DATE___________~~Le;l2J--------------------
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<br />NOTARY AS TO A~ r/ ~ .
<br />OWNER OR AGENT --~~LJf~T---
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<br />MY COMMISSION EXPIRES!!Jr~;,y p:!r;tC ~;'T.Y;-'2' ()~ n.::JRIM
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