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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. tioL} Cl:: OF DEED F~ESTR I CT IONS
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<br />T~e undersignfd understands that this perlit lay be suble~t to "deed restri~tions' ~hich may be ~ori restri~tive than City
<br />requlations. The underliigned aUUlllr. rupon5JbH~.tY"Jl)r cOlpliance with any applic;,ble deed restrictions.
<br />, . '-~:' ;:-'~~:--'i~;,?jli,;:>/'.'" '_ _ _",--;:>y;~:",~:,:~,:,';l:;~(~--'::>;!<';':-::;' .
<br />O. UNI_ICENSE:n CUNTr~ACTORS AND CONTRACTOR RESP[)f'I~JI8It:ITtES')hr"')""
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<br />jf the owntr has hired a c0ntractor or contra~torl to undertake work, they lay be required to be licensed in ac~ordance with
<br />state and 10c;,1 regulatIons. If the ~ontractor is not licensed as required by law, both the OHner and contractor nay be
<br />cited for a ~isde~eanDr viDlatiDn under state law. If the OHner Dr intended contractor are uncertain as to what licen;inq
<br />requlreaents lay apply tor the intended HDrk, they are advised to contact the City of Zephyrhills Building Departlent, tBl3l
<br />. 788-6611.
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<br />Furthermore, if the 0Hnrr has hlr~d a contractor or contractors, he is advised tD ha~e tbe contr~cro[(s) sign portions of th!
<br />'Contractor Secti~n5' ~f thi5 application for which they will be re~ponsible. Jf y~u, as the ~Hner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor Hi~hes you to sign
<br />a5 contractor that ~ay Le an Indication that he is not properly licensed ~nd is not entitled to pertitting privileges in the
<br />cIty of Zephyrhills.
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<br />c. TR...B.NSPOr~.DYLU1N I MPACT FEES AND UT I L I TY CC1NNECT ION FEES
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<br />D.
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<br />~(}~STRUC:L1Q!'.j L I EN LAW
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<br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
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<br />I certify that I, tt,e applicant, have been provided with a copy of "Florida's Construction Lien LaN - HOleowner'~ Protection
<br />Guide" prepared by the FlorIda Departlent of A9riculture and Consuler Affairs. If the applicant is sDle6ne other than th!
<br />'owner", I certify that 1 have obtained a copy of the above described d~cu.e"t and pro~ise in g~od faith to deliver it to th!
<br />'oHner' prior to co.~ence~ent.
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<br />L . ~~ONTF~QCIl)lt'_~i.!::QWNER I S AFF IDAV I T
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<br />I certify that all the 1I,f~riJatie'n in this applicaticln is accurate and that allli(,rk Hill be de,ne in cc,apliance with all
<br />ilpplicable laws regulatll"] [e'n5tructieln, zoning, and land developlenL
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<br />Application is hereby ~ade tD obtain a perlit to do work and install~tion as indicated. I certify that no work or
<br />installation has co~~enc[d prior to issuance of a perlit and that all work will be performed to meet standards of all laMS
<br />regulating c[,nstructj['[I, City c[,des, zoning regulatic.ns, aOl! land development regulatie,ns in the jurisdictieon. I also
<br />certify t~at I understand that the regulations of other governaental agencies ~ay apply to the intended work, and that it is
<br />~y resp[)r,sitility te, 11\[Otl1y whilt actions I lust take to be in co.pliar,ce. SUCtl ager,clcs ir,clude b\ll ~\r. mot li~iti.'d to:
<br />
<br />. .'
<br />I Depart&H,t [,f Ei~I!..u;l.'!l'I'\dl ReQulatieon - Cypress Bayheads, lI~tland Areas and Envir(.nHntally Sensitj,'e lands,
<br />lIater/llastewater Treatl~nt
<br />. S(Iult~est FlOLi_da_.~a...t.i:rJ\anaQelent District - lIells,' Cypress Bayheads, Wetland Areas, filtering HatercDurSeS
<br />. Aay [(,rps c,f l_l\ll!'l'lL" - Seawalls, ODds, Navigable Waterways
<br />t Depart.er,t ('U~~J~tl__!,_J-;.r:.h.~tJllltative Services. EnvironilJental He.lth U!-,-il- Wells, \Joste'Hater Treo\;.(:1:. SeptIc Tanks
<br />t \!.~.-1_!'~~irl':laen.hlLPi['_~lLt!..f:!!..~ - Asbestos abatement
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<br />alsfJ [,,!tlfy that, If ill I latNial is t" be used in Flc,od ZClne "n" (If 'A,dc.', it is
<br />addresslng a 'CfJ~prn"at)ng v0Iu.e" will be sublitted which is prepared by a ~,ofcssional
<br />f10rina r,ril,r t[, pel ~l t 15~Udn[e.
<br />
<br />ur,dHst[,[,d ti;;.l il dl air'2ge plan
<br />engine~r fOQlSt2f0J in the State Df
<br />
<br />~"lIh
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<br />!\ per.it Issued sh,dl tH' [[Ol,,:trued t[o be a license t" proceed with the HeorK and nClt as auHMity t[. ,'iedate, cancel altt(, or
<br />5et aSide dny prh'l',)C'J,5 [,f tf'l' technical [(Ides, nor shall issuance of a perll\it prr-vent the lluilding Offici,,] fll'l thereafter
<br />requilll'Cj a [('lrl,ctl(oI; [,j prr[d5 In plans, ([Instructi"n, cor viDlatieons of any ((,de. EYel)' pl'r~it 15511d ~hdll becc,le invilid
<br />unless the we,rK dUIl'l'[ IH.d DI stich pHlIlit is CColllenced within six lIIonths (,f issuance, e.r If lito! ~ authe" l.ed by the per.it is
<br />suspended c.r dbdl,dl'l\ltl ill a pHie,d e,f six Illnths after the ti:ae the HCirt. is [('Ml'ne[.d. [lril' 9(1 dot (.;lO;,SlOI' 0f tile, lay be
<br />alle,\jl'd fe,r It,p [)[11o\1I iillt, tel' [harl]p uf $15.00. The extensic.n shall be reqll~,:ted in liritlng te, the Building Official. An
<br />appro/ed lr,Spedll'll I!lll"t loe 11''JIJPd OllrirrC] each six lonth period, [,r the prcljt-d liill be cc,nsidercd dboi,dcollpd.
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<br />WARN I NG TU \1I,-Jf\l[::n: YOUR FA I LURE TO RECORD A f\lUT I CE OF COMl'lEI'ICEMENT MAY
<br />RESU\_T IN YUUf~ P?W H.JG TWICE FOR IMPROVEMENTS TU YOUH F'ROPErHV. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
<br />BEFORE RECQk~l).f.():lg:(Q SOI"IMENCEMENT. JOBS UNDEf~ $~, 500 I N VALUE
<br />DO NOT NEED,,.rf'f(E.c. .;;r~l~((~~;~~,'
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<br />~_~c.-: :'~()NTRACTOR-------- - -----
<br />DATE _______1'/ ~!fL----- ---------
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<br />~g~~~~c~gll :~~_ _ _t:;f;--{J~~-----
<br />E N~. Pu. blic PI. sco CO. FL
<br />MY COMM I SS I DN -vre6iimISStOlrftplrtS"May13:-rwS
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<br />SIGNr\TUI
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<br />NOTAflV AS 10
<br />OWNEr< on AClENr
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<br />(ll.jNl,H un AGENT
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<br /><d/~/lL_____ ---------
<br />~~8.
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<br />DAn-:
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<br />MY COMM I S~; I m~ l x F' I r<N6\3.n..~j)!i~1>>!~Q>>._~- i1U---
<br />My Commission Ex,ua MIY \3. l.,.,J
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