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<br />CONDIT,IONS,OF PERMIT AFFIDAVIT
<br />A:: NOT r CE OF DEED RESTR I CT IONS:. . .
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<br />The undersignad understinds that this plrllt IIY be sub'ect to "daed restricti~ns' which' may be ~~re restrictive than City
<br />regulations. The undersigned assules responslbIII'~,fo,~ compliance Hith any applicable deed restriction~,
<br />.:" 1,:0\ ." ; '.
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<br />B. UNL I CENSED CONTRACTORS AND CONTRACTOR RESPONS I B I L'I'T I'ES
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<br />If the OMner has hired a contractor o~ copt~ac\ors to undertake ~ork, they m~y bi require~';~ be licensed in accordance Mith
<br />I~ah and loc~l rrgulaHCI~s. If the contTldor 11 not licensed' n rc,quired by l.wI be,th the Ol/ner and contracte,r nay be
<br />c\ted for a alsdeleanor VIolation under state law.', If the OHner or intended c~ntract~r arc uncertain as to what licensing
<br />requirnents uy apply fe,r the intended 1I0rk, they are advised 't~ c(.nhct the City e,f Zephyrhill!i. Building Depart!trIt, (8131
<br />788-6611. 'I'" '
<br />
<br />Furthlrlore, If the OHner has hired a contractor or co~tractors, ha Is. advised to have the c~ntrac,tor(s) sign porti~ns of the
<br />'Contractor Sections' of this appllCltlon for which they will be responslbld. If you, as.the ~wner sign as the contractor,
<br />y~u are indicating that YClU, rather than the contractor, are re!i.ponslble for the H~rk. If the ce'ntract~r wi!i.hes you tCl sign
<br />as contractClr that lay be an indication that he Is not properly licen!i.ed and is not entitled t~ pcr&itting privileges in the
<br />City of Zephyrhill!i..
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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 providedllHh a copy of "Fle.rida's Ce,nstrudion Lien LaH - He'oeoHner's Pre,tedion
<br />Guide' prepared by the Florida D~partlent of Agriculture and Consum~r Affairs. If the arplicant is !i.Ole~ne other than the
<br />"ollner", I certify that I have obtained a copy of "the above described document and pr~Di~c in good faith to deliver it to the
<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 M0rk Mill be d0ne in c0~pliance Hith all
<br />applicable laH!i. regulating construction, zoning, and land development.
<br />
<br />Application is hereby .ade to obtain a per.it to"do lIork and installation as indicat~d., I certify that no H0rk or
<br />installation has co,!enced prior to issuance of a perlit and that all work will be performed t~ roeet ~tandard!i. of all laMS
<br />regulating ce,n!i.tructie.n, Ci ty ce.des, zoning regulations, and land development. requlatie,ns in the jurisdictie.n. 1 alsCl
<br />certify that I understand that the regulations of other govern~ental agencies may apply to the inlended work, .nd that it i!i.
<br />IY respon!i.ibility to identify what action!i. I lust 'take to be in celmpliance. Such agerlcies ii,clude bllt. ~lC Ii~,t li~ited to:
<br />
<br />I Department of Environmental ReQulation - Cypress Bayheads, ~etland nreas and Envir0nmentally Sensitiv~ L~nds,
<br />Water/Wastewater Treatment
<br />I Southwe!i.t Florida lIater ManaQement Di!i.trict - Well!i., Cypress Bayheads, Hetland Areas, Altering Halerc~urses
<br />I Army C0rO!i. of Enoineers - SeaMalls, Docks, Navigable Waterways
<br />I Departaent of Health L Rehabilitative Services, EnvirClnmental Health Unit - We1ls, Waslewater Treal~En~. Septic Tank!i.
<br />I US Envir0noental Prolecti0n AQency - Asbestos abatement
<br />
<br />I al!i.o cedify that, if fill material is to'be used in Fle.od Ze.ne 'n' or '(\,etc.', it is underste,e,d tt.~t a drainage plan
<br />addres!i.ing a 'colpen!i.ating volu~e' Hill be sublitted Hhich i!i. prepared by a rr~fessi~nal engineer rcqist~icd in the State of
<br />FIClrida pri~r to permit iss~ance.
<br />
<br />A permit issued shall be construed to be a license to proceed with the lIork and not as authority to yioJ~te, cancel alt~r, or
<br />!i.et a!i.ide any provision!i. of the technical codes, nor shall is!i.uance Clf a permit pr~venl the Buildi~g Officiol fr~~ thereafter
<br />requiring a correction elf errelrs in plans, cconstructie.n, or viCllatiton!i. e.f any c~de. Every pcr~it iSSlled ::hall bec(,ae invalid
<br />unles!i. the work authorized by such permit is comnenced lIithin six mClnths of issuance, Of if lIo1"k aulhorliQd by the periit is
<br />!i.uspended or abande,ned fe,r a perie.d of !i.ix aonth!i. after the tillle thl! \!~rk i's c('Menced. One 90 day c~I~I,si(," (,f tiie, lay be
<br />alloHed for the per~it Hith fee charge of $15.00. The extension shall be requested in IIriling to the Building Official. An
<br />approved inspectie,n /!IU!i.t be le,ggedduring each six 1II0nth periCld, Cor the pre,ject IIi J I be c(.nsid~rE-d dboiide,r,ed.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUI~ PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE__~_f..._.ii1~~{(L~___--- SIGNHTURE__~_LA~-----
<br />. OWNER OR AGENT CONTRACTOR
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<br />DATE___~____---_~~~~-----------------
<br />
<br />NOTARY AS TO~' .
<br />OwNER OR AGENT__ -~-
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<br />H tary Public. State of Florida
<br />MY COMMISSION EXPIRES_~l_~~_~~~~~~~----
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<br />DATE________i7~~~J-----------~------
<br />~~~~~~C~~R~~~~------
<br />Notary Public:, State of Acrid.
<br />MY COM~1ISSION EXPIRES__~_~~!!.'_~I!:.~JI!.-3!l.....~j4
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