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<br />CONDITIONS~OF.PERMIT AFFIDAVIT
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<br />A.
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<br />NOTICE OF DEED RESTRICTIONS
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<br />The ,undersigned understands that this per.it lay be 5ub3ect to odeed restrictions' which ~ay b~ ~ore restr,ictive than City
<br />regulations. The undersigned nsules responsib~litf:for;,colpliance with any appl icable deed restrictions.
<br />... ,..,,' " ' ' .
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<br />ONTRACTOR RESPONSIEI ITIES
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<br />B.
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<br />If the owner has hired a contractor or contractors to undertake work, 'they lay be required to be licensed in accordance lIith
<br />~'ah,tn~ local regulations. 11 the contractor is not licensed as required by law, both the OllnH and contractor ~ay be
<br />cited for a .isdueanor violation under state lall.; If the Dwner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended llork, they are advised to contact the City of Zephyrhills Building Departlent, \BI3)
<br />78B-6611. ,,'..
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<br />Furtheraore, if the Ollner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />"Contractor Sections. of this application for which they will be responsible. If ye,u, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor lIishes you to sign
<br />as contractor that aay be an indication that he is not properly licensed ~nd is not entitled to per~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 />I certify that I, the applicant, have been provi'ded llith a copy of .Florida's Construction Lien Law - HOleoHner's Protection
<br />Guide. prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />.Ollner., I certify that I have [,btained a, c~py of the above described de,cument and pr(,n,i~e in g(,od faith to deliver it to the
<br />.oHner. prior to co.~encelent.
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<br />~ \.'~ '::~. ~. " ; :
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the infor~ation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating constructi~n, zoning, and land develop.ent.
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<br />Application is hereby lade to obtain a per.it to'do llork and install~tion as indicated. I certify that no 1I0rk or
<br />installation has COllenced prior to issuance of a per.it and that all work will be perfor~ed to ~eet standards of all laws
<br />regulating construction, City cod!!s, zoning regulatiDns, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of oth~r governmental agencies ~ay apply'to the intended work, and that it is
<br />ay respon~ibility tel identify what actions I lIlust take to bl! in cOlllpliancl!. Such agencies include b\\! ~l e Ii(,t Ii~ited to:
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<br />...
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<br />I Departle~t of Envir~nlen{al Regulation - cypr~ss Bayheads, Wetland Areas and Environmentally Sensitive lands,
<br />Water/Wastewater lreatment
<br />I SouthHest Florida "ater'ManaQelent District - "ells; Cypress Bayheads, "etland Areas, Altering Hatercourses
<br />I Ar.y Ce,rps ,of EnQineHs - Seawalls, Docks, Navigable WaterHays
<br />. i;,..t."t 0' H,.llh , R,h.hilil.li" S",i[,'. E"i",."t.1 ",.llh ",it - ~,II;. U.;I".I" f".I",I. S"li[ T.,\,
<br />I US Environaental Protection AQenct - Asbestos abatement
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<br />I also certify that, if fill aatl:rial is to be used in nCoDd Ze,ne "A. [,r .A,elc,', it is understc,(.d t!.~t a drainage plan
<br />addressing a 'compensating voluie. will be sublitted whith is prepared by a professional enqin~er r~qisl~i~d in the State of
<br />Florida prior to permit issuance.
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<br />",..i' I,;." ,h.ll h, [",t.", " h, . li['," t, ",[", ,llh Ih' ~.,I ." ,,' ....,h..I', 1~.i,I.I', [.",1 .11.., ,.
<br />set aside any provisions of the technical codes, nor shall issuante of a p~rmit prevent the Building Offici.l fro~ thereafter
<br />",.iri'9 . ""ot ".. ,I "".. i, ,1m; ""tru["", " ,i.Io"..' ,f '" "". Em, ,...il i "",,' ,1,,11 h"'" i ,,,I id
<br />unless the work authorized by such perlllit is commenced within six months of issuance, or if work authpl li~d by the perlit is
<br />,."".,. ,. .b."",' f" . p..i" ,I ,i. ."tb, ."" tb, 'I., Ib' ",.\ i' ,...."... 0" II ." ,.I..,i." .r Ii." .., h'
<br />allowed for the per~it Hith fee charge of $15.00. The extension shall be requested in Mriting to the Building Official. An
<br />approved inspettion ~ust be logged during each six month period, or the project llill be considered abj\ldoned.
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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 OETAIN FINANCING, CONSULT WITH ~OUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. J08S UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A .. NOT! CE OF COM ENCEMENT;. I . 0
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<br />51 GNATURE _______________________ 5 I GNATU J.;jj~=----
<br />CONTRACTOR
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<br />DATE ____'____ __g.:.Jj.:31-------'----,--,---~---
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<br />
<br />NOTARY AS TO ~' ~. -
<br />OWNER OR AGENT__~-~~---~~~--~-
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<br />DATE________5L~~~::lL------------------
<br />
<br />NOTARY AS TO.-J) ~
<br />CONTRACTOR_~~~~~-----~~---
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<br />"' Notary Public. State of Florl0'8
<br />MY COMMISSION EXPIRES~~~~~~~~~~~:~~~
<br />
<br />Notary Public, State of florl/la
<br />MY COMl,n 55 I ON EXP I RES My Commission Expires Feb, 6.1994
<br />..B<>~.Ji<HIM"'''''~'''~--
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