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<br />11'":
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<br />CONDITIONS:OF,PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The ,undersigned understands that this per.it lay be subject to 'deed restrictions' which ~ay b~ ~ore restr,ictive than City
<br />regulations. The undersigned assules responslbllity~for,co.pllance with any applicable d~cd restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CdNTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a c~ntractor or contractors to undertake wor~, they lay be requircd to bc licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both thc OMner and contractor ~ay be
<br />cit~d for a .isdemeanor violation under state law., If the ~wner or intended contractor are unCErtain as to what licensing
<br />",.;,.."t, "y .pply f" 'h' ;,t,,'" ",t, th,y ." .";,,, i, ",t.,' 'h, Ci'y ,f "phy,hill' '.;ldi" D.p.,t..", \'131
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />y" ." ;,'i,.t;', th.t y", ,.th" th., th' ",t,."", ." "'p,,,ibl, f" 'h, ",k. If th, ",t,.,t" ,;,h., y" t, ';9'
<br />as contractor that lay 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 UTILlfV CONN~CTION F~ES
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<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
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<br />I ",tify th.t I, 'h' .ppI;,"', h." b'" p,""" ,i'h . "py ,f 'Fl";"" C"",.";,, l;.' l., - ",.,.",,', p"t"ti.,
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleCne other than the
<br />,,,,oc', I w\lfy \h.t 1 hm ,bI';'" " '0" ,f th, .b,,' "",lb" ,,,.,,,, .eo' pn,,'" ;, good hi\h t, d,li,,' i\ to 'b,
<br />.owner' prior to co..encement.
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<br />;',';(.".1':
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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 Hork Hill be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Appl;,.'i" i, h",by ..d' t, ,bt.;, . p".it t,'" ."t .,d ;"t.ll,t;" ., i,d;,.t.d. I ".t;fy 'h.t '0 ",k "
<br />installation has cOllenced prior to issuance of a per.it and ihat all work will be performed to roeet standards of all laws
<br />"9.i.t;'9 ""t,.,ti,', C;'y ,'d", "';'9 "9.1.,;"" .,d 1.,d d",i'p.'" ",.I.t'", ;, th' i.,;,';,t;". 1 .1,.
<br />",tify Ih" I .,d.,.t.od Ih.1 Ih, ,'q.i,t;oo. ,f ,Ih,' 9.""."t.t .q"';" "Y .,ply '0 th' "t,o"d "rk, ." th.t ;t "
<br />.y mp'''' lb il i\ Y t, "" ti f Y ,h.' "ti ,os I '"' \ lot, I. be " coop ti ."". S. d, · ,.",;" ,,,d. d, h'" '" 'w I ti. i\., to'
<br />
<br />. D".rt.'~t ,I E,y'r;"r,t.l R".I.,;" - r.'r';" B.yh,.d', ".tl." A".. .nd E";"",,t.lly s.,.ili,' l,"'"
<br />Water/Wastewater 1reatl~nt
<br />~ South~est Florida Water'ManaQetent District - Wells; Cypress Bayheads, Wetland Ar~as, Altering Hat~rcourses
<br />I Arty Corps ~f EnQineers - Seawalls, Docks, Nav~gable Waterways
<br />. ",.,t.", of ",.IIh , R,h.b;tit.I;" s",I".. E";"",,t.l ",.Ith U,;' - ,.11" H"""'" T".t..... S.,t;, I..k'
<br />I ~S Environcental Protection AQenct - Asbestos abatement
<br />
<br />I ,I" codify th.t, if fi\1 "t.d.1 ;, to b' .", ;, Flood '''' 'A' " 'A"".', i\ i, ""'ers'"'' \1,,\ , d";,,g' ploo
<br />.d""';'9 . ',o."",t;'q "I..,' ,ill h, "b.itl" ,h;,h i, p,.,."d by . p,.."."..I ,,,g;"'" ,.",t.." i. th. St.t, ,f
<br />Florida prior to permit issuance.
<br />
<br />A p"';' i".,d ,h.ll b, ",.t,.,' t, h' . ""'" I. p""" ,;th the ,.,t "d o,t ., ..'h,rity " ",1,1., ,.".1 .It,,, or
<br />"t .,;" ,'y p"';"'" ,f th. t"h,;,,1 "d,., '" ,h.11 i""'" ,f . p.",t pr.,.,' th. ,.iI"o, O"i,;" f'" th.".ft"
<br />",.;" '9 . cor'" ti" "f ""OS i' ploo,; ""'f'" '''' " vi .1.ti", .f '" ",d.. ,,,,y P'" i\ ; ",oe' ,h. \1 'oc"" ; ". lid
<br />"' 1m \h, '" k '" thoc i ,,' by ",h p'" il i, ""''' ,d ,ilhi' . " '" \h' . f i "'" "CO, '" if "',,' or, \I,., ,,,, by \h, "" i\ i'
<br />,,'p,,',d ., ...,d,," ." . ",;., .f ,i. ."th, ,ft" th, ,;., th' ",t ;, ,.......d. ,,,' " d" ..t..,i., .f "", "y b.
<br />.ll",d f,' th, p"';' ,;th f" ,h.", of lt5.00. Ih, ,.t",;., ,h.ll b, ",.",.d ;, .,'li', ,. '0' O.'l'i" "fi".t. A'
<br />." m" ;" p" ti" '" t b' I."" ,.,; '9 ",h ,i. .., \h p",.d, oc th, pc<' i'" ,ill b' "" id',," ,b ."",;", ,
<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 LENDER OR AN ATTORNEY
<br />BEFORE RECORD 1 NG YOUR NoTI CE OF Cu";iiENCEMCm. ,"-' n s UN OER $ 2 ,500 I N VALUE
<br />DO NOT NE 0 RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />~./~/{I....:..-
<br />SIGNATURE~~~~~ -~~~~~~--
<br />CONTRA" TOR
<br />DATE_________Sl~~~~-?7~------------
<br />" /lfA7
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<br />
<br />SIGNATUR
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<br />NOTARY AS 10
<br />C1\-lNEP. OR AGEN
<br />
<br />
<br />NOTARY AS
<br />CONTRACTOR
<br />
<br />NOTARY PUBLIC STATE OF FLORIDA
<br />MY COMMISSION ~~~~~$12~~!~-~~-~~~4---
<br />~ONDED THRU GENERAL INS. UNln
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<br />
<br />DATE
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<br />MY COMMISSION
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