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<br />CONDITIQNS.OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />lhl undlrlig~'undlrltlnds thlt thil plrlit IIY bl lubjlCt \0 Idlld rlstrictionsl Nhich lay be lorl rll~rictivl than City
<br />rlgulat,i..~~:~~~~ ~~,!r~l~~~~~~~'~~~~' r~~~.n~,lbUUl/or CDIpHlnu Nith Iny appnubll dlld n~tricUonl.
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<br />B. UNLICENSED CONTRACT9R' AND CONTRACTOR RESPONSIBILITIES
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<br />If thl oNn,rhllhirtd a contr.ctor Dr contr.ctorl to undlrtlk, Kork, they IIY be r.quirtd to be lictnsld in Iccordlntl lith
<br />stlt, .nd lotal'ttgulatlons;"'lf th.c.atrlClor 't not HunsH .. required by 1.., both th. ONn,r Ind untndor I'Y b. ,;
<br />cited for I' lildtle~nor'Y\'~ltion under ,It.tl ll~. If the ONner or intended contrlctor Ire uncertain IS to Nhlt licensing
<br />requirel,nts'lay Ipply for th,'lntlnded'Nork, they Ire advised to contlct the City of Zephyrhilll Building Dlp.rtlent, 1813)
<br />788-6611.. ,;
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<br />Furtherlore. if the oNne~ hll,hired I contractor or contrlctors, he il advised to hlv, th, contrlctores) lign portions of the'
<br />IContrador S,dionl"of'thla'.ppllutlon'fot lhich they IHi bl relponsibl', If you, .. th, ONner lign .. thl contrador, ' .
<br />youlrl.lnd.lF~ti~g th.t,y~u,~r~ther tha~ the:CDn~ractor, In n,poDlible for the NOrk, If the contractor lishes you to lign,
<br />IS contnctor1\hat laybl'ln Indi,caUonthlt h, b not prop,rly licenled Ind is not .nUtled to p,rlUUng privileges in th., (
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<br />City of, ,~ephnhUI5. "
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<br />C. TRANpPORTATIO~ IMP~C~ FE,S A~D UTILIT~ CONNECTION FEES, . ,;;, :
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<br />D. t:ONql,~U~!.~~~, .,~X.EN L~W.t,~~)"tAPTER 713, ,FLORIDA STAT,UTES, AS AMENDED)
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<br />I certify that ,I, the applicant, have been prlvid,d lith a copy of IFlorida's Construction Lien LaN - HOleoNner's Protection
<br />Guidel preplred by-tbe Florida Deplrtlent of Agriculture and ConsUler ,Affairs. If the applicant is SOleone other than th,
<br />"oMner., I c'rtify that I bave obtained ,a, ~oPYlof tbe above ~escribed doculent and prolise in good faith to deliver it to the
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<br />IONnerl prior~ toto~lInc~lInt, ' " ' "
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<br />E. CONTRACTOR'S/OWNER'SAFFIDAVIT,
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<br />1 certify thlt III the inforlation in this application is accurlte Ind that all Nork Nill be done in cOlplilnce Nitb III
<br />, Ippliuble, laMS regulating construction. zoning,lnd lInd, d~velopllnt.
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<br />Application is hereby lad, to.,obtaln a p.rtU to, do lork ,and inltalla~ion II indiuted, I certify thlt no lork Dr
<br />Instlllltion hll cOI.enc,d prior to issUlntl of a perllt and thlt all Nork .ill bl perfor.ed to leet st.ndlrds of III IINS
<br />ngulating &:OD~trudion,' City &:ode" 'zoning ,r.guhtions, Ind land dev,lop"nt ~egulations in the Jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended Mork, and that it i~
<br />IY responsibility to identify .hlt acUons 1.lult \Ike tD be in cOlplilnce, Such agendes include bill are 1I0t UIUed tOI
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<br />I DeDartlent of Envinn.en..nReaulatloD :. typr... Bayheads, lieU and Areas Ind Environ.entally Sensitive LandS,
<br />, " " . lIater/"lIttlater Treahent"
<br />I SouthMest FIDridalllter "anaaelent District - lIells" Cyp~.ss Bayheads, Wetllnd Areas, Altering Watercourses
<br />I Arlv CorDI of Enoineers - SeaNalls, Docks, Navigable "aterMIYs
<br />I DeDlrtlent of Health ~ Rehabilitltive Services. Environlental Health Unit - Wells, WasteNlter Treatlent, Septic lanks
<br />I US EnviroRle~tl~ Protection Aaeney - Asb,ato. ,abatelent ' '
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<br />I also certify that, if fill laterill is to be used in FloDd ,ZDnl ~A~ or "A,etc,., it is understood lhat a drainage plan
<br />addressing a~CDlpensatingvolulI~ lill,.be subliUed Nhicbllprepared by a professional engineer registered in the stat. of
<br />FIDrida prior to p8rait luuante.." :; t. " '
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<br />A perlit issued shill be construed'to be .'llceDle to proce,d Mith the Nork and not IS authority to violate, cancel liter, Dr
<br />set aside Iny provilions' of the \ecbnical todll, nDr shall:s!,uance of a perlit prevent the Building Official fro. therrlfter
<br />requiring I correction 0' erfOrI in plans.,tlMtruction, or ~iolltions of Iny,CDde. Every penit issu!!d shall beeo" invalid.
<br />unless the'lork authorlzedbysuch perIU"iI1tol..nced lithin six lonths of issuance, or if Kork authorized by the penit is
<br />suspended Dr,~'ablndoned :for a plriodoflh1ao"tbl .nIT the UI. the Nork is cOlleneed. One 90 dlY extensioll of U.e, IIY be
<br />alloNld forth, perlU lith fee tharglof~.l'lOO.lh' .denslon shill be requested in "itlng to thl! Building Dffichl. An
<br />approved inspection,lult,bl logg,d during Ilch lix lonth period, or the project'Nill be considered abal~oned.
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<br />WARNING TO OWNER I , YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESUL T,.INiYOUR: PAVING 'TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN. FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING VOUR 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 />SIGNAT ~':'j:'Q".~t' ,':7:,"'~' ,
<br />UR ___________~~---------------
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<br />" ,OHt:4~?V~,AG~T ,
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<br />NOTAR~'~~'TO '. ;;'~;, '~~
<br />OWNER o~,!~~~~r.,~-:-~~-----------
<br />MY COMMISSION EXPIRES__~_~~~~J1~------
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<br />DATE_________~_~ --~--------------
<br />NOTARY AS TO ~ - - ~
<br />CONTRACTOR_____~~----
<br />MY COMMISSION EXPIRES_____~_~~~?-~-
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