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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />Thl undlrligntd.undlr.trndl t~.t thil p.rlit I.y bl lubject \0 Idl.d restrictions' which lay be lorl rls~rictivl than City
<br />nguI~~iD~~,~L;!.~!~e~.!r~~.~ft,~~,~~'~1I r~~!o~~,lbi~)~tl/or COlplilnu NUh Iny Ippnubll dud r'~tricUonl.
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<br />B. UNLICENSED CONTRACTORS AND CONTRAC~1~S~9~SIBILITIES
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<br />If thl own,rhalhired a contractor or contractorl to undlrtlkl Mork, they lay be requirld to bl lic,nstd in accordancl with
<br />state and IDUl'rtgulaUDns;';'lf'thl co"tractor h not lic,nltd .. required by hW, both th, ONner Ind contractor .ay bl ;:
<br />cited for I lildllelnor v\~lation under stlt. law. If the ONner or intended contractor Ir' uncertlin as tD what licensing
<br />requirelents'lay Ipply for~thl'int.nded MDrk, they are advised to contact the City of Zephyrhiill Building Dtplrtlent, (813)
<br />788-6611..' "
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<br />Furth,rlort, if the ONne~ has hired a cDntractor Dr cDntractDrs, he il advised to hay, the contractorls) sign portions of the'
<br />'Contractor s,ctionl"o(thil applicaUonfor which they wlll bl responsible. If you, IS the owner sign as the nntrador, ' .
<br />you .arl, indi~~ti~g thlt y~u,~nthlr tha~ the CDn~ractor, Irt re~ponsible for the work. If thl contractor wishes you to lign. .
<br />. as CDntractori\hat lay b.an hditaUonthat h, il not prop,rly licenled and is not entitled to p,raitting prlvilegtl in th....
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<br />CUy of,,~e~bn~!.lls.~l~t~;1 .' ...~
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<br />TRANprORTATIO~ IMP~~~F~~SA~D UTILITV CONNECTION FEES.
<br />CON'~~~S!.~,2~,.~I.EN L~W 'l,~~$?)"fAPTER 713, !FLORIDA sTin,UTES, AS
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<br />AMENDED)
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<br />D.
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<br />I certify thlt .1, .the applicant, haye b,en proyided wit~a copy of 'Florida's Construction Lien Law - HOleoNner's Protection
<br />Suide' prepared by.theFlorida Depart.entDf Agriculture and ConlulerAffain. .. If the applicant is SOleone other than the
<br />'owner., I ClrU!y .that I have. o~!~~~.~d}'.i~~'YI Df: the .bDve described dotutent and prolise in good faith to de1.iver it to t~e
<br />.owner. prior;to:co.~enc~lent. . " ' . .
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<br />E. CONTRACTOR'S/OWNER'S.AFFIDAVIT.
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<br />I certify that all the inforlation in this applitltion is accurate and that all work will be done in cOlplilnce with all
<br />applicable. h~s, reguhU~ construction, zoning, \and la~ld,veloplent,.
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<br />. Application il hereby lade tD,.obtlin a perlU to./,dD wor_,.lndinst.IUa\,ion al indicated. I certify that no work or
<br />inltlllltion hll cOlllncld prior to illulnce of I plrllt Ind thlt all Nork NlIl b. perforled to leet Itandards of III llws .,.
<br />regulaUng.. tPn~~ru~\ion,' &i ty cod.s"zDning ,r.guIIUonl" and land deyeloplent ~~guhUon5 in the Jurisdittion. I ,1110
<br />certify that lundenhnd that the regulaUilltl of other governtental Igeneies lay apply to the lntended NDrk, and that it is
<br />IY respDnlibility tD'ide~tify '.lIhd,i 'tUo.nll.~'~ take to be in tOlpliance. Such agencies include bill are 1I0t lil.ited tot
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<br />I Deoartlentof Enyir.nltn~' ReaulatiDR.;Cypre.11 Bayhlldl, Wetland ~reas and Environlentally Sensitive Lands,
<br />..' " , ,. . .. Ifater/lflltewater Treattent .
<br />I Southwest FIDrida Nater "anlaelent District - Ullls,. Cyp~ell Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY CorDI of Enoineerl - SlaNIIII, Dockl, Navigable WlterwlYs
<br />I Departlent of Bealth 1 Rehabilitative Services. EnYironaental Health Unit - Wells, Wastewater Trr.atlent, Septic Tanks
<br />I US EnvirDntentl~ Protection.AaencY ~ Asbll~DI ~batelent
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<br />I also certify that, if fi 11 laterill is to be used in Flood Zone ~A' or 'A,tlc.', it is understood Ulit a drainage plan
<br />addrellinga .coapensaling volUl.~~wUI"bl subliUed Nhichhprepared by a professional engineer registered in tbe state of
<br />Florida prior: tD perait issuance.."'. i. (" I! ,. . '
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<br />A perlit issued shall be construed to b. . licenle to proceld Nith the Nork and. not al Iuthority to violate, clncel alter, or
<br />set aside Iny provision of the tecbnicII cod.., nor shall lalulnce of a penH prevent the Building Official frol thereafter
<br />requiringacor.redion .of erron in plalS,otlftltrucUon,Dr viDlations of any c~de.Everyperlit issulld shaH beco.. Invalid
<br />unless th.:wo,.k luthDrized by such perlUHtruMenced NUh,n six IDnths of issuance, Dr if Nork author ized by thl penit is
<br />suspendld Drr:ablndoned .for ap.rlod 'of '.Ihl..ntltllfter the Ule the Nork is.co,!l,!nud. Ont 90 day extension of Ule, lay be
<br />allONed for 'lb, plrlit witb fie charge-of~.l':OOi. 'The ext.nlion shall be requelted in Nriting to the Building Officill. An
<br />approved inspection lU~tbllogged during IIcb six lonth period, or the project' "ill be considered abandoned.
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<br />WARNING :TO OWNER I .. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV
<br />RESULT,IN;VOURipAYING'TWICE FOR IMPROVEMENTS TO VOURPROPERTV. 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 ~~,ED' ~O l RE,CORD, ~D ,rO,ST A "NOT,ICE OF ~,CErNT;
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<br />SIGNATURE~~~----- SlGNATUREJ____J________ ~-----
<br />. '. OWNER OR. AGENT. CO JRAC R
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<br />DATE_~~~~~~~~~----~-;-~--------
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<br />NOTARY AS TO. ?
<br />OWNER OR.AGENT_
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<br />NorA~~ ;'~ "!~;:fr;< r.;:~,Tr "~F .~f
<br />MY COMMIS'o,,,.,.i\'~~~ES:--~__- _..._":1~-------- MY
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<br />NOTARY PU3UC, ",.f:: O? FLC,,;i)A.
<br />EXplJReStllSSiON _:rf'iL<:9: .J~H': 2?iS9?..
<br />BONDED not ~MJ.6,~~'tiR9...
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