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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The underllg~d underltlndl th.t thil p.rlit I.y bl lub11Ct to Idled restriction.' which lay be lore rel~rictive than City
<br />reguh~iD~~~:;!~~ ~~~,r~.I.~~~~:~~'~'I'~~~on~,lbl~l,tl/or cOlplilnn with .ny .ppficable deld n~tricUonl.
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<br />B. . UNLIC~~SED CONTRACTO~~ AND CONTRACTOR RESPONSIBILITIES
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<br />If th. owner ~al hirld a contrlctor or contractorl to undertake work, they lay be required to bl-liclnsld in accordlncl with
<br />Itlte and lotlil'regulathnl;" 'If th. Cofttrlctor il not linnlld .. required by law, both the ownlr Ind contndor lay be '
<br />cited for I ~IJd'le~nor l~,)ation under Itat. la~. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents IIY Ipply for the'lnt.ndedMork, thlY are adviled to contact the City of Zephyrhilll Building Depart.ent, 1813)
<br />788-6611..
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<br />Furtherlorl, if the owner hal hired a contractor or contractors, he il advised to havl the contrlctorll) sign portions of thl;
<br />IContractor Sectionl" of'thi&lpplh:IUDnfo, which they will be responsible. If you, II the ollner lign II the CDntrader, ' .
<br />YOII,ar',lndictU~g 'h~ty~u'l nth.r tha, 'h., con,ractor, Irt re~pon"ble for the work. If the contractor wishes you to lign
<br />'as contrlctor!that IIY b~an'1rdl~aUon thlthe h not proplrly licenled and is not enUUed to per.UUng prhileg.s in thl,ll ..~
<br />CUy ofi,lep~Y~~HI'. q~!~, i ..
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<br />TR~~~~ORTATION IMP~~~F~'S A~D UTILITY CONNECTION FEES,
<br />CON~r,~U~.!,~.2~; .,~. ~ EN L~W ,. 'r'~ ~l'APTER 7 ~ :3, ,FLOR I DA ST A T,UTES , AS
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<br />AMENDED)
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<br />I certify thlt .1, the applicant, hav, be,n providld Mith I copy of -Florida's Construction Lien Lall - HOI.owner'l Protection
<br />Buid,' prepared by-th' Florida Departlent of Agriculture and ConsulerAffairs. . If the applicant is sOleone other than the
<br />-owner', I tldifV .that I have Db\aineda~~p,,01. th. above described doculent and prolise in good faith \0 delivtr it to 'he
<br />10llner- priorjtD~co~lentllent.' ..".,,0' > ). . . .... .... . . . "
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<br />E. CONTRACTOR.S/OWNER'S,AFFIDAVIT.
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<br />I certify that all the inforlation in thil application is accurate and that all work will be done in cOlplilnc. with III
<br />applicable..1alls,ngulating, construction, loning, ,Iod Ilnd,d~veloplent,.
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<br />Application iI hereby lad. tDJ .obt.i~ I Plr.U t~.do ItOr_and.Jnlt~lla~ion II indicated. I certify that no MOrk or
<br />lnlt.11atioR hll cOlllnc,d ptior to illuane. of . plrllt and 'hat all lIork will bl perforled to leet stlndardl of all 11MI
<br />reguhtingtDn~'rUt~~!ln,'City cod.,,!IDning ngul.Uonl, and hnd develDp"nt (Igulations in the jurisdiction. l.1lsD
<br />certify that I.understand'that thl regulatiDRI of other governlental agenties .ay apply to the intended lIork, and that It is
<br />IV respD,nsibll1ty to ide,~ify,ttb.t" .cUo,nl ,~~IUI,t take to be in co.plhnce. S\lch agencies include bllt all! Ilot lil.~ted tOI
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<br />. DeDar\ll!flt Df EnvirenllnWl ReoulaUoD; Cyprlll Bayhlldl, WeUand Areas and Environaentall Y Sensi ti ve lands,
<br />, I . , . ": ~,".. '. . water/Wastewater Treatltn\"' '
<br />t SDuthwest Florida Water Kanaoe.ent Diltrict - Willi,. Cypr'ls Bayhe~ds, Wetland Areas, Altering WatercDurses
<br />I Arlv CorDS of Enoinelr. - SeaMalls, Dockl, Maviglble WaterMaYI
<br />I DeDartlent of Htalth l Rehabilitative Servicel. Environlentll Health Unit - Uells, WalteMlter Treatlent, Septic Tanks
<br />. US Environaefttal Protection' AOlnn - ~sIIlItol abateaent . .'
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<br />I also certify that, if fill .aterhl il to be ulld in Flood Zone ~A' Dr "A,etc.", it is understood that a drainage phn
<br />addressing a .rcolpenlating voIUJe~wUl,be IUbli~t.d Nhich iI prepared by a profe5lional engineer r.g~sterl!d in the Statl of
<br />Florida prior: to plrlitlsluanc:e~'h, . ;},i !,,' . ,
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<br />A per.it ilsued shall be construed to'bl a'lice.leto proceed with the work andenot'as luthority to violate, cancel alter, or
<br />set aside Iny provilions of th. technical cod'I,.nor shill illu.nce of a perlit prevent thl Building Officill frol thertafter
<br />requiring I 'corr,ecUonof erronJn plalll,,;ttM'rudion,or,viDlltions of anv c~de.Everv per.H ilSued shall becole invalld, .
<br />unlesl the'IID,k'authoriztd'by'such per.l'~l"t''''nced within I~I lonths Df ~Isuance, or if Mork authorized by the perlit is
<br />IUlpended orr'ablndonedJof. a 'p.rlodDf;:ihtl...tlal after, th, U.,the work is C:O~.l!nCld. Onl 90 day extension of tilt, lay be
<br />allolled for'thl plrllt,ltUhftt' thlr't'~fl"l'~OO. 'Tht Iltenl10n shall be requested in llriting to the Building Offichl. An
<br />approved inlp~ction,~tt.i ~;~ '1!1ged during lath sill lonth period, Dr the project' IIi 11 be considered abandDned.
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<br />WARNING ,TO OWNER I VOURFAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV
<br />RESULTflN1YOURtPAYING'TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND:TOOBTA1N:FINANCING, CONSULT WITH YOUR DER;OR A ATTORNEY
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<br />~~F~~~l :~~~~~~N:E~g~~ ..~~I~~B.. ~F A C?~~i~~~M~~T COM~ ~EI~i $2. 500 r VALUE
<br />SIGNAnm~~.'-..'."'....'..' ~'. ~;..._..".!..'.;"".~.~..' .-... _I.'. ~:::!.'..'~". _..' _.~ 1.: --.<~j,.-.::..::~~ SIGNATURE_~ \ ----- ----- -----r~ -- -
<br />. ,,;iL\;,~AGENT. I, -+ ,ClINTRACTO
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<br />DATE kr~- 1.~""" eve " DATE ~'-r\i'-. ,\-".? lei ,'\")
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<br />NOTARY AS TO ~~~~=~C~~RT_~_~.....' "-(;t........... 1__"_.,_._<_.__.._,'1.__. (::~
<br />OWNER ~~~~ENT~___~___~___________________ ~-- ~ - ~ =----
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<br />_I. N TARY P1.JBL1C..Stat" ol.F\!lrida a\ Large
<br />MY COMMISSION EXPIRES______________________ MY COMMISSI4"" E,X~_~E ~..;=:;~~~~ Ins, Co
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