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<br />CONDITIONS;O~.PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />the.undersigned understands that this perlit lay be sub1ect to "deed restricti~ns" which ~ay b~ ~ore restr,ictive than City
<br />regulations. the undersigned asSUles respDnsibpity.;hr;.colpHance lIith any applicable d~ed restrictions.
<br />. . : ~I'~. . . . ,
<br />'. I,
<br />E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor or contractDrs to undertake lIork, 'they lay be required to be licensed in accordance with
<br />stlte Ind local regulations. If the contractor il not licensed as required by lall, both the Olfner and contractor ~ay be
<br />cited for a lisdeaeanor violation under state lall.;If the owner or intended contractor are uncertain as to IIhat licensing
<br />requirelents lay apply for the intended lIork, they are advised to contact the City of 2ephyrhills ~uilding Departlent, (813)
<br />7BB-bbll.
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<br />Furtherlore, if the OHner has hired a contractor or contractors, he is advised to have the contractorts) sign portions of the
<br />"Contractor Sections. of this application for which they Hill be responsible. If you, as the ollner sign as the contractor,
<br />y'u ". i,di,,'i'g lh,l y,u, ,.Ih., lh.n Ih. ,.nl,.,I,r, .,. ,.'p,n,ibl. I" lh. ."k. II th, ",t,."" .i,h,' y" I, ,ign
<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.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<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 provided lIith a copy of .Florida's Construction Lien Law - HOleoHner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle~ne other than the
<br />.oHner", I certify that I have obtained l cripy of the above described document and promise in good faith to deliver it to the
<br />.owner. prior to CO.lencelent.
<br />
<br />.. : 1, -t '~:~., 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 worr. lIill be done in coapliance Hith all
<br />applicable lalls regulating construction, zoning, and land development.
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<br />Application is hereby .ade to obtain a perlit to'do lIork and install~tion as indicated. I certify that n~ w~rk or
<br />installation has co..enced prior to issuance of a perlit and that all work lIill be performed to $eet standards of all laws
<br />regulating construction, City codes, zoning regulatiDns, and land development regulations in the jurisdiction. I alsD
<br />,.,'ily Ih.' , "d"".,d 'h.l Ih. ,.gul.li,n. ,I ,lh.r g.v.",.n,.1 .g."i" "j ."Iy t, th, i"t"d,d "", .,d lh.t il i'
<br />'y mp",ibl Ii ty ,. id"lIly .h.1 ,,",,' I ",I h'. " b, i' coop Ii .",. 'oo" """d" i "d.d, ""I '" ,,,' Ii .il,d too
<br />
<br />...
<br />
<br />I Depart.e~t of Envir~nlenia\ ReQulation - cypr~ss Bayheads, Wetland Areas and Environmentally Sensi \i\'~ Lands,
<br />Water/Wastewater Treatlent
<br />. Southwest F\~rida Water'ManaQelent District - Wells; Cypress Bayheads, Wetland ~reas, Altering Haterc~urses
<br />I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />. ~p""'" ,I H,.llh , R,h.bilil.liv. ,.,vi"', Envi"".,I., H..llh ",it - "II., ",t,..." ]".."". S.pti, 1.'"
<br />t US Environaental Protection AQen~ - Asbestos abatelent
<br />
<br />I also certify that, if fill latl?rial is to bl! used in F1'c,od Zc,ne "AR Dr "I\,etc,', H is underste,e,d lIdt a drainage plan
<br />.dd,."ing . ',..p",.li'g v,lu." .ill b. ,uh.lll.d .hi,h i, p,.p.,.d hy . p"I.,'i".1 ,'gi,'" ,'qi""" i, 'h' ,..,. ,I
<br />Florida prior t~ permit issuance.
<br />
<br />. p.r.il i",.d ,h.11 b' "n,'r.,d " b. . li,.n" " p"".d .Ilh Ih. ",' "d "t ., .uth"i'y .. ,i,I;", ,.",1 .1'." "
<br />,.l .,i" ,'y ",vi,i,,' ,I lh. I.,hni,.i ,.d." n" ,h.11 i""'" ,I . p."il """t 'h, "II'i'9 ,lli,i,1 1". lh"..ll.,
<br />"qui "'g . """Ii" ,.1 """ in p""'; "",1",\1,,, " vi' I,ll '" ,I "y "d.. E"'j ,,,.il i ""., ;t..1\ h"''' i ".1"
<br />,,1'" Ih. ",' .. \h" i "d hy ",h p." il 1, ,,,,,nted .ilh in'" '" l h' ,I i "" "'" " if '"' l '" II"" ",d by l h' P '" il i'
<br />,u,p.nd.d " ,b.,d."d I" . p"i,d ,I ,I. ."Ih, .1'., 'h. ,,., lh, .", i, "...".,. p,," d., ,.I,.,i.. .r Ii." "y b,
<br />.11,..d I" 'h. p.r,il .ilh I,. ,h.rg. .1 'i5.00. lh. ..I."i.n ~.II h. ,'q".t,' i' .,I.i.g ,. lh' ,.II'i'9 Olli,i.l. ..
<br />approved inspecti(.n r..ust be le.gged during each six lIonth period, (.r the prtojl:cl Iii 11 be c(,nsidered abdl,de,nfd.
<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 RECORDING YOUR NOTICE OF COMMENCEMENT. JOGS UNDER $2,500 IN VALUE
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<br />::G::~ij/~:/~~~:S~:_~'~~TICS~G:~Tu:;;;LM~--_
<br />~NER-DR~--- -~CDNTRACTOR
<br />DATE___~__~-3.L-JL~L------------- DATE_____:D~c-.0-~~-fnL---------
<br />
<br />NOTARY AS TO ~~ . '
<br />OWNER OR AGENT . .
<br />--- - NotaryPubliC:S te 0 :'f1Q;ida:- .
<br />MY COMMISSION EXPIRES__~~~~~~s~~~~~:~~~~~:~-
<br />
<br />
<br />NOTARY AS T~ . .
<br />CONTRACTOR ~ . - ----
<br />. - --- -- --N-;;~ry pu c,ate of Florida
<br />MY COMMISSION EXPIRES My Commission Expires June 21. 1993
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