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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />A.
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<br />~OTIC~ OF 'D~ED RESTRICTIONS
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<br />lhe und,rJlgn,d undlrltlndJ }P.t this p.r.it IIY be subJlct to 'dt.d rt'trlt~ionl' Nhich IIY be lor. r..trictiy. tbln City
<br />regulltion.. lht underli,lId IlluIII.re.ponsibility for cDaplilnte Mlth any Ipplicable de.d ,..\r1ct10nl.
<br />..... .: ~.I'tt, ~. ..~ ;. '. : ~'.
<br />B. VNLIC~NSED CQNTRACTOR~ ~~Q CONTRACTOB RESPONSIBlbltI~
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<br />If th. ONn,r hll hirl' I contrlctor or contractor. to undertake work, th.y IIY be required '0 b' liclnsed in Iccordant' w1th
<br />Itat. Ind locll "Iulationl. If the contrlctor il lit llcln..d II rlquirtd by 1.., both lbt ONntr Ind contrlttor ..y bt
<br />cit.d for. lisde..,nor vltlltiDn undlf statl llw. If the own.r or intended contrictor afe uncertlin II to Ibat lic.nsing
<br />r.qu1r.l.nt, IIY apply for the intend" NDrk, they Ire Idvised to contlct the City of Zephyrhilll Building Dlpartlent, (813)
<br />798-6611.
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<br />FurtherlOre, if ~h. olntr h.s hired I contrlctor or con'ractDrl, h. il .dvis,d to hlye th, contrlctor(s) siVn portionl of thl
<br />"ten'ractor Sections. of thi. .ppllcation for whicb they Mill be r.spoftlible. If you, al the own.r Jign I' thl tontr.ctor,
<br />you art indicating thlt you, rather th.D tbe contr.ctor, Ire r.sponlibl, for the work, If lb, contractor .ish.. you to lign
<br />IS contrlctor that lay bl an indication thlt he is not prop.rly licehSed and is not entitled to p.rlitting privileges in the
<br />tity of Zephyrhills. .
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<br />C. TRANSPORTATION IMPACT FE~~ AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTIO~ LIEN LAW (C~APTER 713, FLORIDA STATUiES, AS AMENDED)
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<br />I certify ~b.t I, the applicant, hive bIen proYl"~ .ith a copy of 'Florida'.! Construction Liln Lt. - HoteD.n.rl, ProtectiDn
<br />Guide. prepared by the Florida Dlpartltnt of. Atricultur. In' CODau.,r Affair.. If the appliclnt is 501.one otb,r than the
<br />"DNner', I certlfy tbat I h.~e o_taioed I copy of .'ht above described doculent Ind prolise in good faith to deliver it ~o the
<br />.o.ner. prior to CoellnClllnt.
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<br />E. CONTRACTOR'9/0WNER'S AFFIDAVIT
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<br />I ctrtify tbat all thl lnforlatioo in this applicltion is accuratl and thlt all .ork will be done in coapliane. with III
<br />appliclble laws rllulating construction, z&nin9, Ind llnd developltnt.
<br />
<br />Application is h.,.by Ilde to obtain I perlit to do lorklnd inltall.'lon IS indicated. I [frtify thlt no lork or
<br />installltion bl' cOlltnced ptlor to illuanee of I perlit and that III MOrk will be plrforled ~o I'et stlndlrds of III law,
<br />r,gutlting cDnstruc'ion, City cod~s, zonin; regulatlonss and land de~.loplent re9uliti~n5 in thl jurisdictiDn. J also
<br />certify tbat I underltand th.t the regulations Df .ther gov,rnl.ntal I,encl~' IIY Ipply to the inttndtd Nork, and tbat it is
<br />.y respDnsibllity tD 'id,ntlfy what actions 1 lUst tiki to be in CDlplilnce. Such Igencies include bllt 'Ie I~L lilited tOI
<br />
<br />f D'Dart.ent,~f EnYirDftlent~1 R!DUlltion - CyprIS' Bayh,.dl, Wetland Arell Ind Environ"ntally Se"sltivI l.nds,
<br />Water/wastlNlter Trllt.ent
<br />t Southwist F1Drida Yat.r "Inlge'JRt District - Wells, Cypr.ss &Iyheadst Wllllnd Ar'ls, Altering UatercDurl'S
<br />f ArtY CorDS of EnQineer. - S,awIIls, Docks, Mavivlbll Wat.rways
<br />. D~'lrt.ent of Health. Rehabilitative S~rYl[ll. Environl,ntel Hlllth Unit - Weill, Wast,wlter Treat"nt. S.ptic lanks
<br />f US Environaental ProtectioD AO,ocjl - Asbestos abat'lent
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<br />1 allo certify thi', if fill literi.l is to be US" in FloDd Zone .". Dr 'A"tc.', it h understood th,t i dr-dnll' plan
<br />addrlssing I 'cDlpensaling YOIUI'. Mill be .ublitted Mhich is pr'p.red by . profes5ional lnoine,r rfgistered in the Stitt of
<br />Florida prior to perlit issuance. .
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<br />A per.it issu,d sh.ll be tDnstrued to be . lic!nst tD proefed Nith the work and not IS authority to viDlitl, clncel altlr, or
<br />lit ,sid, any prDvisiDns of thl 'ecbnital cod.s, nDr shall issuantt of I perlit prevent the Puilding Offici.1 frol th!r.after
<br />f!quiri", I corr,ction of errors in plans, constrlctiDn, or YiolatiDns of ,ny code. Every plrlit issu~d .h.ll b,CO" invalid
<br />unl", the work authorize' by lucb ptr.it is co...nced Nithin.six tofttbs of issuance, or if NOlk auth~1 lied by ~h, per.it is
<br />!iusp!ndld Dr abJndoftl' for I ptriod Df six .0nUIS ,fter the tilt tbe work is tOIHllctll.Unl 90 day I1xhlnsiOll ot tin, lay h
<br />allo"Id for ~he per.it with fe, charge of 515.00. The eKt,nsion sh.ll bt roque.ted in writing to ~hc Building Offl~ial. An
<br />apprDv,d inlpletion IUlt be logg,d during each sil IOnth period, or thl project .ill b, considered ~b~udontd.
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<br />WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEM~NT MAY
<br />RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I~ YOU
<br />INTeND TO OBTAIN FINANCING, CON5Ul.T WITH YOUR LENDER OR AN Al'TORNEY
<br />BEFORE RECQRDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER _a,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COM EMENTu.
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<br />--~ONT~:
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<br />OATE______-_-------------------------------
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<br />SIGNATURE___________--------------~-------~
<br />. OWNER OR AGENT
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<br />DAlE__
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<br />NOTARY AS TO
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<br />OWNER OR AGENT____~------------------------
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<br />MY COMMISSION EXPIRES_____-----------------
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