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<br />A.
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<br />CONDITIONS;O~.,F~RMZT AFFIDAVIT
<br />NOTICE OF DEED RESTRICTIONS
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<br />Th~,undrrsignrd undrrstands that this perllt lay be subject io 'deed restrlcti~ns' Nhich ~ay,be norD rrstrictivr than City
<br />regulations. Thr undersignrd assulles responslbllltf.;~or"colpHancl! with any applicable deed restrictions.
<br />, . ;fll ~- .'
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<br />B.
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<br />,
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIAILITI~S
<br />
<br />If the own~r has hired a contractor or contractors to undl!rtake work, 'they lay be required to be licensed in accordance with
<br />statl and local regulations. If the contractor is not llcl!nsed as required by IaN, both the OHner and contractor nay be
<br />cited for a .isdraeanor violation under state law.; .If the owner or Intended contract~r arr uncertain as to what licensing
<br />requirelents aay apply for the intended Hork, they are ad~ised to contact the City of Zephyrhills Puilding Departlent, IBI31
<br />788-66 II. ' , , :- ·
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advisad to have the c~ntract~rls) sign portions of the
<br />'Contractor Sections' of this appllcation fH which they will be resp'onslbll!. If yeou, as thee'Nnt'r sign as the contractor,
<br />y~u are indicating that you, rathar than the contractor, are responsible for the work. If the contract~r wishes you to sign
<br />as contractor that aay be an indication that he is not proparly licensad and is not entitled t~ pDr~itting privileges in tt,e
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION' FEES
<br />
<br />D.
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<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 provi~ed ~ith a copy of 'Florida's Construction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is SOtCDne other than the
<br />'owner', I certify that I have obtained a. CDPY of the above described docu~ent "nd pr~mise in good faith to deliver it to the
<br />'owner' prior to co.~encement.
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<br />" : '.. ~ ,~~~. : " : :' .
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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 wor~ will be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby made tel c,btain a penit to'do tiork and install~tion as indicated. I certify that no work or
<br />installation has cOltenced prior to issuance of a perait and that all work will be performed t~ ~eet standards of all laws
<br />regulating construction, City codes, zoning regulations, an~ land development regul"ti~ns in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is
<br />IY responsibility te, identify Ilhat actions I must take to be in compliance. Such agc-ncies ir,clude bill :>Ie IIc.1 li~iled to:
<br />
<br />.' '
<br />I Departmen! of Enylron~~ntal ReRulalion - Cypress Bayheads, H~tland Areas and Environmentally Sensiljv! Ldnds,
<br />Hater/Hastewater lreatmen~
<br />. Southwest Florida ~ater ManaQemenl District - Hells; Cypress Bayheads, Hetland nreas, Altering HalercouTses
<br />I Arty Corps ~f EnQineers - Seallalls, Docks, Navigable Haterways
<br />Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - Hells, Hastewater Treat~en~. Septic Tanks
<br />US Enyironaental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill aaterial is to be used in Fl't,od ZClne 'A' or 'Ji,dc.', it is understc,c,d 11,,1 a drainage plan
<br />addressing a 'co/Jpensating voluae' Hill be sub.itted which is prepared by a professi~nal engineer r~qi5t~r~d in the State of
<br />Florida prior to permit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the Ilork and not as auth~rity to yiol~tef cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Bui Iding Off\ci.l fr~~ thereafter
<br />requiring a ce,rrection e,f errors in plans; cc.nstructic,n, clr violations of any ce.dc-. Every per~it issued ~t.all bece'le invalid
<br />unless the work authe,rized by such perllit is cColUenced Hlthin six lIlonths eof issuance, e,r if HHf; a\ltl,co, )~ed by the perlit is
<br />suspended (lr abandoned for a period of six lonths after the tiJe the Hork is co~menced. One 90 day ~=le~5io'l of tiae, say be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspectie,n oust be leogged during each six Ilonth period, e,r the pre.jed Hi II be cc,nsidl'r!:d dbollde,j,fd.
<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 Al'TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A II NOT i CE UF COr'ir'1a~CEME!'lT".
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<br />SIGNATURE__~~~!~_~l~~~______________ SIGNATURE~~~~"~~.~. ~~~;t~----
<br />O\.-JNER OR AGENT CONTRACq])ff_____ //
<br />
<br />DATE
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<br />09, CJ6 - 9/
<br />
<br />DATE___~J:~_~~~~_~~________________
<br />
<br />NOTARY AS TO (\ ' . ,^ ~ .'
<br />.....Gt.lt{ER OR AGENT _~U/D.d~a..~~-- Q~~ -
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