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<br />CONDITIONS OF PERMIT AFFIDAV1T
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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />Ihe under5igned under5tand5 that thi5 perlit lay bl subject to "deed reitrictions" which lay be lore reitrictive th.n Cit
<br />regulation" lhe underiiqned a5SUles responsibility for cOlpliance with any applicable deed restrictions. y
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />lf the owner has hired a contractor Dr contractor. to undertake work.. they iay be required to be licensed in accordance with
<br />stite ind loCil reguhUlIns, If the contr;actor h not licenlied is riquh~d by liw, both the owner and contru\lIr lilY be
<br />cited for a lisdeleanllr violation under it~te laM, lf the owner'or intended contractor are uncertain ai to whit licensing
<br />requirelenti lay apply for the intended work, they are adviied to contact the City of Zephyrhills Building Departlent IB13)
<br />7BB-~~11. '
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<br />Furtherlore, if the owner hai hired a contractor or contractors, he is advised to have the contractor I,) ,ign portillns uf tt.e
<br />'Contractor Sectioni' of thi, application for which they will be respllniible. If you, ai the uwner sign as the cuntraclDr
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes yuu to si~n
<br />ai contractor that lay be an indication that he ii not properly licensed and ii not entitled to perlitting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
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<br />I certify that I, the applicant, have been provided with.a copy of 'Florida's Conitruction lien Law - HuleuNner's Pruttc\iun
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleune other than the
<br />'owner', I certify that 1 h~ve ubtained i copy of the above described ducuaent and pruaise in quod faith to deliver i\ t~ the
<br />10Nner" prior to cOlaencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />1 certify that all the inforlation in this application is accurate and that all "lIrk will be done in cu.pliance with all
<br />applicable lawi regulating construction, zoning, and land developlent.
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<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that nu work Dr
<br />installation hai cOllenced pr.i~r to issuance of , perlit and that all work witl be perforled to .eet standards of all loWS
<br />regulating constru~tion, City c~des, z~ning regula\ions, and land developlen' regulations in t~e Jurisdiction. 1 also
<br />certify that I under5tand that the regulations of other governlental agencies I.y apply to the intended work, and t~at it is
<br />IV responsibility to identHy what utioni IIUi\ tike t~ be in cOlpliance. Such agerlties include !Jilt .Ie II"~ li.i~ed lul
<br />
<br />~
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<br />I Departlent of Environ.ental ReQulation - Cypreii Bayheads, Wetland Areas and EnvirDnlenta\ly Sensitive Lands,
<br />Water/Waltewatrr Treatlent
<br />I Southwest Florida Water "anaqelent District - Wells, Cypress Bayheadi, Wetland Areas, Altering Watercourses
<br />. Arlv Corps of EnQi~eers - SeaMalls, Dc.cki, Navigable Waterways
<br />t Departlent of Health L Rehabilitative Services, Environlental Health Unit - Well., Wastewater lrcatlent. Septic lankS
<br />. US Envirunlental Protection AQency - Asbestoi abatelcn!
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<br />I alu certify that, if fill utE'riil is to be uud in Flood Zone "A' or "A,etc,", it il understuod that iJ dlai~age plan
<br />addresiinq a "C"lpensating vc.luae" will be sublitted which is prepared by a professional engin~er reqi5t~icd' ill the State of
<br />Florida pri~r t~ perlit issuance,
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<br />.'
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<br />A perait issued shall be construed to be a license to procfed with the work and n~t as authority to viol~te, cancel .lt~rl ~I
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Uffici.l fr~a there.ftel
<br />requirin~ a correction of e.rrors in phns, cc.nstruct1on, or vic.litions of any code, Everyperlit issllud ;tlall beco.e in'l.lid
<br />unlesi the work authc.rized by such perlit 11 cOllenced within six lonths of iSiuance, ~r if work autll". lIed by the perlit i!
<br />suspended Dr abandoned fC.T a period of six lonths after the tile the wor~ ii co.aenced. One 90 dat c~l~nSIOII of ti.e, aay ~~
<br />allowed for the perlit with fee charge of $15.00, The extensi"n shall be requested in writing to thc Building Offici.l. Arl
<br />approved inspection lust be logged during each six lonth period, or the pro~ect Kill be cDnsidered ~bal~Dned.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PRdPERfV, IF vuU
<br />. INTEND TO OBTAiN FINANCING, CONSULT WITH YOUR LENDER OR AN AlTORNEY
<br />BEFORE RECORDING YOUR'NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND P!JS-~. A "t~OTICE OF COMMENCEMENT",
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<br />. SIGNATURE__~~_~~~~. SIGNATURE_____~~------
<br />7t/OWNER OR AGENT FL.. J:>i?'''c.~ l-ie.t:1J!.c CONTRACTOR Fi- .])t<\\I~s L-1C'~el1~
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<br />,DATE________~~_~~_1~______~--------------- DATE_______~~~~:-~~-----------------
<br />
<br />NOTARY AS TO ~ J2.
<br />OWNER OR AGENT __ __._k~- Q--~~-----
<br />1'<- en-\ L.E"E ;i7j. ERe vJ IJ
<br />MY COMMISSION EXPIRES_~~ P~~!!.c;.~t~~.t\t.I..ar~f1oritla
<br />.." Vi.1rnrnIS~lOn [xp'ro' A- ': 2
<br />' , '-;j pm " 1995
<br />
<br />NOTARY AS TO
<br />CONTRACTOR____~/d~~. --~~-
<br />~A: 11-tL.~~ U"3N;;,k; ,
<br />. U . I C. ~'lt9 At l,.'lmo R '
<br />MY COMMISSION EXPIRES_~:~~~~~~~_~x~[~~i2~~~~
<br />I ...,
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