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<br />COND 1 T IONS" OF PERM 1 T AFF 1 DAV I T
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The .undersigned understands that this permit lay be sublect to "deed restrictions' which ~ay be Dore restr.ictive than City
<br />regulations, The undersigned usulles responsibiHt{;ror;.collpliance with any applicable deed restrictions,
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR R~SPONSIBILItI~S
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<br />If the ollner has hired a contractor or contractors to undertake work, .they may be required to'be licensed in accordance with
<br />stlte and local regulations, If the contrac,tor is not licensed as required by LUI, both the ('llncr and contractor IIaY be
<br />cited for a lisdemeanor violation under state,lall., If the owner or intended contractor are uncertain as to .what licensing
<br />,.""..,n', ..y .,ply fo' th' 'n".d,d .,,\, 'h,y ." .d,I"d t.',.,." th, c"y of Z"h"h'll, ','Id'" ","""', "1'1
<br />788-6611. ' . ' '
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<br />Furtherlore, if the Ollner has hired a contractor or contractors, he is advised to have the contractortsl sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible, If you, as the ollner sign as the contractor,
<br />y" .., ,.d;'."., ,h., y", ,.'he, 'h.. th' ".t,.",., ." ."".,'ble f,' to, ..". If '0, ,..""", ",h" Y" ., ""
<br />as contractor that aay be an indication that he is not properly licensed ~nd is nDt entitled to per~itting 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.
<br />
<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
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<br />I ,.,';fy th.t I, '0' ."I',.n', h.,e b," ,."lded .,th . "" ,f 'FI,,'d.', C,n,"""" "'" "'. - H..,..",', ".",.;.,
<br />Guide' prepared by the Florida Depar~ment of Agriculture and Consuler Affairs, 'If the applicant is sote~ne other than the
<br />_".,,', I ,or lify 'h.' I h." .bt"l"d , ,'py ,f the ,b'" d,'" lb,d d""'" ""' ,,,., , " " .00d h'th " d, I' ,or it ,. ",
<br />'Ollner' prior to coalencelent,
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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 infDrmation in this application is accurate and that all llor~ will be done in c~apliance with all
<br />applicable laws regulating c~nstructi~n, zoning, and land developlent,
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<br />Application is hereby lade to obtain a per.it to'do 1I0rk and install~ti~n as indicated. I certify that no 1I0rk or
<br />installation has cOlllenced prior to issuance of a permit and that all work will be performed '~o ~eet standards of all lalls
<br />regulating c~nstruction, City c~des, zoning regulati~ns, and land development regulations in the jurisdiction, I also
<br />",';fy 'O.t I ,.d,.".,d th., ,h, "g.l.t"., .f ,th,. g.".""t.1 ag""" .,y .p,ly't. ,h, 'nt"d,d "", ..d .h., 't ;,
<br />., """,'bil ily ,. ;d..\i fy .h.t ",;.., I ,",t la" " b, ;. m, \i '"',. ,.,,, . ,,,,,; " i "",d, ""I '" "" Ii ,".d ,,,
<br />
<br />. J.~
<br />I Department of Environmental ReQulation - Cypress Bayheads, W~tland Areas and Environmentally Sensitive lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />I Army Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways .
<br />. P'!""'" ,f H..I'h , ',h.b;;'t.t;" S",;"" En,;.,.".t.t H,.ltO "." - ",11\, H"""'" T".t"n~. S.,,;, T.,"
<br />I US Environaental ProtEction AQenc~ - Asbestos abatement
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<br />I also certify that, if fill aatl:rial is to be used in Fl"toDd Ze.ne "A" or "A,etc.', it is understc,(,d U,~l a drainage plan
<br />.dd." ,;., . ',0', 'ns> li n, "I.... .iII b' "bam ,d .hi ,h " ,,,,md b, . f'" I"" ",,, "" "" <e'" I'" ,d 'n ,., S h" · f
<br />Florida pri~r t~ perlit' issuance,
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<br />, "'," ",.,d ,0.11 b, ".,'",d ,. b, . I""" " ".".d ,"h th' ..., "d ri.t ., ..'h""y " ,',1.", ,..,,1 .1.", "
<br />,,' .,'d, .~ "',','," ,f ,h. '"h.;,.1 "d," ." ,h.l1 ,,""" ,f . ,.,.'1 """t Ih, ','Idi', .,",;.1 f,,' 'h",.f'"
<br />",.";,, . ,."""., ,f e,"" ,. ,I.n,; ".",.,tl,., 0' ,',I."." ,f "y "d.. E",y p."" i"",d ,h.l1 b."., ,.,.I'd
<br />..I'" ", HI"~ ..""',,d by ",h ,,,,'t ;, "...."d .ilhin ,I< ",,., ,f i""'<c', " 1I ",. ,,,\I,,., nod bf th, '''''' "
<br />,.",.d,d " ,b.,d."d f., . .,,;,d ,f ". .,.tb, .ft" 'h. tl., th, .." ,. "..,."d. 0"" d., .,I...i'" ,I "", "y b.
<br />.II,..d fo' 'h. ,.,.,t "'h f.. ,h..g. ,f 115.00. lh' ,,'e."" ~.Il b' ",."t.d " ","i., " .h. ,,"d'.g Off,,;.I. "
<br />approved inspecti(,n l!1ust be le,gged during each six Ilonth period, [,r the prc.ject \"Ii 11 be u,nsider!ed db,;l,dc,,,ed,
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<br />WARNING TO OWNER. YOUR FAILURE TD RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPRDVEMENTS TO YOU" PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECDRDING YOUR NDTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE
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<br />SIGNATURE_~~-~~~~~~~ .1
<br />CONTRACTOR ~.
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<br />OWNER OR AGENT
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<br />DATE____~:jb-~f~--------------------
<br />
<br />DATE
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<br />
<br />NOTARY AS TO --p fJ. j/
<br />CONTRACTOR__~-- ~'-~~~--~---
<br />'r;;r"nlf ~,>~\;, '.~'".- "': ,,' >., .-;,...r'::l
<br />~~...~lt.;,; J( .- ...., .,_,,_, -.'-,.." . ;.-' J. ,.u..;
<br />"\ ,~ "" ~, - ; , ' - , .,~ ...,;~ ;-
<br />MY COMMISSION EX s'om!"".,;Il. .,,; ,'" bn
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<br />NOTARY AS TO '
<br />OWNER OR AGENT_____________~_______________
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<br />MY COMMISSION EXPIRES
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