<br />{#II> '.J
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<br />CONDITIONS OF PERMIT AFFIDAvIT
<br />A. NOTICE UF DEED RES1RICTIONS
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<br />The.undfrsigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restr.ictive tha~ City
<br />regulations. The undersigned assules responsibllitf~!or,"colpliance Nith any applicable dl!ed restrictions.
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<br />B. UNLICENSED CONTRACTORS ANDCdNTRACTOR RESPONSIBILITIES
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<br />If the ONner has hired a ceon.tractor:or contractors to undertake work, they Day be required to be licensed in accordance with
<br />statt and local regulations. If the contractor Is not licensed as required by law, both the owner and contractor lay be
<br />cihd for a .isde.unor violation under state laH..r If the ollner or inhnded contractc.rare uncertain as to what licensing
<br />re,quiruents uy apply f[,r the intended Hork, they are advised to c[lntact the City [If Zephyrhills Building Deparhent, (813)
<br />788-6611. ;., .'
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<br />Fur thenore, if theoHneT has hired a contractor or contractors, he Is advi sed to h.ave the c[,ntr actor (s ) sign port ions of the
<br />.Contractor Sections. of this application for IIhich they lIill be responsible. If you,as the [,wner sign as the c[,ntractor,
<br />you are indicating that you, rather than the contractor, areTl!sponsible for the wc>rk. If the c[.ntractor Nishes you to sign
<br />as contractor that lay be an indication that he is not pr[lperly licensed and is not entitled toperaittlng 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 />1 certify that I, the applicant, bave .~een .pr~vided "i.th a copy of "Florida's Const~uction LienLall -.~o.eollner's Protection
<br />Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs.. If \heapp;lit;ant is sue{,ne other than the
<br />"oHner., I certify that I have [lbtai,ned a. copy of the above described docu.ent andprc.mi.se in goodfai th to deliver it to the
<br />'ollner' prior to c~l.ence.ent.
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<br />E. CONTRACTOR'SfOWNER-S AFF1DAVIT
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<br />I certify that all the inforl~tion in 'this application is accurate and that all ~ork Hill be done in coapliance llith all
<br />applicable lalls regulating construction, zoning, and land developaent. .
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<br />Application is hereby .ade to obtain a penH to'do Mork and inshlliltion as indicat.ed. I certify that no work or
<br />installation has cOI.enced prior to issuance of a perlit and that all work llill be perfor~ed to leet standards of all laNs
<br />regulating constructi[ln, City cod~s, zoning regulati~ns, and land development regulations in theiurisdiction. I also
<br />certify that I understand that the regulations of other governiental agencies may apply'to the intended 1I0rk, and that it is
<br />IY responsibility to identify IIhat actions I lust take to be in COMpliance. Such agencies includeb'll~le neot li.ited to:
<br />
<br />'"
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<br />t Depart.e~t of Envir~n.enial ReQulation - Cypress Bayheads, Wetland Areas and EnvironlllentallySensitive l,Hlds,
<br />Water/Wastellater Treat.ent
<br />f Southwest Florida Water ManaQuent District - Wells; Cypress Bayheads, Wetland Areas, Alteringllatercourses
<br />t Any CDrps 'Df EnQineers - Seallalls, Docks, Navigable Waterways
<br />f Depart.ent of ~ealth ~ Rehabilitative Services. Environmental ~ealth Unit - Wells, Wastellater Tr~at.en~, Septic Tanks
<br />t US Environlental Protection AQency. - Asbestos abate.ent
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<br />I also c.ertify that, if fill uterial is to be used in Hood Zone "A" or "A,etc.., it is understo[,d tli~t a drainage plan
<br />addTessing a 'co.pensatingvolule" lIill be sublitted lIhich is prepared by a professional engineer regist~ied in the State of
<br />Florida prior to per.it issuance.
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<br />A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the ~uilding Official froe theTeafter
<br />requiring a COTrection of errors in plans; construction, or violations of any code. Every per.it issll~d ihall beco.e invalid
<br />unless 1be lIork authorized by such perlit is C[lI.enced Hithin six lonths of issuance, or if Hork authOIJied by the per.it is
<br />suspended or abandoned for a period of six lonths after the tiJe the work is commenced. Doe 90 day e~tEnsio\l of tile, aay be
<br />allowed for the perlllit llith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project lIill be considered dbdlldoned.
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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 PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE 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_~-~_~~-~-----
<br />CONTRACTOR-~~~
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<br />D~E..__________~/j.!GO~~cfL. --------------
<br />#l--<<?.e' (?-:~;r~ rL~7lZ/ OA" '"
<br />~g~~:~c~~~~-----
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<br />MY COMM I SS ~lg~AR~~~B~~5'f"ff-eF-ri:OftttH',.,.------
<br />MY COrl'iailSS10N EX.'IRES; NOV. 2.7. 1992:.
<br />q,{~~ i<::'~' TH>-o:U NOTARY PUBLlC l!NDE::h:WRITERe.
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<br />SlGNATURE_~-Ci~~~~--------
<br />OWNER OR A-~:.rU/":"
<br />::~~~-~~~~~J~fl~z.-;,p':--;;;;;;-. -~---_.---:---
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<br />OWNER OR AGENT - r~~~----
<br />';tJ/l . h' '/' --7 .
<br />J
<br />MY COMMISSION EX~~~B~_~~~~~2l~~~~LQ~C~---
<br />1..1' \.-\J"....I;:;;::;iUN L;l"IRES: NOV. 27. 199"f.
<br />!iiUNOEO THkU NOTARY PUBLIC UNDERWRITERS:
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