<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />Th~ ,und~rsign~d und~rstands that this permit may be subject to "deed restricti~ns. which ~ay be oore restr,ictive than City
<br />regulations. The undersigned assu~I!S nsponsibilitf;forcollpliancl! with any applicable deed restrictions.
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<br />B. UNLICENSED, CONTRACTORS ANt> CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor or contractors to undl!rtake wor~{'they may bl! re~u'ired tu bl! licensed in accordanc~ with
<br />~tate and local regulatiuns. If the con~ractor is not licensed, as ,required by law, bc,th the C'llner and contractor flay b~
<br />cihd for a misdemeanor violation under sta.tlt laM., If the OKnl!r c"r intendl!d contractc.,-api unc;ertain as tu, what liceT)sing
<br />r~Quire.ents lay apply fc.r the in-tended wo~k,. they are advised to cc~ntad the Ci ty (,f Zephyrhi lIs ~ui Iding\ Depdrtaent', (813)
<br />788-6611.
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<br />Furthermore, if the owner has hired a contractor or contract~rs, he is advised tu have the contract~r(s) sign portions uf the
<br />"Contractor Sections' of this application for" wkith they will be respons~ble.. If you, as the ~wner sign as the c~ntractor,
<br />you areindicatinq that you, rather than the contractor, are resp~nsible for the w~rk. If the ~ontrilctor wishes y~u to sign
<br />as contrach.r that lay be an indicatic,n that he is not prcoperly Hcen'sed and is not entitled tc. permitting 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.
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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 provided with a copy of "Florida's Construction Lien Law - HOJleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the ~pplicant is soeeone other than the
<br />"ollner", I certify that I have (.btained a, co'py of the above described dc,cument and prc.rr.ise in gc,od faith to deliver it to the
<br />"oHner" prior to cOI~ence~ent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the infor~ation in this application is accurate and that all wor~ lIill be dene in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby ~ade to obtain a perait to'do MorK and install~tion as indicated. I certify that no work or
<br />installation has cOlmenced prior to issuance of a perlit and that all work lIill be performed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulati&ns, anrl land development regulations 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 />ay responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~Ie nDt li~ited to:
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<br />. J.~ .>
<br />I Departsent of Environ~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi tive L3nds,
<br />\later/Wastewater Treatment
<br />I Southwest Florida \la'te~. ManaQe~ent District - Wells; Cypress Bayheads, Hetland ~reas, Al tering ~aterc'jurses
<br />I Any Cc,rpsof EnQineers - Seawalls, DoCKS, Navigable Haterways
<br />f Depart.ent of Health'L R~habilitative Services. Environmental Health Unit - Wells, Wastewater Treal~en~. Septic Tanks
<br />f US Environmental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill laterial is tD be used in FIMd Zc.ne "1\" c.r "I\,etc.', it is underst(,e,d U.,t a drainage plan
<br />addressing a 'coapensating volule" will be subtitted which is prepared by a professional engineer fegi5t~led in the state of
<br />Florid~ prio-r tn per~i"t)ssuance.
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<br />A perlit issued shall ~e construl!d to be a license to procl!l!d ~Iith the we,rk and nc,t ilS il\iH,c.rity tc, \'ico\"te, cancel alter, or
<br />set aside a~y prc'YlS,i('~:~ 'of the tf!chnical cc.des, nor shall issuance of a permi t prevent the flUi Iding Official frc." thereafter
<br />requiring a cc.rrection c.f 'errors in plans; construdit.n, (.f violations of any c(,de. Every per~it issll,~j "hall bece'le invalid
<br />unless the wc.rk authc.rized by such permit is cC'lIl1enced within six Illonths (,f issuance, c,r if liC.1 k aul1,('\ lzcd by the perlit is
<br />suspended or abandoned feor a period c.f six lonths after the ti.lll' the u()rk is (['Klmemed. One 9(; day e~\~;,5ioll of tiae, /lay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the 8uilding Official. An
<br />approved inspectic,n I!>ust be lc,gged during each six lIlonth period, Of the prcoiect Iii 11 be considered abdl,dc,j,ed.
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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 08TAI~ 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 N~ RtCORD ANDPDST A "NOTICE OF COM:;EMENr~. /;
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<br />SIGNATURE~~=:~R-AG-.J--,-~--;;&-~I.SI NATURE~-~~~,TO~R
<br />A~;~1~/-tD8N/ /1',)(flf/-< '
<br />DA TE_.LDdLt3t-L'l'l..3.- .. ____________ ATE _jtL _31-~'l1-?>.nnnnn--
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<br />NOTARY AS TO OTARY AS
<br />OWNER OR AGENT CONTRACTOR
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<br />MY COMMISSI
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<br />MY COMMI
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<br />s____~~~~~----
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<br />~,.~~
<br />:.tJa. 'fi
<br />
<br />MELVIN JAMES MARSHALL
<br />Notary Public. Stote of FIorldo
<br />My Comm. Expires Sept, 3. \996
<br />, No, "c<:;'225i60 . ,
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<br />
<br />MELVIN JAMES MARSHALL
<br />Notclly P~. State of FlorldQ
<br />My ~tflo Elipl,. Sept.3. 1996
<br />Hi, gS &8760
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