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<br />CONDIT10NS,C~ PiAMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The undersigned understands that this perlit lav be iUbjlct to -died r.strictions" which lay be lore rtstr~ctive tbta City
<br />regulations. Th. undenign.d a"UUI,r,,,,".~\lltt~!.or....co...llancl with any applic.l",.t~ ,r,,~rictionl..;.
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<br />UNLICENSED CONTRACTORS AND 9Q~lH~~TOR RESPONSIBILITIES
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<br />If the owner has hired a contractor or contractors to undertake work, theV lay be requir,d to be licensed in accor-..c. with
<br />state and local regulations. If the contractor il not llclftltd I' r.quired by llW, both the owner and contractor laY be
<br />cited for a lisde.eanor violation und.r Itlte llw. If thl Dwn.r or intended contractor are uncRrtain al to what l1Jl..i~
<br />requirelents lay Ipply for the intended work, they arl advllld to contact the City of lttftvrhills 8ui14iAg Dlp.f ll131
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsl sign port.... of the
<br />.Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the c"-"tttor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes V" to sign
<br />as contractor that ,ay be an indication that he i5 not properly licensed and is not entitled to perlitting privil.... in the
<br />City of Zephyrhills. )~~y
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<br />c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECT~gN FEES
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<br />D. CONSTRUCTION LIEN LAW (CHAPTER 71a. FLORIDA STAJUTES,
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<br />I certify that I, the applicant, have been provided with I copy of "Florida', Cons~(ucti~n Lien Law - HOleowner'
<br />Guide. prepared by the Florida D,partl.nt of Agriculture Ind Consul,r Affairs. If the applicant is 50aeone otb
<br />.owner., I certify that I hav. obtaalld a, copy of th. ab~vl dll~rabed doculent and proli,e in good faith to d.li
<br />"owner" prior to cOllencllent. .,.'.-.,
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAV{T
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<br />I certify that all the inforlation in thil applicatiDn il accurate and that all wDrk will be done in co.pliantl
<br />applicable laws regulating constructioR, loning, lid llad dty,!oplent. .
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<br />Application is hereby lade to obhin a perltt to do work and inshlliltion as indicated. I certify that no work,
<br />installation has cOllenced prior to issuance of a plrlit and that all work will be perforled to leet'standards
<br />regula'ting construction, City codes, loning rtgulatiDnl, and land develop.ent rl9ulatioRs in the jurisdiction.
<br />certify that I understand that the regulations of other goyern.ental agencies lay apply~to the intended work, a
<br />IY responsibili ty to identify IIhat actions I lUst tlke to be in COlpHance. Such agencies include but jilt 1I0t
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<br />. DeDartlent of Environlental Reaulation - Cyprtll Bavhl.dl, W.tland ~reis and ~nYif~ntallY Sensitive landt ;
<br />Water/Wlltl>>iter Treatlent ;,"" " .
<br />t Southwest Florida Water'"anaaelent District - Wells; CVpress Bayheads, Wetland Arpa~ Altering Wat~rcoUr5e$
<br />. Arlv CorDS of Enuineers - Seawalls, Docks, Navigable Waterways "
<br />. Deoartlent of Health L Rehabilitative Services. Environlental Health Unit - WellS; Waste~ater Trea~lent. Sep
<br />. US Environlentll Protection Aoenc\'. -: Asbestos ~b~ttlent ' ,<~
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<br />1 also certify that, if fill laterial il to be used in Flood Zone -A. Dr "A,etc.", it is understood that a dra
<br />addressing a .colpensating volUl,-.will be IUblitttd which is prepared by a profe~sio~' engineer registarod i
<br />Florida prior to pertit issuance. . , ' ."
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<br />A penit issued shall be construed to be a lieensl to proued with the work and !lOt ",.authority to viohte,'c
<br />set aside any provisions of the technical codes, nor shall iSluance of a perait prevl.t the Building Off\,i.l
<br />requiring a correction of errou in plins; construction, or violations of any tfldl'l~ ~yery penH isslll!d itlil~
<br />unless the work authorized by such peni\is coHeneed within six lonths of issuance, or if work iuthonzed by
<br />suspended or abandoned for a period of six lonihs after the ti.e the work is co..~n~~. One 90 day e~t~nsioll
<br />allowed for the penH with fee charge of $15.00. The extension shall be requested.. wri ting to the 8ui1din
<br />approved inspection lust be logged during each six aDnth period, or the project will be considered .bdlidoned.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEME
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ~O~i UNDER $2,500
<br />DO NOT NEED TO RECORP ANP POST A IINOTICE OF COMM~M~NT".
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<br />.s:,;~~J~~ii~~~~iO~/~IGNATLn1E~ >-
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<br />DATE ' ,I J.6'J~C- . .. DATE '~'II J;).~1t:;'5
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<br />MY COMMISSION E
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<br />NOTARY AS TO
<br />OWNER OR AGENT____
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<br />MY COM
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<br />---JUrJrl'Ht:-Sc..IAPER
<br />NoIaIy PublIc <:1'):8 of FlOIIda
<br />Mv Comm, t:llJj. June 6. 1997
<br />No. CC 292357
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