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<br />CONDITIONS O~ PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The undersigned undershndi that thii penH lay bl 5ubject to "deed restrictiClns. IIhich uy be ICln nstr.ictive than City
<br />reguhtions. The undenigntd il5UIII rtipon5ibilitffor CDlplianct Mith any applicable deed rutridion5.
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<br />B. UNLICENSED CONTRACTORS AND C N RACTOR RESPONSIBI ITIES
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<br />If the ollner has hired a cClntractDr Dr contractori to undertake Mork, they lay be required tD be licensed in accordance lIith
<br />state i~d 10cIl regulations. If the contractor is not liClnild as required by lall, both the ollner and contractor lay be
<br />cited for a lisdeleanor violation under itate lall. If the Ollner or intended contractor are uncertain as to IIhat licensing
<br />requ~relenti lay apply for the intended 1I0rk, they are advii.d to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />Furtherlore, if the Ollner hai hired a contractor Dr contractors, he is advised tCl have the cDntrictorlsl sign portions of the
<br />.Contractor Sections. of this application for IIhich they lIill be responsible. If you, as the ollner silJn as the contractor,
<br />you are indicating that YClU, rather than the contractor, are responiible for the IIC1rk. If the cClntractor lIishes you to sign
<br />as contractor that lay be an indication that he ii not prDperly licensed and is 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 .ith a copy of "Florida's CDnst~uctiDn Lien Lall - HDleollner'5 Protection
<br />Guidi" prepared by the Florida Departlent of Agriculture and ConiUler Affairs. If the applicant i5 50leonl other than the
<br />"ollner" , t certify that I have obtained I copy of the .bove dl5cribed doculent and proliie in lJClod faith to dlliver it to the
<br />"ollner" prior to cOllencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the infDrlation in thii application is accurate and that all 1I0rk lIill be done in cOlpliance lIith all
<br />applicable lalls regulating construction, loning, .nd land dev.loplent. '
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<br />Application is hereby lade to obtain a perlit to do 1I0rk and install~tion as indicated. I certify that no 1I0rk or
<br />installation has cOlleneed prior to issuance of a perlit and that all 1I0rk lIill be perforled to leet standards of all lalls
<br />regulating construction, City codes, zoning regulations, .nd land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies liY apply'to the intended 1I0rk, and that it is
<br />IY responsibility to identify IIhat actions I lust take to be in cOlpliance. Such agencies include bill." 1I0t lilited t,,:
<br />
<br />. ~.'"
<br />I Departlent of Environlental Reaulation - Cypre5i Bayhead5, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastellater Treatlent
<br />. Southwest Florida Wat~r "anaaelent District - Wells; Cypres5 B.yheads, Wetland Areas, Altering Watercourses
<br />. ArlY CorDS of Enaineers - Seallalls, Dock5, Navigable Water.ayi
<br />. DeDar\lent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Waste~ater Treatlen~, Septic Tanks
<br />. US Envir"nlental Protection AQenc~ - Aibeit05 abatelent
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<br />I also certify that, if fill laterial is tD be used in Flood Zone "A" Dr .A,etc.., it ii understDCld that a drainage plan
<br />addressing a .colpensating vDlule" lIill be iublitted IIhich i5 prepared by a professional engineer regist~i~d in the state of
<br />Florida prior to perlit issuance.
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<br />A p.r.il issu.d sh.11 b. t.nslru.d t. b. . l;t..s. I. pr.c.ed ,ilb lb. ..rt .01 ..1 .s .uth.rity t. ,i.l.t., c..c.1 .It.r, .,
<br />set aside any provisions Clf the technical codes, nor shall iSiuance of a perlit pr~vent the Building Official fr"l thereaftel
<br />r.qu.r.ng . c.".tt..n .1 .rr.rs 'n pl.ns, c.n.tructl.n, .r ,i.l.li.n. .1 .n, ,.d.. E'.r, p.r.il i.s'" ,h.ll b.,... in..I,d
<br />unless the work authDrized by such perait is cOllenced IIi thin six lonths of issuance, or if HClrk'iutholl%ed by the pertit i~
<br />susp..d.d '" .'"don.d lor . pori.d .1 .iJ ..ntb. .lIor lb. Ii.. th. ..rk i. "....'od. Dot" d., ,,'i',i., .1 "", .., t.
<br />allClwed for the perait with fee charge of $15.00. The extension shall be requested in IIriting to the Building Dfficial. An
<br />approved inspection lust be logged during each six lonth period, or the project lIill be considered ~b.lIdoned.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN VOUR PAVING TWICE FOR IMPROVEMENTS TO VOUR PROPERTV. IF VOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING VOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
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<br />::G:::R:~- ECORD AN~_=~_~_:_~~~~TlCE OF CDM E
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<br />DATE_________~ 1
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT__-
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<br />
<br />___.J.Ut;un.;lJ.~PeR--- -
<br />Notay Public. Stote of FlorIda
<br />My Comm, Exp. June 6. 1997
<br />No, CC 292357
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