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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />-
<br />Tht undersigned undtrstands that this perlit lay be subject to 'd~ed restrictiDns' which ~ay be more reslrictivt than City
<br />regulations. Tht undersigned assulcs responslbllity'".'for co.plianc!! with any applicable d~~d restrictions.
<br />
<br />B. UNL I CENSED CONTRACTORS AND CONTRACTOR RESPO.!:.Lf> I B I l_ I TIES
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<br />If the owner has hired a cDntractor or contractors to undertake work, th~y lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by Jaw, both th~ own~r and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr intended conlractDr are uncertain as"to what licensing
<br />require.ents iay apply fDr the intended work, they are advised tD contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the cc,ntractor!s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible, If you, as the Dwner sign as the contraclor,
<br />you are indicating that you, rather than the contractor, are responsible for the wc,rk. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed ~nd is not enlitled 10 perlitlin] privilegls in t~r
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNFCTlnN FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713~ FLORID~ STATUTES, AS AMENDED)
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<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Cc,nstruction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida Departient of Agriculture and Consuler Affairs. If Ihe applicant is sOle6ne other than the
<br />'owner', I certify that I have obtained a copy of the above described document and pro~i5e in good faith to deliver it to the
<br />'owner' prior to co.mencement.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inforlation in this application is accurate and that all Mork will be done in c~apliance with all
<br />applicable laws regulating c~nstructi~n, zoning, and land developaent.
<br />
<br />Application is hereby lade t~ obtain a perlit to do work and install~tion as indicated. I certify that no work or
<br />installati~n has CDltenced prior to issuance of a periit and that all wDrk will be performed to ~eet standards of all laMS
<br />regulating construction, City codes, zoning regulati&ns, and land development regulations in the jurisdicti~n. 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 />iy responsi~ility tCI identify what actions I lust take to be in compliancc', Suel, agl'fleic:s include bill ~I e IiC,t lillited to:
<br />
<br />. ,
<br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi tlye Ldnds,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water Manaqement District - Wells; Cypress Bayheads, Wetland Areas, Altering WatercDurses
<br />I ArlY C~rps ~f Enqineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastc:water Treat~en:, Septic
<br />I US Environaental Pr~tection Aqency - Asbestos abatement
<br />
<br />Tanks
<br />
<br />I also certify that, if fill laterial is to be used in Flc,od Z(lne 'n' [Ir 'A,de,', it is undc'rslc,c,d 11"t a drainage plan
<br />addressing a 'collpensating volulE' will be subiitted which is prepared by a profc:ssional enginc:er r(gist~r(d in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A periit issued shall be construed to be a license to proceed with the work and not as aulh~rity to yioJ~te, cancel alter, or
<br />set aside any provisic,ns of the technical [[Ides, nor shall issuance of a permit prevent Ihe Buildirlg lJffici,,1 fre,m thereafter
<br />requiring a (Correction (If errors in plans, [[Instrudic,n, c,r vic.)atic,ns of allY ([,De. [n') y p(r~it isslll'j :hall becc'le invalid
<br />unless the wc.rk authc.rized by such permit is C('Jull?nced within six ~onths c,f ISSUanC[", ('I If 11['1 f: atlthcII ned by the perlit is
<br />susp~nded or abandoned for a period Df six lonths after the ti,e the M~rk is [o~men[ed. One qo day e:lf~5io" of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requEsteD in Hriting to the Building Official. An
<br />appro'~ed inspectic,n oust be Ic,gged during each six Ilonth period, c,r the prc,jc'cl Iii 11 be [(,nsiderEd ilb""dc'lled.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUI~ PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN Al'TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JU8S UNDER $2,500 IN VALUE
<br />
<br />
<br />:~G~::R:_"E._.:t;;2 A~D ~~~~T I ::G::Tu::~m~~_S~L %Z
<br />, /~ lWNER OR AG jJ C:lRACV
<br />OATE_~_~-1P7-J'1U.--- _________ DATE~';,--JL21-.l2.fh----
<br />NOTARY AS TO . AJJn~-,u.J:) zf!~ NOTARY n~) TO ~;;e~-e
<br />OWNER OR AGEN-r:J;[z;;.j)f~~_'l:.."-_13-fL~L-- CONT~ACT 011 __ _ ~ t._4.Q_Y.s. _.A.:. -.I~!f-:?A___
<br />MY COMMISSION
<br />
<br />EXPIRES
<br />1.~~-----6FFICiAL.-SEAC---
<br />~\ GLADYS L BUSH
<br />i 1 My Commission Expires
<br />. ! Oct. 7. 1996
<br />\~OF~.." Comm. No, CC 234022
<br />.......
<br />
<br />MY CmlM I ~J~; I ON
<br />
<br />OP I RES
<br />..~.~\._----O~rICiAr SEAL
<br />I ~ GLADYS L. BUSH
<br />: : My Commission Expires
<br />\. ! Oct. 7, 1996
<br />....~~OFf~.... Comm. No. CC 234022
<br />........
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