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<br />CONDITI0NS,Q~~~~~11 AFFIDAVIT
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<br />A. NOTIGg OF DEED Re;~TRICTIONS '",
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<br />The.undersigned understands that this perlit IIY b. IUb~.ct to .d.ed restrictionl' which lay be lore restrjctivI
<br />reguhUons. Thl IIndlnignld 1I111111..l.....~b..Ut;f~r ,..,11.. wUb Iny app!ic$At.W4 .ultrictionl.
<br />'. " . ,if . ..,.. . ". .." . . ":, . ' .
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<br />B. UNLICENSED CONTRACTORS AND CQ~I~T9~ RESPONSIBJ~ITIES
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<br />If the owner has hired a contrlctor or contrlctorl to und.rtlke work, they .ay be requirtd to be licensed in acc~ with
<br />,tatl and 10cIl regulations. Jf the contrlctor il not lie",'" .1 r.quired by llW, both-the own,r an4 c..tract f' I
<br />cited for a lisdeleanor violation und.r itltl l.w,' If t., o...r or intended contr.ctor .r. uncertain ., to' wh.t iftt
<br />requirelents IIY appJy for the intendtd work, tb.y If' .dvi~':'O contlct the City .f ...,rhUb 8IIil'iM ...IM3)
<br />788-6611. " . ...
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<br />NOTARY AS TO
<br />OWNER OR AGENT_____________~_____~~~~--~-
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<br />MY COMMISSION EXPIRES______________~-----
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<br />Furtherlore, if the owner h.s hired. contr.ctor or contr.ctorl, he is .dvised to have the contractor(s) sign p
<br />'Contractor Sections' of this application for which they will be responsible. If you, IS the owner sign .s thl
<br />you are indicating that you, r.tb.r thin thl contrlctor, Irt r"pon,ibl, for the Mork. If the contrlctor wishts
<br />as contractor that ~ay be an indication thlt he il not properly licensed and is not Intitlld to perlitting privl.
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTI~ITY CONN~CTIQ~ FEES
<br />D. CONSTRUCTION LIEN LAW CCHAPT.jR 713, FLORIDA STATUTES, AS
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<br />I certify that I, the applicant, blve been provided with a copy of 'Florida's Construction Lien Law - HOlfOWPl
<br />Guide" prepared by the Florid. Dlplrtatnt of Agriculture Ind Consuatr Affairs. If the appJicant il s~..6nt ot
<br />"oMner", I certify that I have obtaiatd I. c:opy of~"..U...p~ribtd docu.ent and proliie in good hUh to del
<br />"~wner' prior to cOI.encelent. .
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAV,T
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<br />I certify that all the infor.ation in this applicltion il tcClrlte and that all work ~J be done in c..,li
<br />applicable lawI regulating construction, zoning, _1_)_'t,I,,'. ' '
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<br />Applicati~n is hereby lade to obtain a perlit to'do .0rk'lndiftStlll~tion as indicated.. I certify thlt no we
<br />installation has C~llenced pri~r to issuance of I p.rlit Ind tbat all w~rk will be perf~rled to leet'standlrd
<br />regulating construction, City codes, zoning regulations, and.land developtent regulati~ns in the jurisdiction.
<br />certify thlt I understand that the regulltionl of other gDv,rnaentl1 agencies lay apply~to the intended .ork,'
<br />'Y responsibility t~ identify wba~ actions I lUst tlke to be in cotpli.nce. Such agencies include bllt ile 110..
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<br />, DeDlrtle~t of Envir~nlental Reaul.tion - Cyprlls 8ayb.adl, Wtl1aa4 Are~5 and Envi{~~tlllY Sen5iti~t It
<br />1 Ulter/UntlWiter Treltunt .t ."
<br />. Southwest Florida,water'Kanlaelent District - Utili; Cyprlll aayltad5, Wetland Ar~AI~~ring ~I\~r~~~r~
<br />. ArlY CorDS of EnQlneers - Selwlll$, Dockl, Naviglble \I.t,,"YI ;
<br />, DeDartlent of Health L Rehabilitative Servic,~. Env~r,~\ Hellth Unit - Utll5 . r If
<br />, US Environlental Protecti~n A~epcy - Albel~ol Ib.t....t ~1.'
<br />. . "" 1\'. ~k" ,;-4i1l!
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<br />I als~.tertify that, if fill laterial h to be Uled inF1~\ZoPl .A. or 'A,etc.', it~i5 understo~d tlltt I
<br />addressing a "colpensating volute..Nill h, ~uhlitttd wbie~"" ,rlplred by a profe5iiD~~ e~ineer re"f~itl
<br />Floridl prior to penH issuance. . . , ~t,. ;'"+~;' ..
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<br />A perlit issued shall be construed to be a licenle to ,rDc-.d witb the wor~ and not ~~uthority to vitlatei
<br />set aside any provisions of the tecbnical codel, nor ~ll 'Isuance of a perlit preve.t the Building Qff\cit
<br />requiring a correction of errors in plans; con5truct~.,.. .r~V'tlltiDnI of any code. i!ery perlit iS5~ .h.
<br />unless tbe work authorized by su~b perai!h co........,nc....~~...,.1\y.it....IJ1..'....'iX tonths o! i5Sua.nce..,...o..r if work auth..rl;:~
<br />suspended or abandoned for a penod of 511 lonthl J.~~h,~ hat the work 15 co.-enc~ Dne 90 day l!llt'inSl0
<br />. allowed for the perlit with fer charge of $15.00. . TN,..ion shall be requested -'tlri ling to theBui leli
<br />approved inspection lust be l09ged during 11th ~~x ~1~~~d, or the project will :~. considered ~bil~ontd
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<br />WARNING TO OWNER: YOUR FAILURE"':TOJRECORD A NOTICE"'OF COMMENCEM
<br />RESULT IN YOUR PAYING TWICE FO~~.'~"fjlbvEMENTS TO YClUR PROPERTY.
<br />INTEND TO OBTAIN FINANCING, CON.U~T WITH YOUR LENDER OR AN ATTO
<br />BEFORE RECORDING YOUR NOTICE OF QMMENCEMENT. JOBi UNDER $2,50
<br />DO NOT NEED TO Rt::COAP, ~tAl ~PO~. - '. 1'1 Ci OF C T" .
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<br />SIGNATUR _ ____ ------ -------
<br />OWNER OR AGENT
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<br />DATE____l_=--~-l-=j--J~-~--'-~
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