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<br />-:i. CONDITIONS OF PERMIT AFFIDAVIT
<br />'"f.:ij\. NOTICE OF DEED RESTRICTIONS
<br />jj)p.e undersigned .understands tbat this per_It .ay be subject to "deed restrictions" ,bicb oay be .ore restrictive tban City
<br />,~;regulations. fhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
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<br />.fl' UNLICEN.SEO CONTRACTORS AND CONTRACTOR RESPONSIBILITIE~ .
<br />-..If tbs ....r bas blred a cootractor or contractors to undertake ,ort, they _ay be reqUired to be licensed In accordance with
<br />~tate and local rsgulati.... If the contractor is not licensed as required by la" both the owner and contractor lay be
<br />;~Ilted for a _ied......r violation under state la,. If the OHOer or Intended contractor are uncertain as to wbat licensing
<br />~Ir....ts ..y apply for tbs intended ..rt, they are advised to contact the City of Zepbyrbllls Building Depar"'ent, [BI3)
<br />~'.c'~788-661l
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<br />.;J! '.' theanre, if tbs owner bas bired a contractor or contractnrs, be is advised to bave the contractor(s) sign portions of the
<br />. Contractor Sections' of this application for wbich they will be responsible. If you, " the owner sign as the contractor,
<br /><,.~gU are Indicating tbst yoo, rather tbsn the contractor, are responsible for tbe HOd. If tbe contractor Hisbes you to sign
<br />.~ contractor !bat "y be an Indicatinn that be Is nnt properly licensed and is not entitled to Perlitting priVileges in lbe
<br />!;~iCity of Zephyrhills.
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<br />.~. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />: l~i,:
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<br />;lg. CONSTRUCTION LIEN LAW (CRAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />,~; certify tbst I, tbs applicant, bave bean provided wi th a copy nf 'Florida's Construction Lien Law _ H..eowner' s Protection
<br />'+~de" p{epared by the Florida Department of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
<br />.{~owner", I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
<br />'::~ownerll prior to couenceaent. ,
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<br />:,~. CONTRACTOR I S/OWNER I S AFFIDAVIT
<br />.~t~certify that all the infor.ation in this application is accurate and that all work will be done in compliance with all
<br />\'applicable laws regulating construction, zoning, and land develop.ent.
<br />::;;.t~r
<br />;~pplication is hereby lade to obtain a perl it to do work and installation as indicated. I certify that no work or
<br />"lDStallation bas cOllenced prior to issuance of a perlit and that all work will be perfofled to leet standards of all laws
<br />,~,tlng cnnatructlnn, City codee, .oning regulatinns, and land develop.ent regolations in the jurisdiction. I also
<br />,tlitlfY that I unierstand that the regolations 01 other governaental agencies .ay apply tn tbe intended wort, and that it is
<br />;~"espnnslbflity to Identify wbat acti... I luet tate tn be in colpllance. Sucb agencies include but are not ii_ited to:
<br />":~ZDepartlent of Environmental Regulation - Cypress Bayheads, Wetland Areas and Envirolllentally Sensitive Lands,
<br />'f:/ Water/Wastewater 'freatJent
<br />~:~~Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />.,~~ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />'~JDe artJent of Health & Rehabilitative Services Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />~/US Bnvironmental Protection Agenc~ - Asbestos abateJent
<br />iii!bn certifY tbst, if fill ..teria1 is to be used in Plond Zone 'A" or "A, etc. ", it is understuni tbat a drainage plan
<br />Oiaressing a 'c",,",ating vnlUle' will be suloitted .bicb ie prepared by a professional engineer registered in lbe State nf
<br />~~Qrida prior to perlit issuance.
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<br />Acp".lt Issued shall be construed tn be a license to proceed with the ,orl and not as authO'ity to vinlate, cancel alter, or
<br />. S@laside any p,ovislons nf the technical codee, nnr ,ball issuance nf a peroit prevent the Building Official frno thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
<br />ugt... the wort autho,ized by such pe"'~t is cn..eneed within six .nnthe nf issuance, or if wnrt authnri.ed hy the pe,.it ie
<br />s~pendedor abandoned for a period of six IOntbs after the tile tbe work is cOlllenced. One 90 day extension of tile, lay be
<br />allowed for the perait with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />appJoved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
<br />KARNING fO OWNER: YOUR FAILURE TO RECORD A NOfICE OF COKHENCKHENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVKHENTS TO YOUR
<br />~jQ~RRrY. IF YOU INrRHD TO OBTAIN FlHANCING, CONSULT WIfH YOUR LENDER OR AN ArTORNEY BEFORE RECORDING YOUR NOTICE OF
<br />.cmtHENCBKENf. JOBS UNDER $2,500 IN VALUE DO NOT NEED to RECORD AND POST A "NOTICE OF COMMENCEMENT 1/ .
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<br />:fe. ~ _ ~
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<br />SrATE OF FLORIDA
<br />coliNrr OF ~(~ ~ ~ J1:-.r
<br />TlliFforegoing instrument was acknowledged
<br />~~fore me this ~,,~ \~ , 19 ~ by
<br />~._;'~~.'."
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF \\.,,\.y fl)
<br />The foregOing instrument was ac~owledged
<br />before me this ~\.~\\ B.... , 19~ by
<br />
<br />w~9is\ p"~:sonalIYlnoWil}to me or who has
<br />'. pr9(1uced-..________
<br />as~'i'dentification and who dicf/4!~ no"t-)
<br />.....y... ~ ~----
<br />t. aIte" an oath.' i
<br />..._",\.~;' , "', \
<br />.:\. ~~l:" \W'):\\'\"\~'
<br />(S~gnature)
<br />; ~tt:~:l '. .
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<br />who is( personally lWoWn--to me or who has
<br />produced .'-
<br />, as identific
<br />take an oath.
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<br />(Signature)
<br />
<br />(Name Typed, Printed or Stamped)
<br />NOTARY PUBLIC
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<br />(N.Clint! Typed, Print~d oX:'''~~~e~~J Kenner
<br />NOTARY PUBLIC :tfk~MY Commission CC703125
<br />'.'. . -'" ;",..", Expires December 16, 2001
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<br />"";"~"'1- Annelle H Kenner
<br />< ;if *~Y Commission CC103125
<br />'. " ":~rl(€S D8Cember 16, 2001
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