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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The undersigned understands that this pertit lay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assutes responsibility for cOlpliance with any applicable deed restrictions,
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor or contractors to undertake work, they tay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a tisdeteanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
<br />requiretents tay apply for the intended work, they are advised to 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 contractorls) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that tay be an indication that he is not properly 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 with a copy of "Florida's Construction Lien Law - Hoteowner's Protection
<br />Guide. prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is soteone other than the
<br />"owner., I certify that I have obtained a copy of the above described docuaent and promise in good faith to deliver it to the
<br />.owner" prior to cOlienceaent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the information in this application is accurate and that all work will be done in cotpliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cottenced prior to issuance of a pertit and that all worK will be performed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance, Such agencies include bIll are not limited to:
<br />
<br />I Departtent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departtent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatlent. Septic Tanks
<br />I US Environtental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a .coapensating volume" will be sub.itted which is prepared by a professional engineer registEred in the State of
<br />Florida prior to permit issuance.
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<br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~hall beco.e invalid
<br />unless the worK authorized by such pertit is cottenced within six lonths of issuance, e,r if work authCtllZed by the per.it is
<br />suspended or abandoned for a period of six tonths after the tite the worK is commenced. One 90 day e~tEnsioli of tile, lay be
<br />allowed for the permit with fee charge of $15.00, The extension shall be requested in writing to the Building Official. An
<br />approved inspection eust be logged during each six tonth period, or the project will be considered dbdildoned,
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMI~ENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATUREiJ~~)t_~~~~~___________
<br />1-~- fWNER'R AGENT
<br />DATE b -,- 1/ ~ 7' I
<br />______L______________________~~-------
<br />
<br />/?7 /
<br />~ .''/
<br />NOTARY AS TO /' ~. "--2-/~
<br />OWNER OR AGENT~r1~~~---~;r_:-------
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<br />fipWry publlc. State of"Flor'da at Large
<br />MY COMM I SS I ON EXP 1~~'--._--------'J.f>..c..14.-1.9.91
<br />Bon'> "i ch:'-i n . .c;"" f. v "Brokerage
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<br />SIGNATURE
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<br />aw/f/FI(
<br />
<br />CONTRACTOR
<br />
<br />DATE___________________________________
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
<br />
<br />MY COMMISSION EXPIRES__________________
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