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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 perait aay be subject to "deed restrictions" which lay be aore restrictive than City
<br />regulations. The undersigned assules responsibility for coapliance with any applicable deed, restrictions.
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<br />B. UNL I CEN.SED CONTRACTORS AND CONTF'ACTOR RESPONS I BI LIT I ES
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<br />If the owner has hired a contractor or contractors to undert.he work, th~y;.ay'~e r~g~irep to be lic~nsed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the o~np.r and contractor aay be
<br />cited for a lisdeleanor violation under state law. If the OWller or intended contractRr are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advis~d to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />Furtheraore, if the owner has hired a contractor or contractrrs, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they wilj be responsible. If you,'as the ollner sign ilS the contractor,
<br />you are indicating thilt you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay 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.
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<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
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<br />I certify that I, the applicant, have been provided lIith a copy of 'Florida's Construction lien law - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture anei Consuler Affairs'.' Lf-the applicant is sOleone other than the
<br />'owner', I certify tbat I .have obtil'ined a copy of the above described-dctE11aent alld -pro.ise in good faith to deliver it to the
<br />'owner' prior to cOlmencelent.
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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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby lade to obtain a pertit to do work and installation as indicated, I certify that no 1I0rk or
<br />installation has comaenced prior to issuance of a perlit and that all 1I0rk will be performed to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, anll land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govl!rnlental agencies liay 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 but ill P. 1I0t li.ited to:
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<br />. Departtent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treatlent
<br />. Southwest Florida Water ManaQelent District - Wells, Cypr~ss Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent of Health ~ Rehabilitative Services, Environler1al Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
<br />. US Environ.ental Protection AQency - Asbestos abatelent
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<br />I also certify that, if fill laterial is tQ be used in Floon Zone "A" or "A,etc,., it is understood thilt a drainage plan
<br />addressing a 'colpensating volute' will be sublitted which is prepared by a professittnal 'engineer registered in the State of
<br />Florida prior to perlit issuance.
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<br />A per.it issued shall be construed to be a license to proceed with the IIttrk and not as authority to violate, cancel alter, or
<br />set aside, any provisions of the technical codes, nor shall issuance Df a permit prevept the. Building Official from thereafter
<br />requiring a rorrection of errors in plans, construction, [Ir violations of any code. Every petmit 'isslIpd ~hall becclle invalid
<br />unless the Nttrk authorized by such permit is cOI.enced within six months of issuance~ or if work authorIzed by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the work is commenced. One' 90 day e~tEnsioii of tile, lay be
<br />allowed for the permit lIith fee charge of $15.00. The extel,sion shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six tonth peliod, or the project will be considered abaBdoned.
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<br />WARNING TO OWNER: YOUR FAILURE TO ~ECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN yOUR PAYING TWICE FOR IMP~QVEMENTS TO YOUR PROPERTY. IF YOII
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECO DING YOUR ~IC OF COMMENCEMENT. JOBS UND 500
<br />DO NOT NEE ECO D D R ST A "NOTICE OF COMMEN ".
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<br />SIGNAT ~-o AGENT ~~---- SIGNATU ~NTRACTOR-----------
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<br />__Gc~~ _L1~~----- __________.,_ DATE_~~__~t_L'_fj1~-_------------
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<br />NOTARY AS TO NOTA~~~~ A ~ A C~./ .I ~ ~ _ ./
<br />OWNER OR AGEN ~ _ i_ _ _~~~~~ CONTRACTO~~;I\~~
<br />p f'Of:da .~i~-'.~0 f.J Lar~la. I 11~ ~.h
<br />MY COMMISSION EXPIRES_~~~~~~;2~~j~~~0~~~ MY COMMISSION EXPIRES___~~~~2~-----
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<br />
<br />DATE
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