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<br />CONDITIONS OF PERMIT. AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICT IONS :';',
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<br />The undersigned understands that this perlit lay be subject to 'deed restrlctions" IIhicR'lay be lore res~rictive than City
<br />regulations. The undersigned a5SUII!5 t!5ponsibi1ltl::fo~ cOlplhnt! lIith any applicable d,~d,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 1I0rk, they lay be required to be licensed in accordance lIith
<br />state and local regulations, If the contractor is not licensed as required by lall, both the ollner and contractor lay be
<br />cited for a lisdeleanor violation under state lall. If the ollner or intended contract~r are uncertain as to IIhat licensing
<br />requir~laltI'.ay apply for the intended 1I0rk, they are advised 'to contact the City of Zephyrhills Building Departlent, 1913)
<br />799-6611.
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<br />Further.ore, if the ollner has hired a contractor or contractors, he is advised to have the contractor 15) sign portions of the
<br />'Contractor Sections" of this application for IIhich they lIill be responsible. If you, as the ollner sign as the contractor,
<br />you are indicating that you, rather than the contrattor, are responsible for the 1I0rk. 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 pertitting 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 lIith a copy of "Florida's Construction Lien Lall - HOleollner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs, If the applicant is sOleone other than the
<br />'ollner", I certify that I have obtained a copy of the above described doculent and protise in good faith to deliver it to the
<br />"ollner" prior to cOllencelent.
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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 lIork will be done in co.pliance with all
<br />applicable lalls regulating construction, zoning, and land develop.ent.
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<br />Application is hereby .ade to obtain a per.it to do lIork and installation as indicated. I certify that no 1I0rk or
<br />installation has cottenced prior to issuance of a per.it and that all 1I0rk lIill be perforled to .eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended lIork, and that it is
<br />.y responsibility to identify IIhat actions I lust take to be in co.pliance. Such ~genci~s include bllt ~Ie not li.ited to:
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<br />I Depart.ent of Envifon.ental ReQulation - Cypress Bayheads, Hetland Areas and Environlentally Sensitive lands,
<br />Hater/Wastellater Treat.ent
<br />f Southwest Florida Hater "anaQe.ent District - Hells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seallalls, Docks, Navigable Waterllays
<br />f Depart.ent of Health L Rehabilitative Services, Environ.ental Health Unit - W~lls, Wastellater Treat.ent. Septic Tanks
<br />I US Environ.ental Protection AQency - Asbestos abate.ent
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<br />1 also certify that, if fill .aterial is to be used in Flood Zone 'A" or "A,etc.", it is understood tJ.it a drainage plan
<br />addressing a 'co.pensating volu.e" lIill be subtitted IIhich is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it iss~ance,
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<br />A perlit issued shall be construed to be a license to proceed lIith the 1I0rk and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every pettit issued shall becole invalid
<br />unless the Nort authoriz~d by such per.it is co..enced within six months of issuance, or if 1I0rk authorized by the perlit is
<br />suspended Dr abandoned for a period of six .onths after the tile the 1I0rk is co..enced, One 90 day e~ten5ioll of ti.e, .ay be
<br />alloNed for the perlit "ith fee charge of $15,00. The extension shall be requested in writing to the Building Official, An
<br />approved inspection lust, be logged during each six .onth period, or the project Mill be cDnsidered ilballdoned,
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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 COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED. TO RECORD AN9 POST A "NOTICE OF COMME7/.MEN~~.
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<br />SIGNATURE, ~. ___ _ _ SIGNATURE_~~:(~~~_
<br />~~ R OR AGENT CONTRACTOR
<br />DATE______~~~~~J--_--------------------- DATE______~~L~_L!_{______~____________
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<br />~~~~:Y o~S A~~~:~~~ ~~~~,:~C~~R~~~~_~
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<br />(7 .."" IfotcIy hWtt, Stafe of "orider
<br />MY COMMISSION EXPIRE.S..-~~at@''tJf1tcJl'Mcr'':=- MY COMMISSION EXPIREi,.(~ hpiresifur.-sG;19U
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<br />My ( ., [ . N 30 199. 1tIft... Th,. T,oy 'ain "n,u,an" 'nc:.
<br />omm!1Slon llplres ov. , .1
<br />~dad n"", fro, F~i",. 'n~uro.,(e,!nt;.
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