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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 .dp.~d restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules 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 lay 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813}
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} 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 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 ~ND UTILTTY 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 with a copy of "Florida's Construction Lien Law - Ho.eowner's Protection
<br />Guide" prepared by the Florida Departlent 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 doculent and promise in good faith to deliver it to the
<br />"owner" prior to cOI.ence.ent.
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<br />E. CONTRACToR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developeent,
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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 cOI.enced prior to issuance of a perlit 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 coepliance. Such agencies include but ~je 1i0t lilited to:
<br />
<br />. Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />. US Environ.ental Protection Anenc'r..;-Asbeslosanieltent
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<br />I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood tll~t a drainage plan
<br />addressing a "colpensating volule" will be subtitted which is prepared by a professional engineer registEred in the State of
<br />Florida prior to per.it issuance.
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<br />A perlit 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 perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid
<br />unless the work authorized by such pertit is cottenced within six months of issuance, or if work authorIzed by the periit is
<br />suspended or abandoned for a period of six tonths after the tile the work is co.menced. One 90 day e~ttnsioB 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 must be logged during I!ach six tonth period, or the prclject will be C[lnsidered ilbdlld(lfied.
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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 Ne\D TO ~ECORD AND POS~ A "NOTICE OF COMMENCEMENT".
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<br />SIGNATUR~~~,P'.j:.~~___ SIGNATURE 1l..~t!:--!2..~-
<br />OWNER OR AGENT ~~ CONTRACTOR
<br />DAT~_'LtL__~ l- Jg~d_ ----------
<br />
<br />NOTARY AS TO O. ~ NOTARY AS
<br />OWNER OR AGENT~--~-__-_ _ __ CONTRACTO
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<br />MY COMMISSION EXPIRES______________________ MY COMMISSION
<br />
<br />DATE 6- /?-/- ,/
<br />----------~-----------------------
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<br />__ ____ _LiJ~
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<br />Nvt;:ry Pu!!![c, S;,'te n! ~!Or!l!ll
<br />p .to.wl~~~1"i~..j~~.;.I+._l1l93
<br />uunded Thr~ '/o!cstcrn SJ~ety CUfllpan'/
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<br />SUSIE MARIE CALLOWAY, NOTARY PUBLIC
<br />STATE OF FLORIDA
<br />MY COMMISSION EXPIRES 4I9tW
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