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<br />I
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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The undersigned understands that this pertit lay be subject to "deed restricti~ns" which may be lore restrictive than City
<br />regulitions. The undersigned assules re5ponsibility.f~~ cOlpliance with any applicable deed restriction~.
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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 may be required to be licensed in accordance with
<br />s~ate and local regulations. If the contractor is not licensed as required by law, b~th the owner and contract~r ftay be
<br />clte~ for a lisdeaeanor violation under state law. . If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply f~r the intended work, they are advised to contact the City of Zephyrhills Building Departlent (813)
<br />788-6611. '
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<br />Furthermore, if the owner has hired a contractor or c~ntractors, he is advised to have the c~ntractorls) sign portions of the
<br />"Contractor Sections" of this application f~r which they will be responsible. If y~u, as the ~wner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the c~ntractor wishes y~u to sign
<br />as c~ntractor that lay be an indication that he is not properly licensed and is not entitled to per&itting 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 'with a copy of "Fl~rida's C~nstruction Lien Law - Homeowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is s~le~ne other than the
<br />"owner", I certify that I have obtained a copy of the above described document and pr~mise in good faith to deliver it to the
<br />"owner" prior to cOlmencement.
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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 w~rk will be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has commenced prior to issuance of a perlit and that all work will be perf~rmed to meet standards ~f all laws
<br />regulating construction, City codes, zoning regulations, and land development regulati~ns in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ffiay apply to the intended work, and that it is
<br />my responsibility to identify what actic.ns I lust take to be in compliance. Such agencies include but ~1 e Iiot liilited to:
<br />
<br />I Department of Envitonmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Department of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, HasteHater Trcat~ent. Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
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<br />I also certify that, if fillaaterial is to be used in Flclod Zone "A" or "A,etc.', it is understcl(ld tlt3t a drainage plan
<br />addressing a "colpensating volume" will be submitted which is prepared by a pr~fessional engineer regist~il?d in the State of
<br />Florida prior to permit issu~nce.
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<br />A perlit issued shall be construed to be a license to proceed with the work and n~t as auth~rity to viol~te, cancel alter, or
<br />set aside any provisi~ns of the technical codes, nor shall issuance of a permit prevent the Building Official fr~1 thereafter
<br />requiring a correction of errors in plans, construction, ~r violations of any code. Every permit issuud shall bec~le invalid
<br />unless the work authorized by such perlit is co.~enced within six months of issuance, or if Hork authof12ed by the per.it is
<br />suspended or aband~ned for a period of six lonths after the time the Hork is commenced. One 90 day e:tE~5i~11 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 each six month period, or the project Hill be c~nsidered dbdl~oned.
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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
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEME Tit
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<br />_ ij(1--Ljt_2~_-_- ---------
<br />
<br />NOTARY AS TO V J 1/2J
<br />OWNER OR AGENT_~~_ - ~-----
<br />
<br />MY COMMISSION EXPIR.MUr~~ PU8tIC STArr nr ... """u
<br />lJI~"'"","",,~'OIfTj'p--'A-'-'-f'U"--
<br />OO/()(O 1lfllU G[~"~, OC r. !~. 1994
<br />. I,.,,,,,. IllS. UNO.
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<br />SIGNATUR
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<br />
<br />DATE
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<br />
<br />DATE________~:~~~~~__________________
<br />
<br />NOTARY AS TO. J f ~-"".... N
<br />CONTRACTOR___~~~~~-~=~~~
<br />
<br />MY COMMISSION EXPIRES__________________
<br />Notary Public, Stat. 6f Florida
<br />fly Commission Expires Aug. 6, 1993
<br />Bonded Thru Troy Fain - Insurance Inc.
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