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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />1(:\:-: NOTICE: OF DE:E:D RE:STRICTIONS:,.
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<br />The undersigned understinds that this perlit lay be subject to "deed restrictions' ~hich may b~ nore restrictive than City
<br />regulations. The undersigned assuleS responsibili~r.for. cOllpHance with any applicabl~ deed rest,rictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE~S
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<br />If the owner has hired a contractor or contractors to undertake work, they m~y b~ r~quired to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the ouner and contractor ~ay be
<br />cited for a lisdeaeanor violation under state lall. , If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, (813)
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor!s) 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 Hork. 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 per&itting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FE:ES
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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 C[Instruction Lien Law - Homeowner's Protection
<br />Guide' prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is soeeone other than the
<br />'owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />'ollner' prior to COlmencement.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />J certify that all the information in this applicatiDn is accurate and that a1l work Mill be done in co~pliance with all
<br />applicable laws regulating constructiDn, zoning, and land development.
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<br />Application is hereby .ade tD obtain a perlit to do 1I0rk and installation as indicafe~: L certify that no work or
<br />installation has co&~enced prior to issuance of a perlit and that all Hork Hill be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in lhe jurisdiction. 1 also
<br />certify that J understand that the regulations of other governmental agencies ~ay apply to the intended Mork, and that it is
<br />IY responsibility to identify what actions J must take to be in cc.mpliance. Such agencies include bill ~ie Iie,t li,lited to:
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<br />I Departsent of Envi,oneental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi live lands,
<br />Water/Waste~ater Treatment
<br />I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Hetland Areas, Altering HatercOUfses
<br />I Army CorDs of Enoineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environ~ental Health Unit - W~IIs, HasteNater Treat~en~. Septic Tanks
<br />I US Environoental Protection AQency - Asbestos abatement
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<br />J also certify that, if fill material is to be used in Flc,od Zone "A' Dr 'A,etc.', it is undt.rstc.[.d tl.,t a drainage plan
<br />addressing a 'colpensating volu~e" will be submitted which is prepared by a professional engineer regist~ied in the State of
<br />Florida prior to perilit issu~nce.
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<br />A pertit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />requiring a correction of err[,rs in plans, te.nstructi[,n, or violati[,ns of any c[.de. Every perlllit isslled "hall bece..e invalid
<br />unless the work authorized by such permit is COllftenced within six months of issuance, Dr if HOlk authorJied by the perlit is
<br />suspended or aband[.ned for a perie.d of six lonths after the time the \lork is ce.r..mcnced. One 9(; day e~tt;.;;ioll of tile, lay be
<br />allolled for the per~it with fee charge of ~15.00. The extension shall be requested in "riting to the Building Official. An
<br />approved inspectic.n r..ust be l(,ggedduring each six month period, [<f the project Hi II be c[,nsidered i:ibaiidc.r,i?d.
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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 AND POST A II NOT I CE OF COMMENCEME:NT".
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<br />SIGNATURE__~~-~~-----~ SIGNATURE_~C~~~----
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<br />OWNER OR AGENT CONTRACTOR
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<br />DATE_______OJ~~l)5J------------------------
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<br />NOTARY AS TO A/. .(L _ '/J/;=/_-JJ-
<br />OWNER OR AGENT__~~~~~------
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<br />MY COMMISSION EXPIRES____t1-fd~Z-----.----
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<br />DATE_______~:7~1U~~~-------------------
<br />~~~~~~C~~R~~~-----
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<br />MY COMMISSION EXPIRES__~~}~----
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