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<br />tONDITIONSOF PERMIT AFFIDAVIT
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<br />A:. NOT I CE: OF DE:E:D RE:STR I CT IONS:. ,
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<br />The under5ign~d understands that this perlit lay be subject to .d~ed restrictie'ns' which ~ay b~ $Dre res~rictive than City
<br />regulations, The und~rsigned a55Ules re5pons1bil1'Y.,f~.~ cotpliance with any applicable deed restrictions,
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<br />8. 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 />state and local regulations. If the contractor is not licensed as required by IaN, bDth the OHner and contractDr nay be
<br />cited for a tisdeaeanor violation under state law, , If the owner Dr 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 ~uilding Departeent, (813)
<br />7811-6bll.
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<br />Furtherlore, if the owner has hired a contractor or 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 ONner 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 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 Kith a copy of 'Florida's Construction Lien Law - Homeowner's Protection
<br />Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is sOleone other than the
<br />'oHner', I certify that I have ~btained a ropy of. the above described d~cumen\ and pro~i~e in good faith to deliver it to the
<br />'owner' prior to cOimenrement,
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the informati~n in this application is arrurate and that all Hork Hill be done in co~pliance with all
<br />applirable laws regulating ronstruction, zonin9, and land development.
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<br />Appliration is hereby made to obtain a ,erait to do Mork and installation as indirated. I certify that no Hork or
<br />installation has co&~enced prior tD issuance Df a perlit and that all work Hi]l be performed to roeet standards of all laws
<br />regulating (C,nstrudion, City (C.des, z~ning regulations, and land devele.prnent, requlatie.ns in the jurisdictie.n. ] also
<br />certify that I understand that the regulations of other g~vernmental agenries may apply to the intended Hork, and that it is
<br />ay responsibility to identify Khat artions I llIusttake to be in romplianre. Such agencies include bill ~le not ]i.1i\ed to:
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<br />I Department of Envi~onmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensj\iv~ Lands,
<br />~ater/Wastellater Treatment
<br />I S~uthwest Florida Water ManaQement District - Hells, Cypress Dayheads, Het]and ~reas, A]tering Watercourses
<br />t Army CorDs of Enoineers - SeawallS, Dorks, Navigable Waterways
<br />I Depart_ent ~f Health L Rehabilitative Servires, Environmental Health Unit ~ W~lls: Wastewater Treat~En~. Septic Tanks
<br />t US Envir~noental Protecti~n AQenry - Asbestos abatement
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<br />I also certify that, if fill aaterial is to be used in Fle.od Zc.ne "A" or '~,etc.', it is underste.e,d t,,~t a drainage plan
<br />addressing a 'co.pensating volume" lIill be subtitted which is prepared by a professional engineer reqist~ied in the State of
<br />Florida prior to permit issu,ance.
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<br />A perlit issued shall be construed to be a lirense to proceed with the Hork and not as authority to yi~l~te, cancel alter, or
<br />set aside any provisions of the terhniral codes, nor shall issuance of a permit prevent the Building Official fre,~ thereafter
<br />requiring a correction of errors in plans, c~nstructi~n, Dr violations of any code. Every permit iSSlled ;hall becole invalid
<br />unless the work auth~rized by such permit is COlmenced lIithin six months of issuance, Dr if lIo1.k author lied by the per.it is
<br />suspended or abande.ned fe.r a perie.d of six tonths after the time the \lork is COJ!lmenced. One 9(; day ;:d.:"sioll e,f tile, Ilay be
<br />allowed for the per~it ~ith fee rharge of $15,00, The extension shall be requested in Hritinq to the Building Official. An
<br />approved inspertie,n I!lust be le.ggedduring earh six Illonth period, c.r the pre.jed Hill be [(,nsidered dbaiide,ned.
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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 "NOTICE OF COMMENCEMENT".
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<br />i SIGNATuRE_d!d----12-~- SIGNATURE~~~#d4!!'.--
<br />OWNER OR AGENT CONTRACTOR
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<br />OWNER OR AGE ~:~~~
<br />MY COMMISSION ~XPIRES____~~~~~~~~~~
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<br />5 ...... iiMPE
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<br />My Comm. Exp. ~pr. 17. 1994
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