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<br />CONDITIONS. OF PERMIT AFFIDAVIT
<br />A.': NOTICE OF OEEO RESTRICTIONS:', ,..
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<br />The undersigned understinds that this per.lt .ay be subject to 'deed restricti~n5' which. ~ay b~ a~re restrictive than City
<br />regulations. The undorsigned a55Ules responslbill'J,f~~ co.pliante 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 Dr contractors to undertake Hork, they m~y hi required l~ be licensed in accordance with
<br />,t.t, and local regulations, If the contractor 15 not licensed as required by law, b~th the ouner and contract~r nay be
<br />cited for a lisdeleanor violation under state law,', If the owner or intended contraclor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills ~uilding Departeent, (813)
<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!s) sign portions of the
<br />'Contr.ctor Sections' of this application for which they will be responsible, If y~u, as the owner sign .5 the c~ntr.ctor,
<br />y~u are indicating that you, rather than the contractor, are responsible for the w~rk, If the c~ntract~r Mishes y~u to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled t~ pertlttlng 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 "Florida's Construction Lien LaM - HooeoMner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If th~ arplicaot is s~ee~ne other than lhe
<br />'owner", I certify that I have obtained a copy of ' the above described document and pr~li5e in good faith lo deliver it to the
<br />"owner' prior to cOI~encement.
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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 work Hill be done in co~pliance with all
<br />applicable laMS regulating construction, zoning, and land development,
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<br />Application is hereby aade to obtain a perait to'do work and installation as indicaled. I certify that no M~r~ or
<br />installation has c~&~~nced prior to issuance of a perlit and that all work Hill b~ performed to ~eel standards ~f all laMS
<br />regulating c~nslruction, City codes, zoning regulations, and land development requlations in the jurisdiction, 1 also
<br />certify lhat I understand lhat the regulations of other govern~ental agencies lay aooly to lhe intended work, and that it is
<br />/lY responsibility to identify what actions 1 must 'take to be in compliance. Such aqr:f1cies include bllt ~le Ii{,l li'liled to:
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<br />I Department of Envi(oneental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive l~ndsf
<br />Water/Wastewater Treatment
<br />I Southwesl Florida ~Iater HanaQelent District - Wells, Cypress Dayheads, Hetland Areas, ~Itering Hatercourses
<br />I Army CorDs of Enoineers - Sealialls, Docks, Navigable Waterways
<br />I Depart.entof Health L Rehabilitative Services. Environlental Health Unit - H~lls, Hastcwater Treal~En:. Septic Tanks
<br />I US Environoental Protection Anency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Flc,od Zc,ne "A" or 'A,etc,', it is undi?rstc,c.d tl,~t a drainage plan
<br />addressing a 'colpensating volulc' will be sublitted which is prepared by a professional enqine~r reqlstcicd In the Slate of
<br />Florida prior to permit iss~ance,
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<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to vio]~teJ cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a correction c.f ernrs in plans, c[,nstructic,n, or violations c,f any code. Every per~it issued :hall becc,.e in'/alid
<br />unless the work authorized by such permit is COlftenced within six months of issuance, or if lIork aulhorlicd bi the perait is
<br />suspended or abandc.ned fc.r a peric,d of six .onths after the time the Ilork is CC'f.\menced. One 9(; day c,~t.;j,sic'lI c,r tile, /Jay be
<br />allowed for the per~it with fee charge of $15,00, The extension shall be requested in writinq to the Building Official. An
<br />approved inspectic.n i!lust be lc,gged 'during each six Mnth period, c,r the pre,jed liill be cc,nsidered dDdiidc.ni?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 $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATur~E_2. ~__ Q,~---
<br />./ cmH(~fV
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<br />DATE_~_!_~___~q_~J__________
<br />
<br />NOTARY AS TO "---/ D cJ
<br />CONTR~CTOR_/~>!.--_~---"d4h1.
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<br />MY CO~1~1I 55 ION EXP"IRES__________________
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<br />SIGNATUR~~~~
<br />OWNER OR GE
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<br />DATE_(~-~SC---~~f-{------------
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<br />-. \ .
<br />NOTARY AS TO. \ .'/ 0 ~.'
<br />OWNER OR AGE~;;;;;z.-~~-------~-
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<br />MY COMMISSION EXPIRES______________________
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<br />~"'''''''I:
<br />$~:&;~~ . LARRY D. WILSON
<br />:*: ,*= MY COMMISSION EXPIflES
<br />\~~.. .,~CJj September 3, 1993
<br />"",;,,~:.:~';.~,$ BONOED THRU NOTARY PUBLIC UNDEflWAITeAS
<br />
<br />.'-":"'""'1;
<br />"'~l:'if,' ~!!l'"~
<br />I~ .~i$
<br />i:i ,:e MY COMMISSION EXPIRES
<br />\:~i.....:.;;.,~$ September 3, 1993
<br />."..~:..~"", BONDED THRU NOTARY PUBLIC UNOERWRITfRS
<br />
<br />LARRY D, WILSON
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