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<br />CONDITIONS. OF PERMIT AFFIDAVIT
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<br />A": NOTICe: OF Oe:EO RESTRICTIONS ;', '.
<br />
<br />Th, und'rsi9n~d understinds that this per.it lay bl sub5ect to 'd~ed restrictions' whicK' ~ay be ~Dre res~rictive than City
<br />regulations. The undersigned a!lSUllles responsibUi~y..,fo.~ cOllpliance Ifith any applicable rlaad rastrictions.
<br />. .:. ,:,\' ," ~ '1,.. . . ~
<br />:. .,' ..' .~,
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<br />B. UNLICENSED CONTRACTORS AND'~ONTRACTOR RESPONSIBILITIES
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<br />If the olfner has hired a contractor or contractors to undertake Ifork, they may be fQquirad to be licensed in accordance with
<br />statt and local regulations. If the contrl~tor is not licensed IS r~quired by law, both the ouner and contractor ~ay be
<br />cited for a tisdeaeanor violation under state lalf,'. If the olfner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended Ifork. they are advised lo contact the c~ty of Zephyr hills ~uilding Departltnt, !B131
<br />71111-6611. ',',
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<br />Further.ore, if the Olfner has hired a contractor. Dr contractDrs, he is advised to have the contractor!sl sign portions of the
<br />'Contractor Sections' of this application for Ifhlch they ifill be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for t~e worr.. If the contractor wishes you to sign
<br />as contractor that aay 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
<br />
<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 cedify that I, the applicant, have been pro'videdwHh a copy of "Flc.rida's Cc.nstrudion Lien Lall - Hc,ceollnH's Pre.tection
<br />Guide' prepared by the Florida DepartJent of Agriculture and Consumer Affairs~ If the applicant is someone other than the
<br />'OHner" , I certify that I have obtained a copy of "the above described document and prO~i5Q in gODd faith to deliver it to the
<br />"oKner" prior to cOimencement.
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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 Mork Mill be done in co~pliance lIith all
<br />applicable lalls regulating construction, zoning, and land development.
<br />
<br />Application is hereby lade to obtain a perlit" t~'do Mork and installation as indicated. I certify that no Hork or
<br />installation has co&~enced prior to issuance of a perlit and that all Mork Mill be performed to &eet 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 o~ other governmental agencies may apply to the intended lIork, and that it is
<br />my responsibility to identify what actions 1 must'take to be in compliance. Such agencies include bill ~le m.t li.\ited to:
<br />
<br />I Department of Environ~ental ReQulation - Cypress Bayheads, Hetland nreas and Environmentally Sensitive L3nds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Ilater ManaQelent District - Hells, Cypress Dayheads, Hetland ~reas, Altering Hatercourses
<br />I Any Cc.ros of EnQineers - SeaHalls, Docks, Navigable I'aterl/ays
<br />I Departlent of Health L Rehabilitative Services, Environmental Health Unit - U~lls, Uastewater Treat~en~. Septic Tanks
<br />I US Environoental Protection ~Qenct - Asbestos abatement.
<br />
<br />I also certify that, if fill laterial is to'be used in Flc.od Zc.ne "A" or '~,etc.', it is understc.c.d tl.~t a drainage plan
<br />addressing a 'colpensating volu~e' lIill be sublitted Hhich is prepared by a professional enqineer reqist~ied in the State of
<br />Florida prictr to perlli t issu.ance.
<br />
<br />A per~it issued shall be construed to be a license to proceed I/ith the 1I0rr. and not as authDrity to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance Df a p~rmit prevent the Building Official fro~ thereafter
<br />requiring a corrr,ction c.f errcors in plans, cc.nslrudic1n, c,r violations of any code. Every perili l issll~d :t.all becc'le inval id
<br />unless the work authori2ed by such permit is com~enced lIithin six months of issuance, or if 1I0rk authorl~ed by the perlit is
<br />suspended or abandoned for a periDd of six lonths after the time the Mork is (o~men(Qd. One 90 day e:le~5iDII of tile, lay be
<br />allowed for the permit Hith fee charge of $15.00, The extension shall be requeslQd in Mriting to the Building Official. An
<br />approved inspedie,n ",ust be Ic,gged'during each six month perlDd, c.r the project Iii 11 be (c,nsidered <<baiidc.i.ed.
<br />
<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". C';-
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<br />SIGNATURE__~-~~~-~----- SIGNATURE_~-~~----
<br />OWNER OR AGENT . CONT~R
<br />DATE__-_______~l~~1-gJ--------------~------ DATE___-~tc~---~~----1;r~~----
<br />
<br />~~~~~~C~~~~~___~J.{r-~
<br />
<br />NOTARY AS TO I n a......
<br />OWNER OR AGENT__~~-~--~~
<br />
<br />MY COMM 155 ION EXP I RE5.NOTAR~..~~B. .L1e. STATI QF VLI',\!UW COM~l I 55 I ON
<br />____~ r.o__._,,~UiliSt-MAR. 29,- 199),
<br />110..01:0 THRU ..Oy...R,. PU_l.IC U"D"RW""fiR~: -
<br />
<br />EX~~~~~y~~~-----------
<br />"ON~~":.~~~S~~N EX:111:s~"MA~f)ftIDAj
<br />T"'Ry PU81.IQ UN'l ,.i!e. '!l1
<br />i"Wllll'~~lj
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