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<br />bONDITIONS, OF PERMIT AFFIDAVIT
<br />A.': NOT T CE OF DEED RESTR I CT IONS;, , ,
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<br />Th. und.rsigned understands that this p.r.it lay bl subject t~ "deed restricti~ns" which ~ay b~ 5~re restrictive than City
<br />regulations. The undersigned assules responslblli~r for co.pliance with any applicable deed restriction~.
<br />. . .:. .:.\. :.. ~ .,~,
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<br />'. . .
<br />
<br />B.
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<br />:,.~.;. .
<br />UNLICENSED CONTRACTORSANO.tONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a c~ntractor or contra:tors to undertake wor~, they may be required to be licensed in a~cordance with
<br />s~ah and loC~l regulati~ns. If the contfl~tor is not llcennd as re,quired by' law, be.th the Duner and contracteor lilY be
<br />ctte~ for a Ilsdeaeanor violatl?n under state laM." If the owner or intended conlract~r are uncertain as to what licensing
<br />requlrelents lay apply for the Intended work, they are advised to c~ntact the City of Zephyrhills Building Departlent (913)
<br />799-6611. ' ','" '
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<br />Furth.rlore, if the owner has hirld I cDntracto~ or contractors, he is advised to have the contractorlsl sign portions of the
<br />'Contractor SectIDn,' of this appllcatlDn 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 t~e work: lf the c~ntract~r 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 ~ith a copy of "Florida's Cc,nstruction Lien Law - HOleowner's Protection
<br />Guide. prepared by the Fl~rida Departlent of Agriculture and Consumer Affair~. If the applicant is sOleone ~ther than the
<br />.0Hner", I certify that I have obtained a copy of "the above described document and pro~i~e in go~d faith t~ deliver it to the
<br />'oHner' 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 Hork Hill be done in co~pliance Kith all
<br />applicable laws regulating construction, 20ning, and land develop!ent.
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<br />Application is hereby lade tc. obtain a p'enit to'do work andinstallaticln as indicaled, I certify that no HCork or
<br />installation has co&!enced prior to issuance of a perlit and that all work will be perfDrmed to ~eet standards of all liWS
<br />regulating construction, City codes, 20ning re~ulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations o~ other governmental agencies ~ay apply to the intended work, and that it is
<br />ay responsibility t(, identify what actions I lDust'ta~e to be in compliance. Such agencies include but ~Ie liCIt li~ited to:
<br />
<br />I Depart_ent of Environ~ental ReQulation - Cypress Bayheads, Wetland nreas and Environmentally Sensitive l3nds,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water ManaQellenl District - Wells, Cypress ~ayneatls, ~etianJ ~1~a5, ~l~:ring 4alerr~urses
<br />. ArDV CorDs of EnQineers - Seawalls, Docks, Havigable Waterways
<br />. Departlent of Health L Rehabilitative Services. Environ~ental Health Unit - W~lls, Wastewater Treal~en~. Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement.
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<br />I also certify that, if fill naterial is to'be used in FI(.od Z(,ne "A" or "{\,etc,', it is understc.c.d t,,~t a drainage plan
<br />addressing a "colpensating volute" Hill be sub.itted which is prepared by a pr~fessic.nal engineer reqisli?icd in the State of
<br />Florida prior to permit iss~ance.
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<br />A perlit issued shall be construed to be a license to proceed with the wor~' and not as authDrity to vioJite, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froft thereafter
<br />requiring a correction c.f erf(.rs in plans, cc.nstructic,n, (~r violations (If any cc.de, Every perilit issued :halI beee..e invalid
<br />unless the Hork authorized by such permit is coaftenced within six months of issuance, or if Hork authorli~d by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti~e the Hor~ is co~menccd. One 90 day r:IE~5jDII of tile, lay be
<br />allowed for the per~it with fee charge of $15.QO. The extension shall be requested in Hriting to the Building Official. An
<br />approved inspecti(.n ",ust be lc,gged'during each six Mnth period, (Ir the project \ii11 be cc,nsidered ilb.;lidor,fd,
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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 />SlGNATURE___~_~ '-----------
<br />OWNE ~ ~
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<br />DATE___:?~~f___-_----------~------------
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<br />y' c~'~
<br />SIGNATURE_~__. -... ----------
<br />. , J~~1F {I ~ OR
<br />DATE _ _ _ 2Uf'111- - - - - --- -- - -" -- - ~ - --- - ----
<br />NOTARY A~,..~,,;: " ~
<br />CONTRACT ~-~S::i\...L~~~-'-\
<br />MY C6MMISSION EXPIRES__________________
<br />
<br />NOTARY AS T~,~~~ .'
<br />OWNER DR AG~~~_~
<br />
<br />CO MISSION -XPIRES Notary Public. s~ate of fl~fl€1Ei
<br />MY M _ t:. --Mr6on'n'n1s~-E'J!!l!fes..felr.+.-i~
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<br />~,.~,'""'.t~"41 Pi:b);c ~~+,~t(; :IT ri
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<br />~~~".
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