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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A~ NOTICE OF DEED RESTRICTIONS:
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<br />The undersigned understands that this perlit lay be subject to "deed restrictions' which ~ay be more restrictive than City
<br />regulations. The undersigned asSUI!S responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the ownEr has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor ~ay be
<br />cited for a lisdeleanor violation under state law. , If the owner or 'ntended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (913)
<br />7BB-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 wor~. 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 tc, permitting 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 Law - Homeowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is someone other than the
<br />'owner", I certify that I have obtained a copy of the above described document and prc,mise in good faith to deliver it to the
<br />"owner" prior to cO.lencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inforlation in this application is accurate and that all work will be done in c05pliance with all
<br />applicable laMS regulating construction, zoning, and land development.
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<br />Application is hereby aade to obtain a perlit to do work and installation as indicated. 1 certify that no work or
<br />installation has co..enced prior to issuance of a perlit and that all wor~ will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lDuSt take to be in compliance. Such agencies include bllt ~le liollii1iled to:
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<br />I Departlent of Envitonmental Renulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive L~nds,
<br />Water/Wastewater Treallent
<br />I Southwest Florida Water Mananelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of Ennineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - H~lls, Wastewater Treat~ent. Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "R,etc.', it is understood tl13t a drainage plan
<br />addressing a "colpensating volume" will be subaitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to permit iss~ance.
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<br />A per.it issued shall be construed to be a license to proceed with the wor~ and not as authority to yiol~te, 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 of errors in plans, construction, or violations of any code. Every permit issued .hall becole invalid
<br />unless the work authorized by such penit is cOlllenced within six months of issuance, c,r if lic.rk authOllZed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the "or~ is commenced. One 90 day e~t~~siol\ of tile, aay be
<br />allowed for the permit with fee [harge of ~15.QO. The extension shall be requested in writing to the Building Official. An
<br />approved inspectic.n t!lust be Ic.ggedduring each six 1Il0nth period, c,r the project \'Jill be cc,nsidered iibaiidc.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 NDT:CE OF COMMENCEMENT. JOBS UNDER $2,506 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />5IGNATURE_ ~_.tI._~L:.----
<br />7f---c5- OWNER OR AGENT
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<br />DATE__~2~~~:E.J_L__----------------------
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<br />5IGNATURE_ ~~-.ec~~--
<br />, ~-~~~~ACT~-~
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<br />DATE____~~~~-------------------
<br />
<br />NOTARY AS TO~~ r\ NOTARY AS T~. ~~.
<br />OWNEF. OR AGENT .e\..J-+ ---- CONTRACTOR_-\-U:t;.. . ~u.- a.d---=
<br />.~\.. NOT MY PUBLIC ST OF Fl
<br />MY COMM 1551 ON EX P IRE NOT A"V PlIlLlC 5 A MY COMM] 55] ON EX P E~v COMI1!"!i!QI'-EXP -=",,, D~
<br />-M.,..e~~:'27.'T . CCJ!DtOTHRU GENERAL INS uNo
<br />~OOOEO THRU GENERAL INS UNO .
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