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<br />. ..(.
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<br />CONDITIONS OF PERMIT. AFFIDAVIT I
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<br />,.... .,
<br />A. NOTICE OF DEED RESTRICTIONS :';:: '.'
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<br />The undersigned understinds that this perlit lay bl subject to Ideed restrictions' IIhicfi'lay be .ore res\rictive than City
<br />regulations. Thl! undersigned nSIlI!S relpDnsibiHy~;.f,~~ cOlpliance lIith any applic,~~!e.~,~d.in~trictlons.
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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 Mork, they lay be required to be licensed in accordance Mith
<br />state and local regulations. If the contractor is not licensed as required by lall, both the ollner and contractor aay be
<br />cited for a lisdeleanor violation under state lall. If the OMner or intended contractor are uncertain as to IIhat licensing
<br />requir!I__t1~ay apply for the intended 1I0rk, they are advised to contact the City of Zephyrhills Building Depart.ent, IB13l
<br />7B~-6611. .
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<br />Furtherlore, if the OMner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />'Contractor Sections' of this application for IIhich they lIill be responsible. If you, as the ollner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the Mork. 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. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
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<br />I certify that I, the applicant, have been provided lIith a copy of 'Florida's Construction Lien Lall - Ho.eollner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is SO'Eone other than the
<br />"ollner", I certify that 1 have obtained a copy of the above described docu.tnt and prolise in good faith to deliver it to the
<br />'owner" prior to co..ence.ent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the infor.ation in this application is accurate and that all Mork lIill be done in co.pliance lIith all
<br />applicable lalls regulating construction, zoning, and land develop.ent. .
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<br />Application is hereby lade to obtain a perlit to do Mork and installation as indicated. 1 certify that no 1I0rk or
<br />installation has co..enced prior to issuance of a perlit and that all Mork "ill be performed to .eet standards of all laMS
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify "hat actions 1 lust take to be in cOlpliance. Such agenCies include but ~I e not Wlited to:
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<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastellater Treatlent
<br />f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seallalls, Docks, Navigable WaterMays
<br />I Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - W~lls, Wastewater Treatlent. Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatelent
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<br />1 also certify that, if fill laterial is to be used in Flood Zone aA' or 'A,etc.', it is understood tt.it a drainage plan
<br />addressing a "colpensating volu.ea "ill be sublitted IIhich is prepared by a professional engineer registernd in the State Df
<br />FI~rida prior to perlit iss~ance.
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<br />A perlit issued shall be construed to be a license to proceed Ilith the 1I0rk and not as authDrity to violate, cancel alter, Dr
<br />set aside any provisions of,\he technical cDdes, nor shall issuance of a per.it prevent the 8uilding Official frol thereafter
<br />requiring a correction of errors in plans, c~ns\ruction, Dr violations of any code. Every pfrlit issll~d shall becol! invalid
<br />unless the Ilork authoriz,d by such perlit is cOllenced within six lonths of is~uance, Dr if work authorized by the per.it is
<br />suspended Dr aband~ned f~r a peri~d ~f six lonths after the tile the work is cOI.enced. One 90 day eltension of tile, lay be
<br />allowed for the perait Hith fee charge of $15.00. The extension shall be requested in IIriting t~ thn Building Official. An
<br />approved inspection lust, be l~gged during each six lonth period, Dr the project "ill be considered abandoned.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE DF 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 ANT) POST A IINOTICE OF COMMENCEMENT".
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<br />SIGNATURE_~_l~!:ad~;(~~~----- SIGNATURE_~-1lJ:1-:'""7-"'_ci___-
<br />OWNER OR AGENT CONTRACTOR .
<br />DATE__________~Jl21Q-L3-2----------------- DATE____________zj_~~~<3-~.-------------
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<br />11;;' c~~
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<br />MY COMMISSION EXPIRES.-""";,,,,:,,"'H';: ,t"'. :/.,;'i~';.
<br />----~~~,,~iW~~~~~M~-
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<br />
<br />
<br />NOTARY AS TO
<br />OWNER OR AGEN
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