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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 per.it lay be subject to "deed restrictie,ns" which' ~ay be more restrictive than City
<br />regulations. The undersigned assumes responsibility.for compliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACiORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor Dr contractors to undertake work, they may be required to be licensed in accordance with
<br />state and 10Cil regulations. If the contractor is not licensed as required by.law, be,th the oltner and contractor flaY be
<br />cited for a lisdemeanor violation under state law, . If the owner or intended 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, (813l
<br />788-6611.
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
<br />"Contractor Sections' of this application for which they will be responsible. If you, as the (,wner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. 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 tel 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 - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described doculent and pro~ise in good faith to deliver it to the
<br />'owner' prior to cOllencement.
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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 will be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has commenced prior tD issuance of a perlit and that all work will be performed to meet 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 of other governmental agencies may apply to the intended worK, and that it is
<br />.y responsibility to identify what acticlns I lust take to be in compliance. Such agencies include bllt ~I e liol liilited to:
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<br />. Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water HanaQement nistri~t - Wells\ Cyprp5s Bayheads, Wetland Areas, Altering Watercourses
<br />. ArllY CorDS of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services. Environmental Health Unit - W~lls~ Wastewater Treat~ent. Septic Tanks
<br />. US Environmental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill .aterial is to be used in Flc,od Zone "A" or "A,etc.' fit is underst(I(ld th,t a drainage plan
<br />addressing a 'colpensating volume" will be submitted which is prepared by a professional engineer registc,ed 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 work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frofi 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 authori2ed by such permit is cOllmenced within six 1I0nths of issuance, or if Hork authollzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the worK is commenced. One 90 day e=t~~siOll of tile, aay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection must be logged during each six iIlonth period, or the project Hill be considered ~bal~oned.
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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 II NOT I.. E OF COMMENCEMENT;'.
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<br />~ ,', G:1 /r:I/~') /,.",,///' .,~/
<br />'7 / h~j!f~( /~> ,/ L ,,/1/
<br />SIGNATURE _ _____"'-___ ______~ SIGNATUR~~_r",:c..'..:.~--=-'::':'/",,:- _:__::.-___'-1k:d::.
<br />OWNER OR AGENT CONTR~CTOR
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<br />. 71' /c; I . ,-:1.._--:;a -- OJ
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<br />::::~~ AS ~1"1______---------------------- ::::_~c::=~~___cc____________?"~~
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<br />OWNER OR AGfT .:<"L~L_ _caz(._-{'~ CONT~~~~-'-_:O::
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<br />!:.~~~ Notary Pu IC, State of Florida ,
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<br />MY COMMISSION EXPIRES~~a~_~ID~i9E~!~~! MY COMMISSION EXPIRES__________________
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<br />aon~od lb" TroY F"in . I""he ",.. Notary Pubr.c, State of FIorilII .
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<br />Mv Commiuion EJ:pir-t5 Od. 9', 1994
<br />Qonciod ThiJ li"OY Fsin ~ 1""Jf9r:ce be..
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