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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 .ay bl subject to "deed restrictions' whicfi'lay be lore res~rictive than City
<br />reguhtions. The undersigned assulllnlpOn5ibili\!..fo~ co.pliance lIith any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the ollner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance lIith
<br />state and local regulations. If the contractor 11 not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state lall. If the ollner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended 1I0rk, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813)
<br />788-6611. .
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<br />Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of th~
<br />'Contractor Sections' of this application for IIhich they lIill 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 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 to perlitting 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 Law - Ho.eowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler 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 protise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
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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 co.pliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
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<br />Application is hereby lade to obtain a perlit to do lIork and installation as indicated. I certify that no work Dr
<br />installation has cOI.enced prior to issuance of a perlit and that all work will,be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other govern.ental agencies tay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in co.plianc!. Such agencies include bllt ~le not li.ited to:
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<br />I Depart.ent of Envitonlental Requlation - Cypress Bayheads, Wetl~nd Areas and Environ.entally Sensitive lands,
<br />Water/Wastellater Treat.ent. .
<br />I Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.v CorDS of Enqineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - W~lls, Wastewater Treat.ent. Septic Tanks
<br />I US Environ.ental Protection Aqency - Asbestos abatelent
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<br />I also tertify that, if fill .aterial is to be used in Flood Zone "A' or ~A,etc.', it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer regist2ied in the State of
<br />Florida prior to perlit issu~nce.
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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 viol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every per.it issllud ~hall becole invalid
<br />unless the work authorized by such per.it is co..enced within six tonths of issuance, Dr if uork authDrl~ed by the perlit is
<br />suspended or abandoned for a period of six .onths after the tile the work is COlmenced. One 90 day e~t~nsioll of tile, lay be
<br />allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lUSt be logged during each six .onth period, or the project will be considered dballdoned.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />fNTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTIC,E DF CDMMENCEMENT. J,O" S, UND~~.$;;500 IN VALUE
<br />DO NDT NEED TO RECORD AND PDST A "NDTICE OF CDMME; CEMEN~0
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<br />SIGNATUR~fi~----- SIGNATUR~ Ji..4q':;'J::'- ~--
<br />OWNER OR AGENT CONTRACT~~------
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<br />DATE__~JL~_-~T-\~:L~-----------~--
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<br />NOTARY AS TO C'\ _ ~~
<br />OWNER OR AGENT~____~----~----
<br />MY COMMI 5SI ON EX~r~~~,.~:,~+~~~;~;~~g}----
<br />IlOh~~" j "",' ",,'"'' Ih r ','" U"D
<br />.... ~"'""_;'..;,s.. L.;;~.. '{~'.
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<br />DATE___~_~_la,-l~9Ll_____--------
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<br />NOTARY AS TO ~~~ . -
<br />CONTRACTOR___~~_~hiw~-
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<br />tI<8'~ rlC. rc ST:.Tt cr- FLORIOi'
<br />MY COMMISSION EXPI~1'r.Cf>~f'~;+~rE~~t\:-e-.l.199;'
<br />BOILED 'II,,:') C.[[';ER,~.L rr:s. UNO.
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<br />...~ ....
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