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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A .' NOT r CE OF DEED RESTR I CT IONS
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<br />The und~rsign~d understinds that this permit may be subject to "deed restrictions" which may be nore restrictive than Cilj
<br />regulations, The undersigned assumes responsibility for compliance with any applicable deed restrictions,
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<br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the own~r has hired a contractor or contractors to undertake work, they may b~ required to be licensed in accordancp "ilh
<br />state an,d local regulations. If the contractor is not licf.'nsed as required by Lit/, l)(,lh Ihe Ollner and contrac\e,r nay Ill'
<br />cited for a ~isdemeanor violation under slate law. . If the owner or inlended contraclor are uncertain as to what licensing
<br />r~quir~gents may apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, (813)
<br />788-6611.
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<br />Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor!s) sign portions of Ihe
<br />"Contractor Sections" of' this application for which they will be responsible, If you, as the owner sign as th~ contractor I
<br />you are indicating that you, rather than the contractor, are responsible for thp work, If the contractor wishes you 10 sign
<br />as contracte') that /Jay be an indicatic,n that he is not pre,perIy licensed and is not entitl~d te. perlllitting privileges in (t,e
<br />City of Zeph~rhiIIs.
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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 provid~d with a copy of "Florida's Construction Lien Law - Homeowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is SD~~on~ other lhan the
<br />"owner", I (ertify that I have e,btained a copy of the above described de,cument and prc'fflise in ge.od foi th to d~1 iyer i I I." thl
<br />"owner' prior to cOlmencement,
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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 "ork "ill be dDne in co~plian(e wilh al I
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby made to obtain a per~it to do work and installation as indicated, I certify that no work or
<br />installation has com~enced prior to issuance of a perait and that all wDrk Hill be performed 10 roeet standards of all !~ws
<br />regulating cDnstruction, City codes, zoning regulations, and land development regulations in Ihe jurisdiction, I also
<br />certify that I understand that the regulations of other governmental agencies roay apply to the intended "ork, and that it i~
<br />flY responsibility to identify \lhat actions I must take to be in cc1mpliance. Such agencies include bill ~le not lillited tCi:
<br />
<br />I Department of Envir'onmenfal ReQulation - Cyprelis Bayheads, Hetland Areas Lind Envire,nment:dly Sensi ti\'~ L3nds,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Hater "anaQe~ent District - Wells, Cypress Dayheads, Weiland Areas, Altering HatercDurses
<br />I Ar~y CorDS of Enqineers - Seawalls, Docks, Navigable lJater>>ays
<br />f Depart~ent of Health L Rehabilitative Services, Environroental Health Unit - He11s, HasleHater Treat~en~. Septic Tanks
<br />f US Environmental Protection AQency - Asbestos abatement
<br />
<br />I aIsh' ce'rti~y that,.i.f.fi,jJ .l\atDriaJ is.,to ~e used in Fle.od Zone "A" or "I~,etc.', it is understc1e,d th3t a drainage plan
<br />addressing a '''coJllpen!-at..il1g volume" will be'subftliHed lihich is prepared by <l.pn,ff:5!i.i.c.na! enl]'ineer li?qistf~e~.in the Slide c>
<br />Florida prior to permit iS5uftnce.
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<br />A per~it issued shall be construed to be a license to proceed with the Hork and ~Dt as authority to vroJ~teJ cancel al t~r,
<br />set aside any provisic.ns of the technical c(.des, nor shall issuance of a pl!rmit prcvrmt the Building Official ffC'~ ll,PI0i,ft
<br />requiring a correction of errors in ~lans, construction, or violations of any code. Every permit issued ~halI becoee inval
<br />unless the work authorized by such perlllit is COlllmenced within six. months o'f issuance, l.rif "l'lel\'f;.aulhcOI Hed by the pu,lil i
<br />suspended or abandc,ned fe,r a perie,d of six tonths after the time the 1I0d; fs cor.lmenced, One 90 day i?~t.:j,SiCI\I of ti6e, lI.al
<br />allowed for the permit Hith fee charge of $15.00. The extension shall be requested in "riling to the Building Officj~l. ~
<br />approved inspectie,n roust be le,ggedduring each six lIlDnth period, or the project l'li II be .ceonsid!?red dbaiidoned.
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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 YOU~ LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALL
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATlJRE~~_~-------- ";ll'''-_~~,_~;'il-~v0.
<br />g - S' --7/
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<br />DATE______ar:_~=2!_________________________
<br />
<br />NOTARY AS TO ~ .
<br />OWNER OR AGENT __ ~_~---,--
<br />Nola-ry Publ\::. ~te 'of FloriiflJ
<br />MY COMt1ISSION EXPIRES__IIITIlomflli5&i~~..2..1~Z.
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<br />DA1E__________________________.
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<br />
<br />NOHjiW AS Toll 1211 A, /1
<br />C(}NTn{iCTOn___f~K~
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<br />... ' . . -,...-. " . ..-. .-~._- ....-._---_..
<br />~lY Cml~lI 55 I ON EX P I1H:B~t~J'JiE1J.e.!. ~~!~..~~n6trd!
<br />My Commission ExpireS Sept, 2. 1992
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