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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 understinds that this per.it lay be subject to "deed restrictions" which may be lore restrictive than City,
<br />regulations. The undersigned assules responsibility.for compliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the ONner has hired a contractor or contractors to undertake HOry., they may be required to be Jicensed in accordance with
<br />state and 10caJ reguJations. Jf the contractor is not Jicensed as required by Jaw, both the owner and contractor may be
<br />cited for a lisdeleanor violation under state law. , If the OHner or intended contractor are uncertain as to what Jicensing
<br />requiresents lay appJy for the intended work, they are advised to contact the City of ZephyrhiJJs BuiJding Department, (813)
<br />788-bbll.
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<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor{s) sign portions of the
<br />'Contractor Sections' of this application for which they Hill 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 wory.. If the contractor wishes you to sign
<br />as contractor that aay 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.
<br />
<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 - Ho.eowner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the appJicant is SOIEone other than the
<br />'oHner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />'owner' prior to cOlroencement.
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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 perait to do work and installation as indicated. I certify that nu work or
<br />instalJation has com~enced priur tD issuance Df a perlit and that all work wilJ be performed to roeet 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 regulatiuns of other governmental agencies IDay apply to the intended work, and that it is
<br />IY responsibili ty to identify what actions I lIIust take to be in cOlllpliance. Such agencies include but ~l e Iicll I jili ted lu:
<br />
<br />I Department uf Enviionmental ReQulation - Cypress Bayheads, Hetland Areas and EnvironIDentally Sensitive L~nds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQe~ent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />I Army Coros of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatr.ent, Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abatement
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<br />I alsu cedify that, if fill material is to be used in Flclod Ze,ne "A" or "A,etc.'r il is underste,e,d t,,~t a drainage plan
<br />addressing a 'colpensating volu~e" will be sublllitted which is prepared by a professional engineer regist~,ed in the State of
<br />Florida prior to permit issu~nce.
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<br />A permit issued shall be construed to be a license to proceed with the work and not as authDrity to viol~te, cancel alter, Dr
<br />set aside any provisions of the technical ctldes, nor shall issuance of a per.mit prevent the Building Official frc,,, thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;haJl beco.e invaJid
<br />unless the work authorized by such permit is cOlmenced within six months of issuance, or if HDrk authorIzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the time the wory. is commenced. One 90 day e:te~sioll of tile, lay be
<br />.allowed for the permit with fee charge of ~15.00. The extension shall be requested in writing to the Building OfficiaJ. An
<br />approved inspection must be logged during each six month period, or the project Hill be considered abal~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 "NOTICE OF COMMENCEMENT".
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<br />SJ "~..-dJ<,l'n,<,, ""-,,l'),M"'"'j d 0'" I/~~/,;~ ~I
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<br />SIGNATURE~~_~~~__\I/~~\-_- SIGNATURE~~~__ '__Z__~--_:_-----
<br />'OWNER OR AGENT f-b ,CON R CTOR
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<br />9ATE__~~~=_~~L__-----------------------
<br />NG1ARY AS TO- j) ~
<br />OWNER OR AG~h~--{J/~---
<br />MY COMMISSION EXPIRES_lj~~~--L9--q-)t----
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<br />DATE__St:_~_~_~J_----------------------
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<br />~g~~~~C~~R~~__~~--
<br />
<br />MY COMMISSION EXPIRES_ij~!t_~~1_~~--
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