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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 perlit lay bl subject to "deed restrict'ions" whiCh aay be lore res~rictive than City
<br />reguhtions. The undersigned asSUII. rtlponsibili,~.,for cOlpliance with any applicable deed restrictions.
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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 work, they lay be required to be licensed in accDrdance with
<br />state and local regulations. If the contractor i. not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner Dr 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, (813)
<br />788-6611. '
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
<br />"Contractor Sections" of this application for which they will 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 pro;erly licensed and is not entitled to perlitting p~ivileges 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 with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Depart.ent 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 pro.ise 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 developlent.
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<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cottenced prior to issuance of a pertit and that all work will be performed to aeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I unders~and that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in COlplianc,: Such agencies include but ~le not lilited to:
<br />
<br />I Departltnt of Envitontental ReQulation - Cypress Bayheads, Wetl~nd Areas and Environlentally Sensitive lands,
<br />Water IWastewater Treatlent .
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - SeaMalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environlental Health Unit - W~lls, Wastewater Treatment. Septic Tanks
<br />f US Environlental Protection AQency - Asbestos abatetent
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<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood th~t a drainage plan
<br />addressing a "colpensating volule" will be subtitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it issu~nce.
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<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to vio)3te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issu~d ~hall becole invalid
<br />unless the work authorized by such penit is cO.lenced Mithin six .onths of issuance, [.r if Ilurk auth{OIJ~ed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tile the Hork is commenced. One 90 day e~t~"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 Official. An
<br />approved inspection lust be logged during each six .onth periDd, or the project Hill be ct.nsidered ilballdoned.
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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 />lNTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE R,E"C ORDING YOU,R, NOTICE, OF COMMENCEMENT. JOB~S NDER $2,500 IN, V, ALUE
<br />DO NOT NEED TO RECORD AND -:OST; "NOTICE OF COMMEN ENT~
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<br />SIGNATURE( L., A!h J~__~~-""I" (_______ SIGNATURE \ J _~~~f1L:-::~
<br />(' ~~WNER oR AGENT r ~ CONTRAC~--
<br />. ) , /" ,r) / S) I ---,.
<br />DATE_______;--~=-~-~~-~::-~~------------- DATE____~___~~-~~~~~----t:-----------
<br />
<br />/" .. ----\
<br />NOTARY AS TO \~'._ 'c. ~[, I 1\ '.
<br />, 'I' \ ,,' ('" 1', '-....-
<br />OWNER OR AGENT __~ _:j~~y.. $!:\i€-~~~-fl-eR-HlA
<br />MY COMMISSION EXP. FEB.21.1995
<br />MY COMMISSION EXPIRES_~~~~l~~-~~~~J~~~~~~
<br />
<br />I
<br />NOTARY AS TO \' \'r\\ " ,
<br />CONTRACTOR__J~~Wj~~~~~n-'0tJ'""-" -=---
<br />.. ' ,,;;,;,:,:j~:':ii',],;;nr.,,~~ r\"?J'
<br />MY COMMISSION EXPIRE",':';;;;'" ;;EU ';;\[;:;"~;;I r;;...:' 0';:,,,,
<br />--------------- .,..-,(,..'~.
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