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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The und!rsigned under5ta~ds that this perlit lay be subject to "deed restrictions', which may be more restrjctive than City
<br />regulatlDns. The underSigned a~sules responsibility~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 accordance with
<br />5!ate and loc~l regulatio~s. ~f the contractor is not licensed as required by law, both the owner and contractor lay be
<br />clte~ for a .lsde.eanor vlolat1?n under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requlre.ents lay apply for the lntended work, they are advised to contact the City of Zephyrhills Building Departlent (813)
<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!s} sign portions of the
<br />'Contrac!or.Sec!ions. of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you arelndlcatlng that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that .ay 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.
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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 Kith a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is sOle6ne other than the
<br />'oNner", I certify that I have obtained a, copy of the above described docu.ent and promise in good faith to deliver it to the
<br />"oMner" prior to cOllenceeent.
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<br />.; ~.:'
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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 cospliance 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 work and install~tion as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work NiIl be performed to leet 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 regulations of other governaental agencies lay apply'to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlllpliance. Such agencies include bill ~l e JiC,t lilllited to:
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<br />. <I.'*'
<br />I Department of Environmental ReQulatiDn - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water'ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlV Ccorps ,of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Hells, Wastewater Treat~err~. Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abate.ent
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<br />I also certify that, if fill aaterial is to be used in Flood Zone "A' or "A,etc,', it is understood tJ.~t a drainage plan
<br />addressing a 'cospensating volule" will be sublitted which is prepared by a professional engineer re~ist~ied in the State of
<br />Florida prior to permit issuance.
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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 violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frolll thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every permit isslled ;hall becole invalid
<br />unless the work authorized by such permit is cO.lenced within six months of issuance, or if work authDI J~ed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiJe the work is co~menced. One 90 day e:tension of tile, aay be
<br />allowed for the permit Nith 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 .onth period, or the project will be considered obdlldoned.
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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 CqMMENCEMENT".
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<br />SIGNATUREQ~_~-~
<br />~I ~ _"OWNER OR AGENT
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<br />DATE~_Hj2~___1!!2L=_-------
<br />~~~~:VO~SA~~NT_~~~ot~~_~-~---- .
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<br />~~OTARY PUBLIC, STATE OF FLORIDA
<br />MY COMMISSION EXPIREli{y commission expires Jan. 28. 1995
<br />~Ol'Ide!fWU-patl:~~mr:S-eCnr J\genc)I
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<br />SIGNATURE______________________________
<br />CONTRACTOR
<br />
<br />DATE___________________________________
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<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
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<br />MY COMMISSION EXPIRES
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