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<br />CONDITIONS OF .PERMIT.AFFIDAVIT,
<br />A. NOTICE OF DEED RESTRICTIONS :';', '
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<br />Th~ und~r5ign~d und~rstinds that this p~r.it .ay bl subject to -deed restrictions' whicR' .ay be .ore r~s~rictive than City
<br />regulations. Th~ und~tsigned USIl.!! reil'ons1bill\Y.'7f.~~ co.pllanc, with any applicab}e_~~~~,. 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 .ay be required to be licensed in accordanc~ with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be
<br />cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requir!.~~ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, IBI3)
<br />7BIf -bb 1 1.
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<br />Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor Is) sign portions of th~
<br />'Contractor S~ctions' of this application for which they will be responsible. If you, as the own~r sign as th~ contractor,
<br />you are indicating that you, rather than th~ contrattor, are responsibl, for th~ work. If th~ contractor wishes you to sign
<br />as contractor that .ay b~ an indication that he is not properly lic~nsed and is not entitled to per.itting privil~ges 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, th~ applicant, have be~n provided with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection
<br />Guide- pr~pared by th~ Florida Depart.ent of Agricultllre and Consu.er Affairs. If the applicant is so.eone oth~r than the
<br />'owner', I c~rtify that I hav~ obtained a copy of the above described docu.ent and pro.ise in gobd faith to deliver it to th~
<br />'owner' prior to co..ence.ent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the infor.ation 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 .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws
<br />regulating construction, City cod~s, 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 .ay apply to the intended work, and that it is
<br />IY responsibility to identify what actions 1 .ust take to be in co.pliance. Such ageftelU include b1lt Llle not liiited to:
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<br />I Depart.ent of Environ.ental ReQulation - Cypress Dayheads, Wetland Areas and Environ.entally Sensitive lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water KanaQe.ent District - Wells, Cypress Dayheads, Wetland Areas, Altering Watercourses
<br />I Ar.v Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - W~lls, Wastewater Tr~at.ent. Septic Tanks
<br />I US Environ.ental Protection AQency - Asb~stos abate.ent
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<br />I also certify 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 .co.pensating volu.e' will be sublitted which is prepared by a professional engineer register~d in the State of
<br />Florida prior to perlit iss~ance.
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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 fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issuud ;hall beco.e invalid
<br />unless the work authoril~d by such per.it is co..enced within six lonths of is~uance, or if work authorized by the per.it is
<br />susp~nded or abandoned for a period of six .onths after the ti.e the work is cO.lenced, One 90 day extensioll of ti.e, lay be
<br />allowed for the permit "ith 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 i!balldoned.
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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 ~OST A "NOTICE OF COMME~N EMENT". .
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<br />SIGNATURE____ _ _L-.J litL~-- SIGNATURE___ ________,~1_~~~---
<br />OWNER OR AG l:) CONTR TOR
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<br />DATE______~~r~~j_______________________ DATE___________1ij_~~q!______~------
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<br />NOTARY AS TO ~~ _ ~ (
<br />OWNER OR AGEN~ - -
<br />Net., to Staff of rr 'd
<br />MY COMMISSION EXPIREl[f~~~~r.~~~---
<br />......." Th,,. rro, 'eln I ' 93
<br />. . n'"'anee IIlCo
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<br />NOTARY AS T~~~
<br />CONTRACTOR .
<br />- ----- -ft-fi-rn-~
<br />Co .na eo ona.
<br />MY COMMISSION EXPIR~ ommission Expires Nov. 30,19931
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