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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 pertit lay be subject to "deed restrictions' which may be lore restrictive than City
<br />regulations. The undersigned assules 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 />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a .isdeleanor violation under state law. If the owner or 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, (BI3)
<br />7BB-bbl L
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<br />Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor!s) 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 properly licensed and is not entitled to permitting 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. 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 - Ho.eowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is SOleone other than the
<br />'owner., I certify that 1 have obtained a copy of the above described doculent and promise 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 infor.ation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. 1 certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand 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 1 lust take to be in COlpliance. Such agencies include but ~Ie not lillited to:
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<br />I Depart.~t of Envir~nlentt1 Reoulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water Hanaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlV Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent. Septic Tanks
<br />I US Environlental Protection Aoency - Asbestos abatelent
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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 that a drainage plan
<br />addressing a .colpensating volule. will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit 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 viol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Offici~] frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued ~hall becole invalid
<br />unless the work authorized by such perlit is cO.lenced within six lonths of issuance, or if work authorIzed by the per.it is
<br />suspended or abandoned for a period of six lonths after the ti.e the work is co..enced. One 90 day e~tensloli of tite, lay be
<br />allowed for the perait 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 lonth period, or the project will be considered abalidoned.
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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 T,O RECORD AND POST, A "NOTICE OF COMMENCEMEN~
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<br />SIGNATURE__(2~ (]:~~~__ SIGNATURE_~)::"::C-~C-
<br />OWNE~R~AGENT CONTRACTOR
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<br />DATE________Jj_~J,qJ~--------------------- DATE________tJ:~l~~__________________
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<br />'y.~:.1 ;~~~~< ,~.>~.:~. t.;, j._' ~';~'1.: :-~ ';' \ ;:. ~ ::' :..~; :'
<br />NOTARY AS TO t,.u..",;<;,,; :,. .':. ,;. ';"~.
<br />OWNER OR AGENT_________;1_____~-.~ /1;:------
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<br />MY COMMISSION EXPIR~~J _&~~~
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<br />, ,/
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<br />NOTARY AS TO N(),tJ!~ !,~b!i:; S~~~tiorida at L:, ,(:
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<br />::N:::::::~~~!:~~~~:!&;1fEx;~ F'-
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