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<br />CONDITI0NS~O~,PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The,undersigned understands that this perlit lay be subject to "deed restrictions' which ~ay be oor!! restr,ictive than City
<br />regulations. The undersigned nsules responsibilH{;for;colpliance with any appl icable deed restrictions.
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<br />B . UNL I CENSED CONTRACTORS AND CONTRACTOR RESPOt\lS I B I LIT I ES
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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 Ind local regulations. If the contractor is not licensed as required by law, both the OHner and contractor ~ay be
<br />cited for a lisde.eanor violation under state law., If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611. ' . C,"
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 Mork. Jf the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed ~nd 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 - Hoeeowneros Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and ConsUier Affairs. If the applicant is soee6ne other than the
<br />"owner", I certify that I have obtained ~ c~py of the above described document and promise in good f~ith to deliver it to th~
<br />'owner" prior to co.~ence~ent. I
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<br />~ '. . :~.~ 7.. :. I ; :
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inf~rmation in this applicati~n is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby made to obtain a perait to'do work and install~tion as indicated. J certify that nu work or
<br />installation has COlmenc~d prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulati~ns, and land devel~pment regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply to the intended work, and that it is
<br />IY responsibility tc. identify what actions I lust take to be in compliance. Suet, agC:f1cies include bill ~l e IlC,t lillited t~:
<br />
<br />...
<br />I Departle~t of Envir~nmental ReQulation - Cypress Bayheads, ~etland Areas and Environmentally Sensi live L3ndsr
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water'ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />I Arty Corps ~f EnQineers - Seawalls, Ducks, Navigable Waterways
<br />I Depart.ent uf Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Tre.t~en~. Septic Tanks
<br />I US Environaental Pr~tection AQenct - Asbestos abatement
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<br />I also certify that, if fill aatl?rial is t~ be used in Flc.od Zcone "A" or 'A,etc.', it is understo(,d t1li\t a drainage plan
<br />addressing a 'colpensating volume" Mill be sublitted which is prepared by a professional enginc:er feqist~,ed in the State of
<br />Florida prior tD permit issuance.
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<br />A permit issued shall be cDnstrued to be a license to proceed with the Mork and not as authority to viol~te, cancel alter, or
<br />set aside any pfCovisi(,ns of the technical cc.des, nDr shall issuance of a permit prc:vent the Building Officii,} frc'~ thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every per~it iSSlled ~hall becole invalid
<br />unless the work authCoTized by such penH is cLol1illlenced lIit.hiI', six I\\onths (.f issuanc!:, (,r if we,d; au\h('II.;;d hi the perlit is
<br />suspended Dr abandoned for a period of six lonths after the ti)e the work is commenced. One 90 day e:\E~5ioll of tiae, lay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in wriling \0 the Building Official. An
<br />approved inspecti(,n !:lust he lc.gged during each six month period, c,r the projl!c\ liill be c('Tlsidered abol,dc.nrd.
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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 OBTAI~ 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 II NOT I CE OF COMMENCEf'1ENT".
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<br />SIGNATUR~~~------ SIGNATURE_____-------------------------
<br />OWNER OR AGENT CONTRACTOR
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<br />DATE__~-_-~-)---I1.!t-L------.---~---
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<br />~~~~:YO~SA~~NT--~~~~--~-
<br />MY COMMISSION EXPIRESHOTARY PUIIlIC STATE ~ flORIDA
<br />.~~~~e~t~~~~~
<br />BONDED THRU GENElW. IllS. UMO.
<br />
<br />DATE
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<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
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<br />MY COMMISSION EXPIRES
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<br />"
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