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<br />CONDITIONS: O~ P~~MIT A~~ID^VrT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The ,undersigned understands that this perlit lay be sub3ect to "deed restrictions" which ~ay b~ ~ore restrictive than City
<br />regulations. The undersigned aSSUIe5 re5ponslbi1itr~.~or;.'.collpliance with any applicabl~ d~~d restrictions.
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<br />B.
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<br />'.
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI8ILITI~S
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<br />If the owner has hired a contractor or contractors to undertake work, they may be required' to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as reqtiired by law, both the o"n~r 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 />require.ents lay apply for the intended work, they are advised to contact the City of 2ephyrhills ~uilding Departaent, (813)
<br />788-6611.
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<br />Furthermore, if the owner has hired a contractor or 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 may be an indication that he is not properly licensed and 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 - Homeowner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and ConSUDer Affairs. If the applicant is sote6ne other than the
<br />"owner', I certify that I have obtained l c~py of the above described document and promise in good fajth to deliver it to the
<br />.owner' prior to cOI!ence!ent.
<br />
<br />:l.':(.".\::
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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 b~ don~ in coapliance with all
<br />applicable laws regulating construction, zoning, and land developD~nt.
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<br />Application is hereby Jade to obtain a permit to'do Mork and installction as indicated. I certify that no work or
<br />installation has co.menced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laMS
<br />regulating construction, City codes, zDning regulatiDns, anrl land development 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 to identify what actions I lIIust take to be in compliance. Such agencies include bill ::>1 eliCIt lillited to:
<br />
<br />. J_~
<br />I Departlent of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi live Lands,
<br />Hater/Hastewater Treatment
<br />I Southwest Florida Hater ManaQeJent District - Hells; Cypress Bayheads, Hetland Areas, Altering Halercourses
<br />I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departtent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en:, Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
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<br />I also certify that, if filllaterial is to be used in Flc,od Zcone "A" or "I\,elc,', it is understclcld tllat a drainage plan
<br />addressing a 'colpensating volume" will be sub.itted which is prepared by a professional engineer regist2ied 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 prDceed with the wClrk an'd 'nt,tas aulheority lCI vie,hte, 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 CC'Trr:ction c.f errors in plans; constructicon, or violations of any cc.de. Every per~it isslJed :hall benlle invalid
<br />unless the work authc.ri2ed by such penit is ccouenced within six months c,f isslJance,"c.r if IlClrk .BlIt\'cII);:ed by the perlit is
<br />suspended or abandoned for a period of six tonths after the tiJe the Hork is cpmmenced. One 90 day e:IE~5ioll of tile, aay be
<br />al1c,wed for the perlllit with fee charge of $15.00. The extensic,n shall be requ~sied in liriling ie. the Building Official. An
<br />approved inspectic,n l!iust be lc,gged during each six 1I0nth period, or the project wi] I be cc.nsidered ilbcil,doiled.
<br />
<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 COMMENCEMENT".
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<br />SIGNATURE~_~_____-___~_
<br />~WNER?AGENT
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<br />::::~~~~~~1'-__ ------~-----..~--~---
<br />
<br />OWNER OR AG _ ~_~-~~~~-----
<br />Jerr Connell '
<br />IRES '
<br />NOTARY PuBLiC~siATioFFiORiDA.------
<br />MY COMMISSION EXPIRES: June 30, 1995.
<br />BONDED THaU NOTARY PUBLIC UNDERWRITERS-
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<br />
<br />SIGNATURE
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<br />
<br />CONTRACTOR
<br />
<br />DATE
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<br />-----------------------------------
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
<br />
<br />
<br />"
<br />
<br />MY COMMISSION EXPIRES
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