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<br />CONDITIONSO~.P~RMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The.undersigned understands that this perlit lay be sublect to "deed restrictions' which ~ay be DOr!! restr,ictive than City
<br />regulations. The undersigned a5SU!!1!5 responsibilitf;for;colpliance lIith any appl icabl!! deed r!!strictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
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<br />If the owner has hired a contractor or contractors to undertake 1I0rk, 'they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as requir!!d by law, both the OHner and contractor lay be
<br />cited for a .isdeaeanor violation under state laK.; If the owner or intended contractor are uncertain as to IIhat licensing
<br />requirelents lay apply for the intended Kork, they are advised to contact the City of 2!!phyrhills Building Departaent, (813)
<br />788-6611. ' , ",
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorts) sign portions of the
<br />'Contractor Sections' of this application for which they lIill 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 aay 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.
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<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713y 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 Lall - HOleollner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is soeeone other than the
<br />"oKner", I certify that I have c,btained a, cDPy of the above described dClculllent and pf(,rr,ise in Qe,od faith to deliver it to the
<br />"owner" prior to cOI~encement.
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<br />: '. .~ .::~. ". I : .'
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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 coapliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby lade to obtain a perlit to'do MorK and install~tion as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a pertit and that all work will be performed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governaental agencies ~ay apply'to the intended work, and that it is
<br />IY responsibility te, identify Hhat actions I Illust take to be in compliance. Such ager,cies include bill "I e liot limited to:
<br />
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<br />I Departle~t of Envir~nmental ReQulation - Cypress Bayheads, W~tland ~reas and Environmentally Sensi \iv~ L3nds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida ~ater' ManaQement District - Wells; Cypress Bayheads, Wetland ~reas, Altering Hatercourses
<br />I ArlV Corps ~f EnQineers - SeaKalls, DOCKS, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Servi~es. Environmental Health Unit - ~ells, ~asteHater Treat~en~, Septic Tanks
<br />f US Environmental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Flc10d Ze,ne "A" or '~,etc.', it is underste,e,d \1"t a drainage plan
<br />addressing a 'colpensating volu!!e" Hill be subtitted Hhich is prepared by a professional engineer fegist~led in the State of
<br />Florida prior to permit issuance.
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<br />A permit 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 Offici~l frol thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every per~it iSSlled shall beco.e invalid
<br />unless the work authe.rized by such penit is colUlenced Hithin six lIlonths (of issuance, e,r if He'lf; authe" },ed by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti3e the work is commenced, One 90 day e:le~5ioli of tile, lay be
<br />allowed for the per~it with fee charge of ~15.00. The extension shall be requested in I1riting to tho Building Official. An
<br />approved inspection ~ust be logged during eachrsix lonth period, Dr the project l1ill be considered dbil,doned.
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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 COMMENCEMENT".
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<br />SIGNATURE~~-(}~-~~~~~------
<br />O~R OR AGENT
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<br />SIGNATUR~-kL4
<br />CONTRACTOR
<br />
<br />DATE
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<br />DATE 9-S--9/ -
<br />---------------------~--=-----:;r-
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<br />~~~~~~C~~R=~_~--~~-----
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT_____________~_____________~_
<br />
<br />MY COMMISSION EXPIRES______________________
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<br />"'
<br />
<br />, MY COMM I"SRd.pl~y!],~~(fcEi...,.TH---------------
<br />MY C ' ,..... '" OF FLORIDA.
<br />OMMISSION EXPIRES: Jan. 2S 1995
<br />BONDED THRU NOTARY PUBLIC UNDERWRITERs.
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