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<br />CONDITIONS~O~.PERMIT AFFIDAVIT
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<br />A.
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<br />NOTICE OF DEED RESTRICTIONS
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<br />Tht,und,rsign,d understands that this per.it lay bl subject to "deed restrictions' which may be ~~re r.str,ictivt than City
<br />regulations, The undersigned assulles responsibilUf;foT"cc::\pHancl! with any applicable deed restrictions.
<br />, '.,(j,l. ..
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<br />E. UNLICENSED CONTRAC~ORS A~D CONTRACTOR RESPONSIBILITr~S
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<br />If the owner has hired a c~ntractor or contractors to undertake work, 'they lay be required t~ be licensed in accordanc. with
<br />'!It' and loc~l regulatio~s. ~f the contractor is not licensed as required by law, b~th the Ollner and c~ntractor ~ay be
<br />Clted for a 11sdeleanor vlolatlon under state 1aK.. 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 IBI31
<br />788-6611. ' , ' '
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<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />.Contractor Sections. of this application f~r 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 wor.. ]f 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 Zephyrhi1ls.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
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<br />CONSTRUCTION LIEN LAW
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<br /><CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided Kith a copy of .Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the
<br />"owner", 1 certify that I have obtained l c~py of the above described docu&ent and promise in good faith to deliver it to the
<br />"owner" prior to cO.lencement.
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<br />~1,':(. ". . ;.'
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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 Hor. 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 perait to'do Mork and install~tion as indicated. I certify that no work or
<br />installation has cOlllenced prior to issuance of a per.it and that all work will be performed to ~eet standards of all laws
<br />regulating construction, City codes, 20ning regulati~ns, and land development regulations in the jurisdiction. I 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 />my responsibility to identify what actions I /IIust take to be in compliance. Such agencies include bllt ,'Ie I;c.t lirsited to:
<br />
<br />#'
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<br />I Departle~t of Envir~nmental ReQulation - cypr~ss Bayheads, Hetland Areas and Environmentally Sensi live Ldnds,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Hater' ManaQelent District - Wells; Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />f Ar.y Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Hells, HasteHater Treat~En~, Septic Tanks
<br />f US EnvironDental Protection AQenct - Asbestos abatement
<br />
<br />I also certify that, if fill latE'Tial is to be used in Hc,od Zc,ne "A" Dr "A,etc.", it is understc,c,d 1I13t a drainage plan
<br />addressing a .co.pensating volule" will be sublitted which is prepared by a professional engineer regist2ied in the State of
<br />Florida prior to permit issuance.
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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 violate, cancel aller, or
<br />set aside any provisiDns of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every permit issued shall becole invalid
<br />unless the work authc,rized by such permit is cC'lIlIIenced within six 1II0nths of issuance, c,r if tfc.rk a\lll.c" Ized by the perail is
<br />suspended or abandoned feor a period of six lonths after the ti:ae the Hor. is CC.Menced. One 90 day e~t"i.siou of tile, say be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in tfriling to the Building Official. An
<br />approved inspedic.n aust be lc.gged during each six lIonth period, c,r the project Ilill be cc,nsidered ilbol,doiled.
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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 $2J500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOT I CE OF COMMENCEMENT "./J .../'- (}J
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<br />SIGNATU~~~'---- ~ ~~ ______ SIGNATURE___~-~--~~~---------
<br />OWNER OR AGENT ' CONTRACTOR
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<br />DA TE_~L?Lqt._---------------'------,-------
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<br />~~~~:V O~~NT)c~-~--
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<br />MY COt/1M! S5 ION EXP I RES Notary Publit. State of Horida -.
<br />MY-C-;;;;;;i7si~lxPlres-Oa:.'1O;-t99J
<br />:.onded Thru TroY Fain - Insurance lac.
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<br />DA TE___11-!.17L--------------.--------
<br />~g~~:~C~;R~~~-~----
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<br />MY COMMISSION EXPIRES~~~llWili~~M~~-A
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<br />My Commission Expires Oct. 10, "9~~
<br />Jondod Thru Troy fain ~ Insurance ,,,('
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