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<br />CONDITIONS;O~,PERMIT AFFIDAVIT
<br />NOTICE OF DEED RESTRICTIONS
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<br />A.
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<br />The,undersigned understands that this per_it .ay bl sublect to 'deed restricti~ns' which ~ay be ~ore restr~ctive than City
<br />regulations. Thl/ undersigned aSSUIU!S responsibi~it1Y~or:,cD.p1iance lIith 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 t~ntract~r Dr c~ntrattorl to undertake work, 'they lay be required to be licensed in accordance with
<br />statl/ and local regulations. 'I,f the, c~ntrilctor is not llcennd as require'd by l.w, both tho t'l1nOr and contractor IlaY be
<br />citrd for ~ lisdeleanor violation under state laH., If the tJwMr or intended contractc.r are unc~rtaj~ as to what licensing
<br />requirell!nts laY apply fc,r the intended work, they are advised 'tC cont\ic.t th,e Ci ty c,f Zophyrhi 115 ~ui Iding Departlent 18131
<br />nB-bbll. ' ,', ' '
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advisod to havo tho contr.ctor(sl sign portions of the
<br />'Contractor Sections' of this application for which the, Hill be respDns[ble~ If you, as the owner sign as the contractor,
<br />you are indicating that y~u, rather than the contractor, are rrsponsible 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 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 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 - HOleowner's Protection
<br />Guide' prepared by the Florida Depart_ent of Agriculture and Consuler Affairs. If the applicant is S02ec.ne other than the
<br />'~wner', I crftify that I have (,btained a, ccipy of the above described dClculIJent iJnd prorr,is~ in gClod fai th to del iver it to the
<br />"ollner" prior to COI!encement.
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<br />: 1, .~ ,:~;,. ': 1 ; :
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inf~rllJation 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 lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or
<br />installation has cotlenced prior to issuance of a per.it and that all work will be performed tCI ~eet standards of all laws
<br />regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies ~iJY apply'to the intended work, and that it is
<br />my responsibility to identify what actions I lust take to be in compliance. Such agencies ir,clude bill ~l elicIt lillited to:
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<br />...
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<br />I Departle~t of Envir~nmental ReQulation - Cypress Bayheads, Wetland Areas and EnviTConmentally Sensitiiie lands,
<br />Hater/Wastewater Treatment
<br />f Southwest Florida Hater ManaQl!lent District - Wells; Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Haterways
<br />f Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Hells, IJastewater Treat~en~. Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
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<br />1 also certify that, if fill lIaterial is to be used in F1e.od Zc,ne "A" or 'A,etc.', it is understc,c,d \!.~l a drainage plan
<br />addTessing a 'colptnsating volute' will be sub.itted which is prepared by a professional engine~r regist~ied in the State ~f
<br />Florida prior to pertit 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 viColate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit pr~vent the Building Officiol frol thereafter
<br />requiring a cc,rrection e,f errors in plans; constructic.n, or violations of any cod~. Every per~it iSSUed :hall becc'le invalid
<br />unless the lIork authorized by such permit is cOJllenced within six llIonths c,f iss'uanci?, tor if liC<r~; autllc,\ J;:ed by the perlit is
<br />suspended or abandoned for a period of six _onths after the ti'e the H~rk is commenced. One 90 day e:le~5iD\\ of tile, say be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writfng tB the Building Official. An
<br />approved inspectic,n l!Iust be Ic,gged during each six lIonth period, or the project Iii 11 be cc,nsider!?d db';lIdc,ned.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENC~MENT 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 />SJGNATUHE_~_~-~--
<br />CONTRACTOR
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<br />SIGNATUR~~--#-------
<br />ffdW ~~~~ --a~.(.
<br />DA TE ____,_______:JJ-I.-'!..I'.L--;.-------,-------
<br />NOTARY AS TO ./.,/J L, / /J
<br />OWNER OR AGENT_~~~-~-~~~~-
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<br />DATE____~~f~~_1_~____________________
<br />NOTARY AS TO /'/1 '-7/ d
<br />CONTRACTOR__~~-.t:-.-~
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<br />MY COMM I SS ION EXP I RES Notary Public, State of Florida
<br />-mve~~m~~~'~l~
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<br />MY COMM I SS ION EXP I RES_~q!!!.ry..PJJ.buc...Stafa.O~~&r1da
<br />,'v Comm:,s'on Expires Oct. 13. 1992
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