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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 />Th,.und,rsigned und,rsta;dS that this perlit lay be subject io "deed restrictions" which ~ay be ~ore restr.ictive
<br />reguhtioM. The undersigned USUII!S responslbil\tf:~or;.collpllance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
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<br />than City
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<br />If the owner has hired a contractor or contractors to undertake work, .they .ay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the ouner and contractor lay be
<br />cited for a tisde.eanor violation under state laK.; .If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills ~uilding Departlent, (8131
<br />788-6611. . ....
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractortsJ 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 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 - Ho.eowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consumer AffaiTs. If the applicant is SOlec.ne other than the
<br />'owner" , 1 certify that 1 have obtained a. copy of the above described de,culllent and promi:e in ge.od fai th to del iver it to the
<br />'owner' prior to cOI~encement,
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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 dvne 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 per.it t~'do work and install~tion as indicated. I certify that no work or
<br />installation has cOltenced 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 development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern/llental agencies ~Iay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I /lust take to be in compliance. Such agencies include b1lt ~l e ne.t liaited to:
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<br />I Departle~t of Envir~nmental ReQulation - cypr~ss Bayheads, Wetland Areas and Environmentally Sensi tive lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water'Mananement District - Wells; Cypress Bayheads, Wetland Areas, Altering HatercouTses
<br />I ArtY Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways
<br />I gepartlent of Health ~ Rehabilitative Services. Environmental Health Unit - Hells, IJasteHater Trl!at~en~. Septic Tanks
<br />I US Environ~ental Protection Anenci - Asbestos abatement
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<br />1 also certify that, if fill laterial is to be used in Helod Zelne "A" or "A,etc.', it is underste.e,d tldt a drainage plan
<br />addressing a 'colpensating vol UtI!' will be sublitted which is prepared by a professivnal engineer rl!gist~il!d in the State of
<br />Florida prior to permit issuanc!!.
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<br />A perlit issued shall be construed to be a license to proceed with thl! work and not as authvrity to vivl~te, caneel 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.rrection elf errors in plans; constructicln, or violations of any ce.de. Every pN~it issll~j "hall bece,.e invalid
<br />unless the work authorized by such permit is couenced within six llIonths [If iSSllance, c.r if "e.rk atltl'(OII,l!d by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiJe the Hork is [Vmmenced. One 90 day l!:te~5iDII of tiie, lay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall bl! requested in writing tv thl! Building Official. An
<br />approved inspection aust be logged during each ~ix tonth period, or the project "ill be considered db61ldoned.
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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 />SIGNATUR - 1/ ~ 4ff~L SIGNATURo/{__Ui~2!:~9!.-----
<br />~ER~ENT CONTRACTOR
<br />DATE___~\l~~~--------------------------- OATE_________Cl\~\\~~-----------------
<br />NOTARY AS TO ~ (~' CU -. (L ..C\ NOTARY AS TOOl (~OJ ~. () \
<br />OWNER OR AGEN~- ~(~~ CONTRACTOR_~C - c~
<br />~ "ofary 'ubli St'~ of flilril!1t " Hotary State of Florlctlt
<br />MY COMMISSION j{f~~~~~~1~J1~------- MY COMMISSION E~~o~JmU~L~-~J~~-
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<br />I<fndod Thr. Troy fo'" . 1,.w",,,,.lno;. ftjnded ThN Troy foin .In.u'once In..
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