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<br />CONDITIONS~OP.PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />Tht,undersigned understands that,this perDit lay bl sub~ect to "d~ed restrictions' which ~ay b~ ~ore restr,ictive than City
<br />regulations. The undersigned aSSUlll1!5 responslblllt{;for;,col!,llance with any applicable d~~d restridions.
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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 und~rtak~ work, 'they lay b~ required tu be licensed in accordance with
<br />stlte and local regulations. If the contractor is not licensed as required by law, buth the owner and contractor ftay be
<br />cited for a .isdeaeanor violation under state lall., If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills ~uilding Departaent, (8131
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised tu have the contractortsl 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 provi'ded with a copy of "Florida's Construction Lien Law - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is sOle6ne other than the
<br />"oHner", I certify that I have c,btained a, copy of the above described dc,cul1lent and prc.rrlise in gc,od faith to deliver it to the
<br />"owner" prior to co..encelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the infDrmation in this application is accurate and that all work Hill 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 permit t~' do work and installction as indicated. I certify that nD work or
<br />installation has cOllllenced prior to issuance of a per.it and that all work Hill be performed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and 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 wDrk, and that it is
<br />IY responsibility tc. identify Hhat actions I lust take to be in compliance. Such agencies include bllt ,'1 e liot liaited to:
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<br />I Departlent Df Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi tiv~ Ldnds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water' ManaQelent District - Wells; Cypress Bayheads, Uetland Areas, Altering HatercDurses
<br />f Army Corps ~f EnQineers - Seawalls, DDCks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - ~ells, \JasteHater Treat~e~~. Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
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<br />I alsD certify that, if fillaaterial is tD be used in Flc,od Z(lne "A" or 'A,etc.', it is understc,c,d th~t a drainage plan
<br />addressing a 'CDlpensating vDlulc" Hill be sub.itted which is prepared by a professional engineEr registered in the State of
<br />Florida prior tD permit issuance.
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<br />A perlit issued shall be cDnstrued to be a license to proceed with the Hork and not as authority to viol~te, cancel alter, Dr
<br />set aside any provisions of the technical (odes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correctiDn (,f errors in plans; cDnstructic.n, c,r violations of any code. Every per~it iSSIIEd ::hall becole invalid
<br />unless the work authorized by such penit is cC'lIIenced Hithin six Illonths of issllance, or if Hc.rk authcOlI,ed by the perait is
<br />suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e:tensiol\ of tiae, aay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspectic.n /!lust be lc.gged during each six Ilonth period, c.r the prc.ject will be cc.nsider!?d dballdoned.
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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~~O~~ S!GNATURX_~T~5!2~~_-
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<br />OWNER OR AG'ti~___-- ~ CONTRACTO~4"~_'~' , -..
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<br />MY COMMISSION EXPiR~~~_1~~4~~f~~-~--- MY COMMISSION EXP~~~~~~~~~!.~-~~~--
<br />., -Wllln fir: . ICIlI' nc.
<br />10.. Iolld.d '~'U T.~ ~'res Nov. 30, J993
<br />u'n. 'nturanee In:;. .
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