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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which'may be lore res~rictive than City
<br />regulations. The undersigned assules responsibili_y.for cOlpliance with 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 contractor or contractors to undertake work, they lay 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 owner and contractor lay be
<br />cited for a eisdeleanor violation under state law. If the owner Dr 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 Building Departlent, (813)
<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 contractor(s) 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 permitting 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 />Suide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is SOlE one other than the
<br />"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />"owner' prior to cotlence.ent.
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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 compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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<br />Application is hereby aade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOI.enced prior to issuance of a perlit and that all work will be performed to meet 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 governlental agencies lay 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 but. ~I e liCIt. Iilited to:
<br />
<br />I Departeent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departtent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatme~t, Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Fle,od Ze,ne "A" or "A,etc.", it is underste.od th~t a drainage plan
<br />addressing a 'colpensating volule" will be sub.itted which is prepared by a professional engineer registered 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 viol~te, cancel alter, or
<br />set aside any provisions 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 3hall becote invalid
<br />unless the work authorized by such per.it is co..enced within six sonths of, issuance, or if work authoflzed by the pertit is
<br />suspended or abandoned for a period of six tonths after the tile the work is commenced. One 90 day e~t.~nsioli of tile, may 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 />appTl1tEtl inspection must be le'ggeoduring i!dl.ii "ix i1lilU\11 ji~1 i.,u, l'i Ljl~ Plc.jl'd l'Ii;i ~t: CLiilsidored clUdllJUllt'J.
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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 />SIGNATUREik'2~_{A1~!lN2&~" - ' {
<br />CONTRACTOR 0 ~. -
<br />DATE________~:j~:-~-J----------------
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<br />/'7k"~ 4 I
<br />SIGNATURE_~Lf~~~_ ~___~_~~~~~~.
<br />i,/ OWNEWbR AGENT /
<br />DATE_______~~-~-~~~~-----------------
<br />
<br />NOTARY AS TO '12..Ci:J. ' ~
<br />OWNER OR AGENT___~.~~~~---~~~~------
<br />
<br />MY COMMISSION EXP S '""',T.,...',,.,,>.,,:,"-,.,',,,','-,. :',',",",;",.,.c ,;., :C'. ('"."",.
<br />-~-7ry'-.~~~~,-::777;--~--~~~...1"": :;,
<br />
<br />NOTARY
<br />CONTRAC
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<br />
<br />XFIRES
<br />t!OrA':Y FuSLfC:-STATE-OrFLORIOKI-
<br />MY C",:hiSSlUN EXPIRES: JAN. Z8. 199:i1oi
<br />0<:-,'",1:..,:::0 'fHR.U NOTARY PUBl-IC UNDERWRITERSj1
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