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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 more restr,ictive than City
<br />regulations. The undersigned assules responslblllti::for,.colpliance with any applicable deed restrictions.
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<br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor 'Dr 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 tisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents tay 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 Dr 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 worr.. If 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 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 Departlent of Agriculture and Consuler Affairs. If the applicant is sOle6ne 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 cOlmencelent.
<br />
<br />", .,."
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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 conpliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby aade to obtain a pertit to'do Mork and install~tion as indacated. I certify that no work or
<br />installation has cOlmenced prior to issuance of a pertit and that all work will be performed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulations, anrl land development regulations in th~ jurisdiction. I also
<br />certify that I understand that th~ regulations of other govern~ental agencies ~ay apply' to th~ intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOAlplianc!!. Such agencies include bllt ~l e mlt li~ited to:
<br />
<br />. "..;
<br />I Department of Environmental 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 ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W!!lls, Ilastewater Treat~err~. Septic Tanks
<br />I US Environaental Prot~ction AQency - Asbestos abatement
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<br />I also certify that, if fill aatl?rial is to be used in Flt,od ZClne "A" or 'A,etc:.', it is understcl(ld t1,~t a drainage plan
<br />addressing a .colpensating volume" will be sub.itted which is prepared by a professional engineer regist2ied in the state of
<br />Florida prior to permit 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 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 corr~ction of errors in plans; construction, or violations of any code. Every permit isslIed :haJI becole invalid
<br />unless the work authori2~d by such permit is cOlmenced within six lonths of issuance, Dr if wOl'k authDIJ~ed by th~ p~rlit is
<br />suspend~d Dr abandoned for a p~riod of six lonths after the ti,e the \lork is commenc~d. One 90 day e~\t~sioll of tile, aay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection eust be logged during each six month period, or the project will be considered dba\Jdoned.
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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 />SIGNATURE~~~~~------
<br />OWNER OR AGENT
<br />
<br />SIGNATURE~~/~~~"
<br />CONTRACTOR
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<br />DA TE_2.:-,c2_::~L___--------------,-------
<br />
<br />NOTARY AS TO _~,
<br />OWNER OR AGEtfbj~
<br />
<br />MY COMMISSION EXPIRES
<br />"~'-{~.?7T~:."IT~~~"S~7?:::\~~D~-- d
<br />. "_l:i-'i-~ Li"-.;\~.J; 1">4.V J. &..7y 199..1
<br />~":,,,~:~~~a~;-:~~ 'l';UfAin pU;JLIC UNDER,WRITERS,}
<br />
<br />DATE________~~/~:-~~--------------
<br />
<br />
<br />NOTARY AS TO / _/ /'
<br />CONTRACTOR_~~_-~
<br />
<br />"
<br />
<br />MY COMMISSION EXPIRES
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<br />---~--------------
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<br />"..i-:Y PU~H..~C. STATE OF FLO?\JD!\.
<br />,.., "0,,ih',"'::;;U;-.< EXP:r;t:S: NOV. 27. 199%.
<br />t;,....j~'-.Jc:8 THI:;:U r~o-rARY PUBLIC UNDERWRITERS.)
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