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<br />CONDITIONS OF PERMIT AFFIDAVIT
<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 rest~ictive than City
<br />regulations. The undersigned assules respDnsibilitf;for, co.pliance with. a)'lY app,1 icable Qeed rutrictions.
<br />"~. '.".
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<br />B. UNLICENS~D' CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor 'or contractors to undertake HDrk, they lay be required to be licensed in accordance with
<br />state and local regulations. 1f the contractor is not 1 icensed as required by I aw, both the lIlIner'a'ml contractor I)aybe
<br />cited for a .isdeaeanor violation under state lall. If the ollner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply fClr the intended lIork, they are advised to cc,ntact th'e t3ity{,f ZephyrhiHs Building pepartaent, (813)
<br />788-6611. '
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<br />Furtherlore, if the ollner 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 lIhich 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 perlitting 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.
<br />
<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 sOlec.ne other than the
<br />'owner" , I certify that I have obtained a, copy of the above described dc,cuJlient and prorrlise in good faith to deliver it to the
<br />'ollner' prior to cOllencelent.
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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 coapliance with all
<br />applicable lalls regulating construction, zoning, and land developlent.
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<br />Application is hereby lade to obtain a perlit to'do Kork and inslall~tion as indicated. I certify that no 1I0rk or
<br />installation has COllenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laMS
<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 govern~ental agencies ~ay apply'to the intended work, and that it is
<br />IY responsibility tc, identify what actions I lust take to be in cOlllpliance. Such agencies include bllt ~l e liC,l limited to:
<br />
<br />...
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<br />. Departle~t of Envir~nlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water ManaQelllent District - Hells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Hastewater Treat~en~. Septic Tanks
<br />I US Environmental Protection AQenc~ - Asbestos abatement
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<br />I also certify that, if fill material is to be used in Flood Zone "Aft or 'A,etc.', it is understc1c.d 1I"t a drainage plan
<br />addressing a 'colpensating volullle' will be sublitted which is prepared by a professional engineer regist2ied in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every per~it iss\l~d ~hall becole invalid
<br />unless the work authorized by such perlit is cOlmenced lIithin six months of issuance, or if H01'k authDr Ized by the per.it is
<br />suspended or abandoned for a period of six lonths after the ti~e the wDrk is commenced. One 90 day e:te~sioll of tile, 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 inspection must be logged during each six month period, or the prDject will be considered ~bdlJdoned.
<br />
<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 $~,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEM N'
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<br />SIGNATURE~_Jif~~~ c
<br />OWNER OR AGENT V-v.
<br />DA TE_______~._~'t/L~gL-------------.-------
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<br />~~~~:yO~SA~~NT_~~~~~~~~-~-
<br />
<br />
<br />MY COMMISSION E:~
<br />-~T~,",0"~,:~,",,~,r_:,',,..~,;!,~f,.I~,:,~"~,"','c,f,.IOF-R]~DA
<br />.' ' ..... ~, " DEC..~18~':::r~)4
<br />~,'~~l,::>.,,_l 'rt,.:\~; :J~ \<~:. :~':;\L 11~5'~ Ui\iU.
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<br />DATE______~~---:1T~~~7j~---~~--------
<br />
<br />NOTARY AS TO~ L"(;'''' "
<br />CONTRACTOR _____ ~:::.:'=!:::~il-~:!--d-d--
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<br />MY CO"MMISSION EXP S, ",:, "c'"c' <;'i'i'T''" rr: r:' ,-,,)"":!;,
<br />. '.. . , .'.. . .' . '.' ....'... , , , . ''- , ,r '. '_ ~'.. \, ~ ' .
<br />- - -:'::-. ~ '7' ,-. ~--;- ~.~. ~.- SJ.:~T;3: .~ ':'~: .:~ ~~
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<br />SIGNATURE
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<br />I ~.:~:. 1.,;':'J ~
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