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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. .NOT. I CE OF' DEED RESTR I CT IONS
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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 responsibility:~for;,co.pliance 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 ~r 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 ftay be
<br />cited for a lisdeleanor 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 />Furtherlore, 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 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.
<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 Const~uction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle{.ne other than the
<br />'owner', I certify that 1 have {obtained a copy of the above described document and pr(Irrlise in good faith to deliver it to the
<br />"owner' prior to cO.lencelent.
<br />
<br />., 'j '. .: ~ '.
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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 development.
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<br />Application is hereby lade to obtain a perlit to'do wDrk 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 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 govern~ental agencies ~ay apply'to the intended "Cork, and that it is
<br />IY responsibility to identify "hat actions I lust take to be in compliance. Such agencies include bllt ~l eliCIt lil!ited to:
<br />
<br />. ".#'
<br />I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps -of Enqineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks
<br />I US Environ!!ental Protection AQencI - Asbestos abatement
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<br />I also certify that, if filllaterial is to be used in Hood ZClne "A" or "A,etc.', it is understc.(.d 11.01 a drainage plan
<br />addressing a 'colpensating volute" will be sublitted which is prepared by a professional engineer re~ist~ied in the State of
<br />Florida prior to perlit issuance.
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<br />A perlit issued shall be construed to be a license to proceed with the "ork and not as authority to viol~te, cancel alter, Dr
<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 isslIed ;hall becole invalid
<br />unless the work authorized by such permit is cOMmenced within six months of issuance, or if wOl'k author lIed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiJe the work is co~menced. One 90 day e~tr~sioll of tile, lay be
<br />allowed for the permit "ith 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 lonth period, or the project will be considered dbo\.doned.
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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_d~~--Q.:._~
<br />EOIHRt'!\[TelFr'" cn-u~
<br />
<br />DATE____~~~~,--~{~-~1-1t-----------
<br />
<br />NOTARY AS TO ,~ to
<br />CONT~ACTOR___~.L'~~~-~~---
<br />
<br />MY COMM I S5 I O~dj~ \ijJ~6c....~.!l!t~..9.!.f!911.Q~~!.b~]!
<br />'MY C6mmission Expires Dec. 14, 1991
<br />80nded thru p-'gent's Notary Brokerag&
<br />
<br />SIGNATURE
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<br />
<br />OWNER OR AGENT
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<br />DATE
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<br />------------------------------~_._------
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT
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<br />-----------------------------
<br />
<br />MY COMMISSION EXPIRES
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<br />----------------------
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