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<br />-il.... II" ~CIf....~
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<br />CONDITIONS OF P~RMIT AFFIDAVIT
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<br />A. NOTIC~ OF D~ED RESTRICTIONS
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<br />The ,undersigned understands that this perlit lay bl subject to "deed restrictions" which may be 50re restr,ictive than City
<br />regulations. The undersigned assules responsibility";for.,colpliance with any applicable deed restrictions.
<br />. ~,.' . ,
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<br />B. 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 />stlte Ind locll regulltions. If the contractor is not licensed as required by law, both the owner and contractor ~ay be
<br />cited for a eisde.eanor 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 />788-66il.
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<br />Furtherlore, if the owner has hired a contractor Dr contractors, he it advi5~~ to have the contractorls) sign portions of the
<br />'Contractor Sections. of this application for which they will be respClnsible:.' IT you, -as-the c.wner .sign a5 t~e (C.ntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractc.r 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 />1 certify that I, the applicant, have been provided Mith a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Con suter Affairs. If the applicant is sOle{.ne other than the
<br />'owner" , I certify that I have obtained a, copy of the above described docutent and promise in good faith to deliver it to the
<br />"owner" prior to cOllencelent. I
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />1 certify that all the information in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable law5 regulating construction, zoning, and land develop.ent. .
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<br />Application is hereby lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work Dr
<br />installation has comtenced prior to issuance of a perlit and that all work will be performed to leet standards of all laMS
<br />regulating construction, City cod~s, zoning regulatiGns, and land development r~gulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies fiay apply'to the intended work, and that it is
<br />,y responsibility to identify what actions 1 lust take to be in COMpliance. Such agencies include bl,t il e Dot li_ited to:
<br />
<br />. ~. #'
<br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland ~reas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland ~reas, Altering Watercourses
<br />I ~rlv Ct1rps ,of EnQineers - Seawalls, Docks, Navigable Ilaterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - IIells, Wastewater Treat~en~. Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
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<br />1 also cedify that, if fill material is to be used in Hood Zone "A" or "A,etc.', it is understr1t1d thil a drainage plan
<br />addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer reqist2red in the State of
<br />Florida prior to perlit issuance.
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<br />A pertit 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 issll~d ;hall becole invalid
<br />unless the work authorized by such permit is co.menced Mithin six months of issuance, Dr if work authol lzed by the perlit is
<br />suspended or abandoned fr.l' a period e.f six months after the ti.'le the llork is ctlKlmenced. One 9(\ day e~\;;iisioll of tilt', aay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection aust be logged during each six tonth period, or the project will be considered dbdlldooed-
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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_~_~~------- SIGNATURE_ ~C-O-NT-R-- -A.-CT--O~R--- ~
<br />OWNER OR AGENT .z~
<br />DATE___________,~-~,{SU----------------
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<br />~g~~~~C~~R~~____~~~~
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<br />DA TE______________9Jnqj-----------.-------
<br />~~~~~V O~S A~~NT __fj~g.--~~-
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<br />MY COMMISSION EXPI-lWrARY PUBLIC. STATE OF Fl.ORIDA.
<br />Hilts ~QJ'rtl'J1JSSJOrll. .i:UU~M"R-: ~;-t994.
<br />BONDED THRU NOTARY PUBLIC UNDERWR.lTERS.
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<br />MY COMMISSION EXP8~~~~~~~~
<br />MY COMMISSION EXPIRES- F'1:O"RI1n.
<br />.ONDCD THftU NOTAlty flU."'" MAR. 26. 1994.
<br />C UNDIlIIWFtITl!It..
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