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<br />CONDIT.IONS OF PERMIT AFFIDAVIT
<br />A:: NOTICE OF DEED RESTRICTIONS:. .
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<br />The undersign~d understands th~t this perlit lay be subject to "deed restricti~ns" ~hich ~ay bfr 50r~ res~rictive than City
<br />regulations. The undersigne~ assules respo"sibili~y.for tompliance with any applicablfr deed restrictions.
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<br />B. UNLI8ENSED CONTRA0TORS ANO GONTRACTOR RESPON5iIBILITIES
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<br />If the ONner has hired a contractor Dr contractors to undertake work, they may be rfrquired to be licensed in accordance with
<br />stlh and local regulations. If the contractor is not I icensed as required by law, broth the o\lner and contracteor nay be
<br />cited for a lisdeaeanor violation under state law. . If the ~wner ~r intended c~nt!act~r are uncertain as to what licensing
<br />requireaents lay apply f~r the intended work, theY are advised to c~ntact the C~ty ~f Zephyrhills ~uilding Departeent, (813)
<br />7813-6611.
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the c~ntractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If y~u, as the ~wner sign as the c~ntractor,
<br />you are indicating that youl rather than the contractor, are responsible for the work. If the c~ntract~r wishes y~u to sign
<br />as c~ntractor that lay be an indication that he is not properly licensed and is not entitled t~ per&itting privileges in the
<br />City ~f 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 Constructi~n Lien Law - H~meowner's Protection
<br />Guide" prepared by the Florida Depart~ent of Agriculture and Consumer Affairs. If the applicant is s~~e~ne other than the
<br />"owner", I certify that I have obtain~d a copy of the above described d~cuffient and promise in g~od faith to deliver it to the
<br />"owner" prior to cOlmencement.
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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 Mork will be done in c~~pliance with all
<br />applicable laws regulating construction, zoning, and land developa~nt.
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<br />Application is hereby ~ade to obtain a ~erlit to do work and installation as indicated. I certify that no w~rk or
<br />installation has c~&~enced prior to issuance of a permit and that all work will be performed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development requlati~ns in the jurisdicti~n. I also
<br />certify that I understand that the regulations of other governmental agencies may' apply to the intended ~~rk, and that it is
<br />my responsibility t~ identify what actions I llIust take to be in compliance. sud;~qencies include but ~le Ii(ot li'lited to:
<br />
<br />I Department of Envi~onBental ReQulation - Cypress Bayheads, Hetland Areas and Envir~nmentally Sensjtiv~ L~nds,
<br />Water/Wastewater Treatment
<br />I S~uthwest Florida \Iater HanaQement District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />I ArDY C~ros of Enoineers - Seawalls, Docks, Navigable Waterways
<br />I Departaent of Health L Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~en:, Septic Tanks
<br />I US Envir~noental Pr~tection AQency - Asbestos abatement
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<br />I also certify that, if fill material is to be used in Flc.od Zone "A" or "A,etc.', it is underst(,~d tl.:lt a drainage plan
<br />addressing a 'colpensating volume" Hill be sublitted which is prepared by a pr~fessi~nal engineer reyist~ied in the State of
<br />Florida pri~r to permit issu~nce.
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<br />A permit issued shall be construed to be a license to proceed ~ith the Hork and not as auth~rity to yie,l~te, cancel alter, or
<br />set aside any provisi~ns of the technical codes, nor shall issuance of a permit prevent the Building Official fr~~ thereafter
<br />requiring a correction of err~rs in plans, c~nstruction, or violations of any c~de. Every permit issued ~hall becoae invalid
<br />unless the work authorized by such permit is commenced within six months of issuance, ~r if H~rk auth~rlzed by the perait is
<br />suspended or abandoned for a period of six tonths after the time the \lork is co~menced. One 90 day e:le~5ioll Df tiae, aay be
<br />allowed for the per~it with fee charge of $15.00. The extensi~n shall be requested in writing to the Building Official. An
<br />approved inspectie.n l!Iust be le,ggedduring each six ~onth period, c,r the prc.j~ct Hill be c~Tl5idered dbciiideoj,ed.
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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
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<br />:~G:A::R~::~_~A~-~~~TI:~G::Tu::~~~-N~~---
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<br />DA TE ___ _ __ __ _ __ ---'!1-I./-Cf-I--"tf---------- ___ DATE -- - - __I:!.!. ~ tL - _u - --- - -- -- - - ----
<br />~~~i~VO~SA~~NT__~-~-------- ~~~*~;C*;R~~__L(?~~~-------
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<br />MY COMMISSION EXPIRES Nolaty.i'UiiIlL
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<br />My ComIIlIssion Expires Dee 20. j!i9 I
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<br />MY COM~1ISSION EXPIRESNotaryPubllC
<br />Slate iiHlOriirfillirjl- - - - - - - - --
<br />.1y Commission Expires Dec. 20. 1991
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