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<br />CONDITIONS.,OFPERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The .undersigned understands that this perlit lay bl sub~ect to "deed restrictions' which ~ay be aore restr.ictive
<br />regulations. The undersigned a5SUIe5 responsibilitf.;foT;..c01pHancl! with any applicable deed restrictions.
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<br />than City
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<br />8.
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<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hirl!d a contractor Dr contractors to undertake work, .they .ay 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 .isde.eanor violation under state law.: If the owner or Intended contractor are uncertain as to Khat licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBI31
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<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractortsl 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.
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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 Consumer Affairs. If the applicant is so.e~ne other than the
<br />'owner", 1 certify that I have obtained a. copy of the above described dr,cuJllent ilnd pron\ise in Qe,od faith to deliver it to the
<br />"owner" prior to cOliencelent.
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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 laws regulating construction, zoning, and land development.
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<br />Application is hereby lade to obtain a perait to' do work and install~tion as indicated. I certify that no Mork or
<br />installation has coatenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply. to the intended work, and that it is
<br />ay responsibility to identify what actions I lust take to be in compliance. Such agl!flcil!s include b\ll il' e Il(,t lillited to:
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<br />I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water. ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />I Aray Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health" Rehabilitative Services. Enviromlental Health Unit -Hdls, Hastel1ater Treat~ef\.~. Septic Tanks
<br />I US Environaenta\ Protection AQency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Flbod Zone "A" or "A,elc,', it is understood th3t a drainage plan
<br />addressing a 'coapensating volute" will be sublitted which is prepared by a professional engineer regist~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 work and not as authority to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a p~rmit prl!vent the Building Official from thereafter
<br />requiring a correction of errors in plans; construction, or violations of any COOl!. Every per~it iSS\led :hdll becote invalid
<br />unless the wort authGrized by such permit is co.menced within six lonths of iSS\lance, or if H01.k autho\ lied by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti,e the Hork is co~menced. One 90 day e:lensjo\, of tile, lay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An
<br />approved inspectie,n aust be Ic,gged during each six lonth period, r,r the prc,jed Hi II be considered abcil,dr,ned.
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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 COMMENC~MENT".
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<br />SlGNATURE~~E~f-~----- SlGNATUREJ1.1!.?_~~~<<J_-~
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<br />DATE ____CJ.:-~2-::t.L--_---------.------.---~---
<br />~~~~~YO~SA~~NT__~_ ___~~~..- ___ ~~~-
<br />.~c 'TATEOFFLOlt .
<br />NO ARY. l'lffl..... " IRES' .'!Ull" l \95-
<br />MY COMMISSION Eil.ftI~ISS'ON i,)[:~'rAUc~jl,il~ _tIIIIIO
<br />BONDED 1'BB'l~Lu.w""'-~----------
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<br />DATE___~~~f-i_~_~l___---------
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<br />~g~~:~cAORTO _~____
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<br />MY
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<br />NOTARY PUBLIC. STATE OF FlORIO-X.-.
<br />MY COMMISSION EXPIRES; JAN. 28, 19901.
<br />BONDED THRU NOTARY PUBLIC UNDERWR\TJ:,R9i
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