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<br />CONDITI0NS;O~,PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The,underslgned understands that this perlit lay bt subject to "deed restrictions' Mhlch Nay b~ ~ore restr.ictive than City
<br />regulations. The undersigned assumes responslbility:;for"colpliance with any applicable deed restrictions.
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<br />B.
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<br />If the owner has hired a c~ntractor ~r contractors to undertake work, 'they lay be required to be licensed In accordance Mith
<br />state and local regulations. If the contractor is not licensed as required by law, both the OHner and contractor ftay be
<br />cited for a misdeaeanor violation under state law.: If the owner or intended contractor are uncertain as to what licensing
<br />requirelents uy apply fe,r the intended work, they are advised to cc>ntact the City e,f Z~phyrhills Building DepartmHlt, (813)
<br />7BB-bbll. :' ld
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<br />Furthermore, if the owner has hired' a contractor or contractc>rs, he is advised to have the contractorls) 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 ~MENDED)
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<br />I certify that I, the applicant, have been provided with a copy of 'Florida's C~nstruction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida D~partlent of Agriculture and Consumer Affairs. If the applicant is sOleCne other than the
<br />'owner', I certify that I have e,btained a, copy of the above described de,culllent "nd pro~,isc; in ge,od faith to deliver it to the
<br />'owner' prior to co.~encement.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the information in 1his applicatic>n is accurate and that all work will be done in compliance with all
<br />applicable laws regulating ce,nstructiecn, zc>ning, and land developllent.
<br />
<br />Application is hereby !lade tCI (,btain a perlllit to'do Mork and in;,tal1~tic>n as indicated. I certify that no Mork or
<br />installation has cC>llenced prior to issuance of a per.it and that all work will be performed to ~eet standards of all laMS
<br />regulating construction, City cod~s, zoning regulatic>ns, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern~ental agenci~s ~ay apply'to the intended work, and that it is
<br />.y responsibility tel identify \'Ihat actions I lIlust take to be in compliance. Such agencies include bid ~I e Iie,t liaited to:
<br />
<br />. J.~ . o'
<br />f Departlent of Environmental ReQulation - Cypress Bayheadsf Wetland Areas and Environmentally Sensi live Ldnds,
<br />Water/Wastewater Treatlllent
<br />I Southwest Florida Hater' ManaQe~ent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />f Arey Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departeent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Waste\'later Treat~tn~. Septic Tanks
<br />f US Environsental Protection AQenct - Asbestos abatement
<br />
<br />I also certify that, if fill latHial is to be used in FlMd Zone WA" or 'A,etc,', it is underste,(,d t1"t a drainage plan
<br />addressing a 'compensating volume' \'Iill be sublitted which is prepared by a professional engineer reqist~(ed in the state of
<br />Florida prior to permit issuance.
<br />
<br />A pereit issued shall be construed to be a license to proceed with the \'Iork and not as authDrity to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a ce,rredion e,f errors in plans; ce,nstructie,n, e.r violations of any code. Every pN~it issll~d "hall bece.le invalid
<br />unless the work authorized by such permit is cOJmenced \'Iithin six months of issuance, or if HOI'k authol lied by the permit is
<br />suspended or abandoned for a period of six lonths after the ti~e the work is co~menced. One 90 day e:tensioll of tile, say be
<br />allowed for the permit with fee charge of $15.00. The extension shall be request~d in Hriting to the Building Official. An
<br />approved inspectie,n oust be le.gged during each six Ilonth period, or the project lii11 be c(,nsidered dbollde.ned.
<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 DETAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOES UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE4~-~~#=--- SIGNATURE_4!{~
<br />DATE -----1/2):1.1'11--------------------
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<br />NOTARY AS TO ^' ~
<br />OWNER OR AGENT_~~-~-~c1------~~~~~-
<br />
<br />MY COMMISSION EXPIRES
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<br />DATE____~L2;C~~~------------------
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<br />MY COMMISSION EXPIRES__________________
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