<br />CONDITIONS;OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS ",
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<br />The,undersigned understands that this per.it aay be subject \0 "deed restrictions' which ~ay b~ ~ore restr.ictive than City
<br />regulations. The undersigned aSSUIU!S responsibl1itY~'for",colpliance with any applicable d~~d restrictions.
<br />. 'IP' .
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<br />B. UNL I CENSED CONTRACTORS AND '.' CONTRACTOR RESPOl\lS I B I LIT I ES
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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 with
<br />state and local regulations. If the contractor is not licensed as required by I.w, both the OHner and contractor ftay be
<br />cited for a misdeMeanor violation under state laM.: If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Department, 18131
<br />788-bbll. :",';
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ sign portions of the
<br />'Contractor Sections' of this application for which they Mill 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 p!!r~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 Kith a copy of 'Florida's C~nstruction Lien L.w - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. 'If the applicant is SOleCne other than the
<br />'owner', I certify that I have e.btained a, co"py of the above described de'cu~!!nt "nd pre'~li:!! in ge,od faith to deliver it to the
<br />'~wner' prior to COI~ence~ent.
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<br />~ l';' ~.::. : I. ; ! .
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inf~rmation in this application is accurate and that all worr. will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby ~ade to obtain a per.it to'do ~ork and install~tion as indicated. I certify that no work or
<br />installation has commenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws
<br />regulating constructie,n, City n.des, zoning regulatie.ns, and land development regul.tie,ns in the jurisdictie,n. I also
<br />certify that I understand that the regulations of other govern~ental agencies ~ay apply' to the intended work, and that it is
<br />.y responsibility to identify \lhat actions I lIust take to be in compliance. Such age:lcies include bill ~le not liaited to:
<br />
<br />~ .
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<br />I Departle~t of Envir~nmental Reoulation - cypr~ss Bayheads, Hetland Areas and Environmentally Sensitive Lands,
<br />Hater/Hastewater Treatment
<br />I Southwest Florida Water ManaQement District - Hells; Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />I Aray Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Uastewater Treat~en~. Septic Tanks
<br />t US Environaental Protection AQenc~ - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Fl"c,od Ze,ne "A" or 'A,eic.', it is underst(,(,d t\,~t a drainage plan
<br />addressing a 'coapensating volule' will be sublitted which is prepared by a professional engineer ieyist~,ed in the State of
<br />Florida prior io permit issuance.
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<br />A pereit issued shall be construed to be a license to proceed with the work and noi 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 fro~ thereafter
<br />requiring a ce.rredion e.f errors in plans; constructic,n, e.r violations of any ce,de. Every per~it iS511~d :hall beee,me invalid
<br />unless the work authori1ed by such perllit is cOIJftenced within six months of issllance, or if HOl'k authol Ized by the permit is
<br />suspended or abandoned feor a period e.f six lonths after the ti.'le the \lorr. is ce,Menced. One 90 day c.~\"ilsioli of tile, /Jay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in \lriting to the Building Dfficial. An
<br />approved Inspectie,n oust be le,gged during each six month period, or the prc.ject Iii II be ce,nsider!?d iJbdl.de,ned.
<br />
<br />WARNING TO OWNE~: 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
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<br />CONTRACTOR
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<br />SIGNATURE
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<br />OWNER OR AGENT
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<br />DATE___________________________________
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<br />DATE
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<br />NOTARY AS TO .
<br />OWNER OR AGENT______________~____________~-
<br />
<br />MY COMMISSION EXPIRES______________________
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
<br />
<br />MY COMMISSION EXPIRES
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