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<br />CONDITIONS;OF.PERMIT AFFIDAVIT
<br />A. NOT I CE OF DEED RESTR I CT IONS "
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<br />The ,undersigned understands that this perlit uy bll subject to "deed restrictie,ns' which Nay be ~ore restr,ictive than City
<br />regulations. The undersigned nsules responsibiHty:;for..,colpHanCl! with any applicable deed restrictions.
<br />, ur' '.' . ,
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<br />B. UNL I CENSED CONTRAC'TORS AND.. CONTRACTOR RESPONS I B I LIT I ES
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<br />If the owner has hired a contractor ~r contractors to undertakc work, 'they lay be required to be licensed In accordance with
<br />state and local regulations. If the contractor is not liCl!nsed as requircd by law, both the OHner and contractor ftay be
<br />cited for a lisde.eanor violation under state law;; If the owncr or 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 Department, (813)
<br />788-bb II. : ' ',';
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<br />Further.ore, if the owner has hired a contractor or contractors, he is adviscd to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responslblc. 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 Ce'nstruction Lien Law - Ho~eowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the ~ppllcant is sOleCne other than the
<br />'owner', I certify that I have e,btained a, copy of the above described doculIll,:nt and pre,~,i~e in ge,od faith to deliver it to the
<br />'owner' prior to cOI~encement.
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<br />~ l'; :"::. ': I. i : .
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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 ~ork will be done in coapliance with all
<br />applicable lalls regulating construction, zoning, and land development.
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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 or
<br />installation has co.menced prior to issuance of a perlit and that all work will be performed to meet 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 govern~ental agencies ~ay apply'to the intended work, and that it is
<br />IY responsibility tel identify what actions I lust take to be in compliance. Such agencies include bid ~l e Iie,l liaited to:
<br />
<br />. J _~ . 0'
<br />l Departlent of Environl1lental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi live Landsr
<br />Water/Wastewater Treatment
<br />I Southwest Florida Hater'ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />l ArlY Corps ~f EnQineers - Sea~alls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Haste~ater Treat~€~~. Septic Tanks
<br />f US EnvironDental Protection AQencl - Asbestos abatel1lent
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<br />I also certify that, if fill latl?rial is to be us'ed in Fn.od Ze,ne "A" or 'I\,etc.', it is underste,e,d t1"l a drainage plan
<br />addressing a 'coapensating volule' will be sublitted which is prepared by a professional engineer reqisl~ied in the state of
<br />Florida prior to perlit issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the work and not as authority 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,rrection e,f errors in plans; ce,nstructie,n, e,r violations of any code. Every perilli t issued ~t.all becc..e inval id
<br />unless the work authorized by such perllit is ce.amenced within six months of issuance, CoT if t1Co1~ autl,e',lied by the permit is
<br />suspended or abandoned for a period of six lonths after the tiJe the >>ork is [ommenced. One 90 day e:lensjDn of tile, aay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspectie,n oust be logged during each six 1I0nth period, or the pre,ject Hill be ce.nsidered dbdlld('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 PROPERTV. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $21500 IN VALUE
<br />DO N~RECO;O AN;<~ST A" ,NOTICE OF COMM:/EN:'~ ~
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<br />SlGNAT~~~-R-~pt SlGNATU~~R~~~------
<br />DATE__~-_~-~'l_]L_~-l_-__- DATE___~_<2~_d:::~~---------------------
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<br />NOTARY AS TO f2... L ," j ~ t'j,OTARY AS TO /2 .... ~~ ~-;-, / ,J ^'
<br />OWNER OR AGENT L,~Jt:.J':l.UJ..:JJ.~, .C~NTRACTOR_-"<"~~--
<br />NOl"ARY I'UE;liC; STA'~ G" F!,<.,[,~',:d' t" ~;..' ", "
<br />MY COMMISSION EXPIRES thY COMMSSION ~X"!Ri;;; :;,:,'( 1,,",1995 MY COMMISSION EXPIRES_______________.___
<br />- LC:"..roEJ"fRit IT T\G:...r1:s1m'f;~"1>1faKERAG'
<br />
<br />NOTARY PU8L1C, STATE OF FLORIDA
<br />My commission eXf'!res J '111,,2 8, 1995
<br />Bonded thru Pa!terson - Bech~ Agency
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