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<br />CONDITIONS;OF,PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The,underslgned understands that this perlit aay be subject to "deed restrictions' which Nay b~ ~ore restr,ictive than City
<br />r~guhtlons. The undersigned USUIIIIIS respon5ibi1Uy~.~or.colpllance with any applicable d~~d restrictions.
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<br />B. UNL I CENSED CONTRACTORS AND.. CONTRACTOR RESPONS I B I LIT I ES
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<br />If the owner has hired a contractor ~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 requ(r~d by law, both the OHn~r and contractor ftay be
<br />cited for a misdeaeanor violation under state law.; If the ~wner 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 />788-6611. . ',"
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<br />Furtherlore, if the owner has hired' a contractor or contractors, 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 OHner 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.
<br />
<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 C~nstruction Lien LaM - Homeowner'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~ent and pron,ise in g(,od faith to deliver it to the
<br />.owner' prior to COlmencelent.
<br />
<br />: 1. ~ ~ ~::. ': ~ 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 applicati~n is accurate and that all ~or~ Mill be done in compliance Mith all
<br />applicable laws regulating construction, zonin9, and land developaent.
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<br />Application is hereby made to obtain a pertit to-do work and install~tion as indicated. I certify that no Mork or
<br />installation has comlenced prior to issuance of a perlit and that all w~rk will be performed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern~ental agencies may apply' to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~le ne,l ljaited to:
<br />
<br />~ .
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<br />I Depart.e~t of Envir~n~enial ReQulation - cypr~ss Bayheads, Wetland Areas and Environmentally Sensitive L~ndsJ
<br />Hater/Hastewater Treatment
<br />I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />I ArlY Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Tr~at~en~. Septic Tanks
<br />I US Environaental Protection Aqency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Hc.od Ze,ne 'A' or "A,etc.', it is underste,(,d tl.,t a drainage plan
<br />addressing a 'colpensating voluie' will be sublitted which is prepared by a professional engineer regist~(ed in the State of
<br />Florida prior to permit issuance.
<br />
<br />A pereit issued shali be construed to be a li~ense to proceed with the work and not as authority to violjte, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />requiring a ce,rrection e,f errors in plans; constructie.n, toT violations of any code. Every per~it isslled ::hall bece..e invalid
<br />unless the work authorized by such permit is cOllmenced Mithin six months of issuance, CoT if t/(,rk alltl.c'\17ed by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti,e the "Dr~ is commenced. One 90 day e:tensio\\ of tile, lay be
<br />alloMed 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 !!lust bl! le.gged during I!ach six month period, Dr the projl!ct will be ((,nsidered dbdl,deoned.
<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 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~~~_~~~----
<br />OWNER ~AGENT
<br />DATE___L_~{-_3~1-~2.iL__'_-----,-------
<br />
<br />NOTARY AS TO tJ ' ;: 2;; ut /
<br />OWNER OR AGENT_~JjCt~c _~J_~~-~J~--~-
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<br />/ I
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<br />MY COMMISSION EXPIRES~~:~~~~~~~~je
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<br />SIGNATURE
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<br />
<br />CONTRACTOR
<br />
<br />DATE
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<br />-----------------------------------
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
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<br />MY COMMISSION EXPIRES
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<br />~.." 4
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