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<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 perlit lay be sublett to "deed restrictions. which &ay be more restrJctive than City
<br />regulations. The undersigned assules responsibilitf~!or"colpliance with any applicable deed restr!ctlons.
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<br />B. ~NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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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 />stlt, and local regulations. If the contrlctor is not licensed IS requ(red by law, both the owner and contractor lay be
<br />cited for a lisde.eanor violation under state law., If the owner 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 Zephyrhllls Building Departlent, tBl3l
<br />78B-6611.
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />'Contractor Sections' of this application fDr 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 Hork. 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. 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 - Ho.eowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleCne other than the
<br />'owner", I certify that I have obtained a, copy of the above described de,cUlllent and pre,[,ise in good faith to deliver it to the
<br />.owner' prior to co..encelent.
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<br />~ 1 ' '.
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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 cOlpliance with all
<br />applicable ldws regulating construction, zoning, and land developlent.
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<br />Application is hereby lade to obtain a pertit to'do work and install~tion as indicated. I certify that no work or
<br />installation has cOI.enced prior to issuance of a perlit and that all Hork 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 />,y responsibility to identify what actions I must take to be in c[tlllpliam:e. Such agencies include bllt ~le !\Clt limited to:
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<br />....
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<br />I Departle~t of Envir~n.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />W~ter!WasteHater Treatment
<br />I Southwest Florida Water'ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Cr,rps ,of EnQineers - Sea\1alls, Dtltks, Navigable Ilatenlays
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Ilaste\1ater Treat~err~, Septic Tanks
<br />I US Envirtlnaental Protectitln AQencI - Asbestos abatement
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<br />I also certify that, if fill aaterial is to be used in Flbod Zone "A" or "A,etc.', it is understood tll~t a drainage plan
<br />addressing a 'colpensating volute" will be sublitted which is prepared by a professional engineer regist~ied in the State of
<br />Florida prior to permit issuance.
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<br />A perlit issued shall be construed to be a license to proceed \'lith the wtlrk and not as authority to violate, cancel alter, or
<br />set aside any provisions tlf the technical codes, nor shall issuance of a per~it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every permit issu~d ~hall become invalid
<br />unless the work authorized by such permit is commenced within six months tlf issuance, or if work autho( lied by the per.it is
<br />suspended or abandoned for a period Df six lonths after the ti~e the wDrk is commenced. One 90 day e=tE~sio" of tile, lay be
<br />allowed for the perlit with fee charge Df $15.00. lhe extension shall be requested in writing to the Building Official. An
<br />approved inspection must be logged during each six lonth period, or the project Hill be considered dbaudoned.
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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 COMMENCEMENT".
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<br />- tQ-~-
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<br />OWN R AGENT
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<br />DATE__L~;LjgL--qL------- ---------
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<br />NOTARY rxt TO / l ~. ' /7'1
<br />OWNER OR AGENT~~~~---
<br />"".-' Notary hiiZStat;;rRorlifa--'
<br />MY COMMISSION EXPIRES~JQ~~~~!!~~~-~~_~]!~3 MY COMMISSION EXPIRES__________________
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<br />. ~nd.d Thru TroY Fain. Insurance Inc.
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<br />SIGNATURE
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<br />SIGNATURE______________________________
<br />CONTRACTOR
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<br />DATE
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<br />NOTARY AS TO
<br />CONTRACTOR___________------------------
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<br />"
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