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<br />CONDITIONS. OFPE~MIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The.undersigned understands that this per.it lay be subject to "deed restrictions" which may be Dore restr.ictive than City
<br />regulations. The undersigned aSSUDes responsibilitf;for. co.pliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor .or contractors to undertake work, .they .ay be required to be licensed in accordance with
<br />state and local regulations. . If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a misdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents may apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (8131
<br />788-6611.
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractortsl 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 aay be an indication that he is not properly licensed ~nd 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 C[,nstruction lien law - Ho~eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is so~eDne other than the
<br />"owner", I certify that I have c,btained a. CDPY of the above described dc,cullient and prorr,i~e in g[,od fai th to del iver it to the
<br />.owner. prior to COIDenceDent.
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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 ~or~ Hill be dODe in coftpliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby Dade to obtain a per.it t~' do wDrk 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 perfor~ed to meet standards of all laws
<br />regulating construction, City codes, zoning regulatiDns, anrl land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies ~ay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I must take to be in cOlllpliance. Such agencies include bill ~le Hc,t linited to:
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<br />. "..r-,>
<br />I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi tive ldnds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water' ManaQe~ent District - Wells; Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />I ArlY Corps ~f EnQineers - Seawalls, Docks, Havigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, WasteHater Treat~En~. Septic Tanks
<br />I US Environlental Protection AQenct - Asbestos abatement
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<br />I also certify that, if fill material is to be used in Flc,od Zone "A" c,r "A,etc,', it is understc,[,d tll,t a drainage plan
<br />addressing a 'compensating volule" will be sublitted which is prepared by a professional engineer regist2fcd in the state of
<br />Florida prior to permit issuance.
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<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or
<br />set aside any provisic,ns of the technical codes, nor shall issuance of a permit prevent the Building Ufficiol fro~ thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every per~it issu~d ~hall beeDte invalid
<br />unless the Hc,rk authc,rized by such permit is cc.JlI\enced within six months of issuance, c,r if \i[.It, auth[q J7ed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tlJe the Hort is co~menced. One 90 day C:IE~5jDl1 of tile, say 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 inspecti{,n flust be lc,gged during each six month period, Dr the prc.ject lli 11 be ([,nsidNed dballdc."ed.
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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 OBTAI~ 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 I! i':OT I CE OF COMMENCEMENT".
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<br />DATE
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<br />SI GNATURE~~~L..j:V:Ur (--------
<br />CONTRACTOR 1~-
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<br />DATE_______J~ :_.O:--<~t----~~l----------
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<br />_~----L"-~
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<br />NOTARY AS TO
<br />CONTRACTOR
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<br />SIGNATURE
<br />-----(:6~N~~~R-AGENT-------------
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<br />NOTARY AS TO
<br />OWNER OR AGENT
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<br />MY COMMISSI.ON EX IRES_.::=:::;..:.-~:::..:.:.:...-...:-:....!-.:'"l
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<br />te'f~ 0\1' .....,...ON "",Nlev, n1H... OJGNO!\
<br />I .. ... nv. ~11\"'Il' toI0lSSIWWO' )oW
<br />ttlY' .LV VG'.O'. .0 ....VI.S ",,;n. 1....10"
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<br />MY COMMISSION EXPIRES
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