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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />ihe undersigned understands that this per.it lay bl sub5ect to "deed restrictions' ~hich Nay b~ aore restr,ictive than City
<br />regulations. ihe undersigned assules responsib~l~ty~for,.co.pliance with any applicable deed restrictions.
<br />,,' . .
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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 lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by la~1 both the O\lner and contractor nay be
<br />cited for a lisdefteanor violation under state law., If the owner Dr 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 Departaent, \8131
<br />788-6611.
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<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorts1 sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the o~ner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the ~ork. 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.
<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 Construction Lien Law - Ho~eowner's Protection
<br />Guide' prepared by the Florida Department of Agriculture and ConsUler Affairs. If the applicant is so~eDne other than the
<br />'owner', I certify that I have e,btained a. copy of the above described document and prc,rr,ise in g(,od faith to deliver it to the
<br />'owner' prior to cOI~encelent.
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<br />; 1 ., .~7 '
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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 Mork will be done In co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby ~ade to obtain a permit to'do Mork and install~tion as indicated. I certify that no work or
<br />installation has cOI!enced prior to issuance of a permit and that all work ~ill be perfor~ed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply. to the intended work, and that it is
<br />IY responsibility te. identify what actions I lIust take to be in compliance. Such agencies include bll\ ,,)I! n(,t li~ited to:
<br />
<br />. J.r -..
<br />I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally 5ensi tj,'e Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water.Manane~ent District - Wells; Cypress Bayheads, Hetland Areas, Altering Ha\erc0urses
<br />I ArlY Corps ~f Ennineers - 5eaHalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks
<br />f US Environ~ental Protection I\Qenct - Asbestos abatement
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<br />I also certify that, if fill aaterial is to be used in He,od Ze,ne 'A' or 'I\,elc.', it is underst(,e,d 1I1'\ a drainage plan
<br />addressing a 'compensating volu~e' will be sublitted which is prepared by a professional engineer regist2fed 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 Hith the work and not as authority to viol~te, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Officiil fro~ thereafter
<br />requiring a C(,rreC\ion (,f errors in plans; ce,nstructie,n, e.r violations of any c(.de. Every per~it iSSIII!j ::hall bece.ee invalid
<br />unless the ~('rk authe.ri2ed by such permit is ce'llIIenced within six months [,f issuance, (,r if lle.lt: autl,e" J,ed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiJe the wDrk is co~menced. One 90 day e:\e~5jDII Df tiae, ~ay be
<br />allowed for the per~it Hith fee charge of $15.00. ihe extensiDn shall be requested in "riling to the Building Official. An
<br />approved inspectie,n oust be le,gged during each six llIonth period, [,r the pr(.jed \ii 11 be ce.nsidered dbol,G('jled.
<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 />DD NDT N><-:t:~O D AND POST A "NOT! CE OF COMME:/;;'''' ,
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<br />SIGNATUnE~~~ll---- 5IGNATURE_-~~-~----- -----
<br />OWNER OR CONTRACTOR
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<br />
<br />DATE__~e-h~-'lJ~-----~~-------_. .--
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<br />
<br />DA TE_i2_~_(2d_q_L___-------_._-----'-------
<br />
<br />NOTARY A5 TO (~/ . /~ #:t
<br />OWNER OR AGENT _ ::..~':..x1.- 'a,. . ,
<br />Notary Public, Sta of Florid
<br />MY COMM 155 ION EXP I RE Commiuion Expires April 14, 1 4
<br />--~~~~~~~@n.~Iu~~~~---
<br />
<br />NOTARY AS~ T~ J / L A7
<br />CONTRACTOR _ -I=.-P-~rJ.' .
<br />
<br />MY COMMISSION EX IR~~~~~~~j~~
<br />My ~!.,on Expires April 14 1994
<br />nded Thru Tro F . '
<br />y oln. Imvranco Joe:.
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