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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />Th~.und~rsign~d und~rstands that this perlit lay be subj~ct to "deed restrictions" which ~ay be ~ore restr.ictive than City
<br />regulation,. Th~ undersign~d asSUles re5ponsibility~for. cOMpliance with any applicable deed restrictions.
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<br />E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
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<br />If the owner has hired a contractor or contractors to undertake Hork, .they lay be required to be licensed in accordance with
<br />,tate and local regulations. If the contractor is not licensed as required by law, both the OHncr and contractor nay b~
<br />cited for a misdeleanor violation under state law. If the OHner or intended contractor are uncertain as to what licensing
<br />requirelents Day apply for the intended work, they are advised to contact the City of ZephyrhilJs ~uilding Departaent, (813)
<br />788-bbll.
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<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 Construction Lien Law - HODeoHner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is soteone other than the
<br />"OHner", I certify that 1 have c,btained a. CDPY of the above described dClcument and pn'rr,i~e in g(,od faith to deliver it to th~
<br />"oHner" prior to cOI~enceDent.
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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 Mill be d0ne in coapliance Mith all
<br />applicable laMS 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 H0rk or
<br />installation has cOI~enced prior to issuanc~ of a perlit and that all work will be perfor~ed to roeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdictiDn. I also
<br />certify that 1 understand that the regulations of other governmental agencies ~ay apply. to the intended Mork, and that it is
<br />IY responsibility tc. identify what actions I must take to be in compliance. Such agencies include bid ",e llC.t liaited to:
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<br />I DepartlPnt (If EnvironlDenta\ ReQulation - Cypress Bayheads, lIetland Arpas and Envireonmentally Sensi tive L~ndsf
<br />Water/Wastewater Treatment
<br />I SouthHPst Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering HatercDurses
<br />I Any C(lfPS .of EnQineers - Seatla\1s, Docks, Navigable WatErways
<br />I ~epartlent eof Health L Rehabilitative Services, Environmental Health Unit - Wells, WasteMater Treat~en~. Septic Tanks
<br />I US Environaental Protectieon AQency - Asbestos abatement
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<br />also certify that, if fill material is to be used in Flc.od ZClne "A" C.f "A,etc,", it is underst(,e,d U.,t a drainage plan
<br />addressing a 'colpensating volute" will be sublitted which is prepared by a professional engineer regist~red in the State of
<br />Florida prior to perlit issuance.
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<br />A p"'" i,,"" ,b.ll b, "",',",' " b, . I""" " p""" ,"h 'h, ",' "d ,., .. ,"'h"i', " ,i,I,'" "",1 ,II", "
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro! thereafter
<br />,'.""", . """'i,, " "",. i' pl.,.; """"""', ., ,i.l."'" .f ." ,.d.. ""I ,.,.i' i..,., ,h.ll b,"" i".lid
<br />unless the we,rk auth(,rized by such permit is cC.Jllllenced tlithin six lIlonths e.f issuance, or if \i(,rK alithe.. J,cd by' the perlit is
<br />,",p"d., " ""d".d 10; . p,,,.d ,I ". ..,th' ,n" th, ".. th, "", i, ",..,,,d. ,,, or, d', ",,,.,;,,, ,f "", "Y b.
<br />allo~ed for the per~it Mith fee charge of $15.00. The extension shall be requested in Hriling to the Building Official. An
<br />approved inspectie.n /!lust be logged during each six lonth period, e,r the pn.jl:ct liill be ee,nsidered dbcilIG('f,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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN Al"TORNEY
<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_~NTRA~-
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<br />DATE__~_~--~~7-lSl9_~---
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<br />MY COMMISSION EXPI~~IDID_u~_m~r~---
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<br />SIGNATURE__~N~-~----------
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<br />DATE_~---~7-~~.9.-'--,-------
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<br />NOTARY AS TO ~'
<br />OWNER OR AGENT
<br />-- :Nota Pub .c, state-of Florida
<br />MY COMMISSION EXPIRES_~:~~_~_!~~~::~!:~----
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