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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The,undersigned understands that this per.it .ay be subject to "deed restricti~ns" which $ay be oor~ restr.ictive than City
<br />reguLations. The undersigned asSUICS responsibilitf:for,.colpliancc )lith ,any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the own~r has hired a contractor or contractors to undertake Hork, they lay be required to be licensed in accordance with
<br />state and local regulations. If th~' contractor is not licensed as required by law, both the OHner and contractor nay be
<br />cited for a Disde.eanor violation under state laH., If the OHner or intended contractor are unc~rtain as to what licensing
<br />require.ents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />Furthermore, if the OHner 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 Hhich they Hill be responsible. If you, as the e.Hner 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 may 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 - Hoeeowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is soeeone other than the
<br />"owner", I certify that I have obtained l c6py of the above described document and proffiise in good faith to deliver it to the
<br />.0Hner" prior to cOllencelent.
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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 inf~rmation in this applicati~n is accurate and that all Hork Hill be done in coapliance with all
<br />applicable laHS regulating construction, zoning, and land development.
<br />
<br />Application is hereby made t~ ~btain a per.it to"do work and install~ti~n as indicated. I certify that no Hork Dr
<br />installation has commenced prior to issuance of a perlit and that all work will be performed to roeet standards of all laMS
<br />regulating construction, City codes, zoning regulations, an~ 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 />my responsibility tel identify Hhat actions I lust take to be in compliance. Such agencies include bill ~Je Ji(Illiaited to:
<br />
<br />....
<br />
<br />f Departse~t of Envir~n~enial ReQulilion - Cypress Bayheads, H~tland ~reas and Environmentally Sensi live Ldndsr
<br />Water/WasteHater Treatment
<br />f Southwest Florida Water. HanaQelent District - Hells; Cypress Bayheads, Wetland Areas, Altering Haterc~urses
<br />f Are, Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Hells, IJastewater Treat~en~. Septic Tanks
<br />f US EnvironDental Protection Aq~ncy - Asbestos abatement
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<br />I also certify that, H fill aatl:rial is to be used in HCtOd Zone "A" H "A,etc,', it is underslc,e.d tll~t a drainage plan
<br />addressing a .colpensating volule" Hill be subtitted Hhich is prepared by a professional engineer registered 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 with the work and not as authority 10 yiol~te, cancel alter, or
<br />~et aside any provisiDns of the technical c~dc~, "~r shall issuance of a per~it prevent the Building Dfficial fro~ thereafter
<br />requiring a ce,rrl?cti(,n e,f errors in plans; c(,nstructie,n, H violations of any code, Every per~it iSSUI!j :hall bece.ae invalid
<br />unless the we,rk authorized by such penit is celallenced Hithin six ftlonths e.f issuance, e,r if He"t a\!t1,[q l~ed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiJe the Hork is co~menced. One 90 day e:lensiDII Df tile, aay be
<br />alloHed for the per~it with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An
<br />approved inspection oust bl? IDgged during each six month periDd, Dr the project Hill be considered abal~onfd.
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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 PROPER1'Y. 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 RECO ND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE_~--- SIGNATU _~ .t4,~_____
<br />OWNER OR AGENT CONTR~
<br />
<br />DATE _______.i(L~~c'::LL__~____________ DATE________j_'2/!:tf/yL--------------
<br />
<br />NOTARY AS TO U ,iJ In RlA "f}/J/,\
<br />OWNER OR AGEN~~~-~~~-~-~-
<br />; lORI B. DeMEllO
<br />MY COMMISSION EXPIRES f. ~'i; __..s1ate.cl.flQIida
<br />My Camm. Exp. Sept."2'S."1~92
<br />~
<br />
<br />NOTARY AS TO (~.-1-2
<br />CONTRACTOR___~i:L'
<br />
<br />"
<br />
<br />
<br />LORI B. DeMEllO
<br />_ _ _ Stat&-of .f~da-
<br />My Camm, Exp, Sept. 26, 1992
<br />
<br />MY COMMISSION
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