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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 subject to "deed restricti~ns' which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance 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 undertak~ 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 law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what lice~sing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depafllent, 181j)
<br />78B-bbl1.
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<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign p~rtions 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 resp~nsible for the w~rk. If the c~ntractor wishes you to sign
<br />as contract~r that lay be an indication that he is not pr~perly licensed and is not entitled to perlitting 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 - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />'owner" prior to cO.lencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inf~r~ation in this application is accurate and that all work will be done in c~.pliance with all
<br />applicable laws regulating c~nstructi~n, z~ning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation a5 indicated. I certify that no work or
<br />installation has COllenced prior to issuance of a perlit and that all work wili be perforled to teet standards of all laws
<br />regulating construction, City c~des, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include bill ale ~ot lilited to:
<br />
<br />I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands,
<br />Water/Wastewater Treatlent
<br />I S~uthwest Florida Water "ananelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />t US Environlental Protection AQency - Asbestos abatetent
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<br />I also certify that, if fill laterial is to be used in Flood Zone 'A" or 'A,etc.', it is understood that a drainage plan
<br />addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer reqisteied'in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frot thereafter
<br />requirin~ a correction of errors in plans, constructi~n, or violations of any code. Every per.it issu~d ~hall becole invalid
<br />unless the work authorized by such perlit is COllenced within six lonths of issuance, or if work authorIzed by the pertit is
<br />suspended or abandoned for a period of six lonths after the tite the work is cOlmenced. One 90 day e~tEnsio\i of tile, aay be
<br />allowed for the permit with fee [harge of $15.00, The extension shall be requested in writing to the Building Official. An
<br />approved inspectiun lust be logged during each six lonth period, or the pr~ject Hill bp tonsidered nbdi,donp.d.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERlY. IF YOU
<br />INTEND TO OBTAiN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
<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 />" 1'1 -
<br />DATE I v' ., - :' I
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<br />5IGNATURE:ts- ,__ _..Jj.ul--13Ji2{Jl2~cf
<br />ONTRACTOR u
<br />~
<br />DATE____1I-"J.:-"'odl:.::tL ----- ---,----------- ~
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<br />'J (!., f1" (l
<br />5IGNATURE..:}_~~j.:..t~~5'f~~~-~~~~-tlA~-
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<br />NOTARY AS TO:~ -L* NOTARY A5:~ :X'--
<br />OWNER OR AGENT _~__ iliU:S'",d'--T-i,;.hlL~ CONTRACTOR_ - - - '-C~_ -- -_.: _:ydt"..
<br />
<br />MY COMMISSION EXP I E5 _=~t;i!~,~I.!:.;..~t~tf!.Jli.ELotld.a-af-large MY COMM I 55 ION XP I RE~~~.!Y_r:.u~!..s..5!..alQ..oiJ.lnJ:U!... at La rge
<br />Y mmlsslon Expires SEPT, 4, 1993 My CommiSSion Expires SEPT. 4, 1993
<br />,Bonded Thru Western Surety Co. ,Bonded Thru Western Surety Co.
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