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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 permit may be subject to "deed restrictions" which may b~ ~ore restrictive than City
<br />regulations. The undersigned assumes responsibility for compliance 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 may be r~quired to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the Oliner and contractor ~ay be
<br />cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to lihat licensing
<br />requireaents may apply for the intended work, they are advised to contact the City of Z~phyrhills Building Department, (813)
<br />788-6611.
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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 c(,ntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the norp.. If the contractor wishes you to sign
<br />as contractor that may be an indication that he is not properly licensed and is not entitled t(, permitting 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 - Ho~eowner's Pr(,tection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the epplicant is so~eone other then the
<br />"owner", I certify that I have obtained a copy of the above described document and promiSE in good faith to deliver it to the
<br />.owner. prior to cOlmencement,
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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 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 lade to obtain a perait to do work and installation as indicated. I certify that no worp. or
<br />installation has cOIl1f.enced prior to issuance of a per.it and that all work will be performed to meet standards of all laws
<br />regulating construction, City cod~s, zoning regulations, and land development regulations in th~ jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agenci~s may apply to the intended liOrp., and that it is
<br />,.y responsibility to identify Khat actions I IIUSt tap.e to be in ((Impliance. Such agencies include tn! '" e ii"~ liffiited t(,:
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<br />* Department of Environmental Reoulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi tiv! l~nds,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water ManaQe~ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar~y CorDs of EnQineers - Seawalls, Docks, Navigable Waterways
<br />* Departllent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~e~:. Septic Tanks
<br />* US Environmental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill J1iat~rial is to be used in Flclod ZClne "A" or "A,etc.', it is unders.t(,(,d lh,.t. a dlainage plan
<br />addressing a "colpensating volume" will be sub.itted which is prepared by a professional engineer reqJst~f~d in the State of
<br />Florida prior to permit issuance,
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<br />A permit issu~d shall be construed to be a license to proceed with the work and not as authority to vioi~te, cancel alter, or
<br />set aside any provisi(.ns of the technical (Cldes, nor shall issuance (If a pl?rmit prevent the Building Llif:.ci~1 fl('1I1 thereaftel
<br />requiring a correction of errors in plans, construction, or violations of any code. EvelY per~it issu~d ihall becoie invalid
<br />unless the w(.rk authorized by such perlliit is CC'IIi~enced wi thin six months of issuance, or if \1('1 f; autl1r" j ,,,j b)' the permi t is
<br />suspended or abandoned for a period of six lonths after the time the work is commenced. One qo day 0~t(~5JO" of tilf1e, may be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be request~d in \lriting to the Building Official. An
<br />approved inspection must be logged during each six month period, or the project will be considered db61~oned.
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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 PROPERfY. 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 NEjED TO REC~~;IT A "NOTICE OF COMMC~:;N~ ~ /
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<br />SIGNA~O~-OR-~~----------- SIGNATURE_~~c~--~~-
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<br />DATE~~~~__~__~][~----------- DATE____~~-2-~7L---~-------------
<br />NOTARY AS TO 9!1,. -, /J /j ~ARY AS TO / i'/ J~---
<br />OWNER OR AGENT__f~~~71~~~JU~-~~AJ ~O~TRACTOR_______L-~_~~___~L~~-
<br />MY COMMISSION EXPIRE~~:;';~:~ib:;li~~~J.~~1~ts9:J- M~ COMMISSION EXPIRE~.~J;;.'Il~TY'~U~liC. ~tate ~l Flori~_
<br />"ONOEL> THRU NOTARY PU.....'C UNDERWRITERs'; 1;~)~"'tOmm"UP S'ept. g.l-g~..
<br />,~'~J;:
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