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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 may be more restr.ictive than City
<br />regulations. The undersigned assules responsibility;for cOlpliance with any applicable deed restrictions.
<br />.' . .
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<br />8. 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 law, both the ~wner and contractor ~ay be
<br />cited for a tisdeleanor violation under state law. If the owner or intended contract~r are uncertain as to what licensing
<br />requirelents lay apply f~r the intended work, they are advised to contact the City ~f Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contract~rs, 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 y~u, as the ~wner sign as the c~ntractor,
<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 lay be an indication that he is not properly licensed and is not entitled to 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 - HOleowner's Protection
<br />Guide" prepared by the Fl~rida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOle{.ne other than the
<br />"owner", I certify that I have obtained a. copy of the above described document and pro~ise in good faith to deliver it to the
<br />"owner" prior to cOI~encement.
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<br />.,:
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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 compliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby lade to obtain a perlit to. do work and install~tion as indicated. I certify that no work or
<br />installation has co.tenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
<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 />IY responsibility tc. identify what actions I lust take to be in cOlilplianc~. Such agencies include but ~l e IlClt I ifti ted to:
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<br />#'
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<br />I Departle~t of Envir~nlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Matercourses
<br />I Art' Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Hastewater Treat~en~. Septic Tanks
<br />t US EnvironAental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill aaterial is to be used in Flood Zc.ne "A" or 'A,etc,', it is understc'(ld t1,~t a drainage plan
<br />addressing a 'coapensating volule" will be sublitted which is prepared by a pr~fessional engineer reqist~,ed in the State of
<br />Florida prior to permit issuance.
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<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to yiolate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every per~it issu~d ahall becole invalid
<br />unless the work authorized by such permit is coa.enced within six months of issuance, or if "o).k autho, lzed by the perlit is
<br />suspended or abandoned f~r a period of six lonths after the tiJe the work is commenced. One 90 day e~tE~sioll of tile, aay be
<br />allowed for the permit with fee charge of ~15.00. The extensiDn shall be requested in writing to the Building Official. An
<br />approved inspection must be logged during each six month period, or the project "ill be considered abal~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 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 />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATU~ SIGNATURE~---------
<br />~~n DR AG ~ONTRACTOR
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<br />DA TE_______________.I1~-.L~-::-CZ1---.------- DA TE____LL:.L5:-:-:lL----------------
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<br />NOTARY AS TO 7n / - /, ./J /' / NOTARY AS TO f77 />. -/ /J-r---(
<br />OWNER OR AGENTI'~~;~~~ CONTRACTOR__~~~~-~~~
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<br />"
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<br />MY COMMISSION EXPIRES__tlWa~~~~~~~~-~ MY COMMISSION EXPIRES_______________~~-
<br />nmr bl' State of FlonaZ'
<br />1~y' CC'mm):sion[xp:res JUliO 29 1097 Notary Pu Ie, n' 1"'2
<br />.. _ _ _ ,. __ My commission Exn:r~~<) Ji.,:ne /.,-.), i:.~J
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