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<br />CONDITIONS OF PERMlf 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 be more restrictive than City
<br />regulations. The undersigned assules responsibility for compliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />. .
<br />If the owner has hired a contractor. or contractors to undertake work, they may 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 011ner and contractor ~ay be
<br />cited for a misde~eanor violation under state law. If the owner or intended contractor are uncertain as to what licensino
<br />requireients may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (B13l
<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(sl 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 thin the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that &ay 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 - Ho~eowner's Protection
<br />Guide" prepared by the Florida Departient of Agriculture and Consumer Affairs. If the applicant is so~eone other than the
<br />"owner", I certify that I have obtained a copy of the above de~cribed document and promiSE in good faith to deliver it tD the
<br />"owner" prior to cOimencement.
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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 a[[~rate and that all NDrk will be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land dev?lopment.
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<br />Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or
<br />installation has com2enced prior to issuance of a permit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulatiDns of other governmental agencies may apply to the intended work, and that it is
<br />/ty responsibility to identify what acti(lns I must take to be in cclmpliance. Such agencies irlc]L\de bllt "' e il['~ li,lited to:
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<br />4 Department of Environmental ReouIation - Cypress Bayheads, Hetland Rre~s aim Environmentally Seilsi tIle Ld~js,
<br />Water/Wastewater Treatment
<br />* Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses
<br />4 ArfiY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departient of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~En:. Septic Tanks
<br />f US Environmental Protection AQency - Asbestos abatement
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<br />I also certify that, if fillll:atr.>rial is to be used in FlorId Zr.ne "A" (If "A,etc.', it is unders.toDd that. a diainage plan
<br />addressing a "coMpensating volu!e" will be submitted which is prepared by a professional engineer reqi5t~;~d in the State of
<br />Florida prior to permit issuance,
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<br />A per~it issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uff\cial flom thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit iss!l~d ~haJl beCDIE invalid
<br />unless the w(lrk authr.rized by such perlllit is celill";cT:ced within six ilIonths e,f issuance, or if )j['l Yo autlir'l Iz,:d b)' the perlliit is
<br />susp~nded or abandoned for a period of six months dfter the time the "ork is commenced. One 90 day 0~tE~5JO!1 of ti~e, lIiay be
<br />allowed for the permit with fee charge of $15.00. The extensi0n shall be requested in )jriting to tho Building Official. An
<br />approved inspection must be logged during each six month period, or the project "ill be considered db6ildD~ed.
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<br />WARNING TO OWNER: YOUR FAILURE TO ~ECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR I~F~OVEMENTS TO YOUR PROPERI-Y. IF YOU
<br />INTEND TO OBTAIN FiNANCj_!\~G, C>JI...SUL. ~JI1H YOU~ ~_ENDER (lr~ AN Ic,TTORNEY
<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~~ )/ ~~~ .J!~
<br />-l/(~~~GENT
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<br />SIGNATURE______________________________
<br />CONTRACTOR
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<br />DA TE____1L:-J5-=- _<1..L. __ __ _ ______________ DATE --------------------- -------- ------
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<br />~~~~=y 0=5 A~~NTJluxjL .0J~l~_. _ ~~~~~~C~~R:~___________________________
<br />J10TARY PUBLIC. STf:1 01 FLORIDA.
<br />MY COMMISSION ~~~~~~~~~~~~~-- MY COMMISSION EXPIRES__________________
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