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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 lay be subject to "deed restrictions' which may be lore 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 />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 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 licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (SI3}
<br />788-(,(,11.
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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 contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to ~ign
<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 - Homeowner's Protection
<br />Guide' prepared by the Florida Department 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 promise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inforlation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby .ade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has COI.enced 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 regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~ie liC,l limited to:
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<br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive ldnds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatment. Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatelent
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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 thit a drainage plan
<br />addressing a 'colpensating volute" will be submitted which is prepared by a professional engineer registered 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 vioi~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perMit prevent the Building Ufficial frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issu~d shdll becole invalid
<br />unless the work authorized by such permit is cOllenced within six months of issuance, or if work aUthol Ized by the perlit is
<br />suspended or abandoned fClr a period of six lonths after the tile the wDrk is cOlilmenced. One 90 day e~t~nsio" of tile, lay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six month period, or the project will be considered dbd\~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 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 />SIGNATUREI!~L/)~---
<br />CHA,eL.e.S. (!. ~.&I~TRACTOR FU>R D5rp!;I4-3+O 327
<br />/ G:. -92
<br />DATE 1/- Iq-q
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<br />~g~~:~:;i::~~~~~~
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<br />SIGNATURE
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<br />
<br />OWNER OR AGENT
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<br />DATE
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<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT
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<br />MY COMMISSION EXPIRES
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<br />MY COMMISSION EXPIRES__________________
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<br />NOTARY PUBLIC, STATE OF
<br />~_~ommlssion expires Jan :iOf/DA
<br />uUllued thru Patterson _ B "ht '. 995
<br />ec Age nay
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