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<br />CONDITIONS;O~.PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The .undersigned understands that this pertit lay b& sub3ect to 'deed restricti~ns" which ~~y be aore restr,ictive than City
<br />regulations. The undersigned assumes responslbilltf~for;.co.p1iance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRAC~ORS A~D CONTRACTOR RESPONSIBILITI~S
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<br />If the OMner has hired a contractor or contractors to undertake wor~, 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, b~th the OHner and contractor nay be
<br />cited for a .isde.eanor violation under state law. If the OHner ~r intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills ~uilding Departlent, (8131
<br />788-6611. ' . .
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<br />Further.ore, if the owner has hired a contractor Dr 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 arc indicating that you, rather than the contractor, arc responsible for the work, If the contractor wishes you to sign
<br />as contractor that aay be an indication that he is not properly licensed and is not entitled to per&itting 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 Florida Depart.ent of Agriculture and [onsuler Affairs. If the applicant is sOIEDne other than the
<br />'oHner', I certify that I have c.btained a. copy of the above described dc,cument and prc,mi5e in ge,od fai th to deliver it to the
<br />'owner' prior to cO'lence.ent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the information in this applicati~n is accurate and that all work Hill be dvne in cvapliance with all
<br />applicable laws regulating c~nstruction, zoning, and land developaent.
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<br />Application is hereby lade to obtain a pertit to'do ~~rk and install~tion as indic~ted. I certify that no work or
<br />installation has c~llenced prior to issuance of a perlit and that all w~rk Hill be performed tv ~eet standards of all laMS
<br />regulating construction, City codes, zoning regulations, anc land development regulativns in the iurisdicti~n. I also
<br />certify that I understand that the regulations of other governaental agencies ~ay apply' tv the intended Hork, and that it is
<br />IY responsibility t~ identify what actions I lIuSt take to be in compliance. Such agencies include bill "Ie ne,t lillited to:
<br />
<br />. ". till-'
<br />I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Envirvnment~lly Sensi tii;~ Ldnds,
<br />WateriWastewater Tr2at=~~t
<br />. Southwest Florida Water' ManaQement District - Wells; Cypress Bayheads, Wetl~nd Areas, Altering Hatercourses
<br />I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent vf Health ~ Rehabilitative Services, Environmental Health Unit - Wells, \j~steHater Treat~en~. Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill latedal is to be used in Hc,od Zeone 'A' or "A,etc,', it is underste,e,d 11,~t a drainage plan
<br />addressing a 'colpensating volule' will be subtitted Hhich is prepared by a prvfessivnal engineer regi5t~red in the State of
<br />Florida prior to permit issuance.
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<br />A pereit issued shall be construed to be a license to proceed with the work and nvt as authority to vivlate, cancel alter, or
<br />set aside any provisivns 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 cvde. Every per~it issued ~hall becvle invalid
<br />unless the work authe,rized by such penit is CC'llIenced within six ~Dnths e,f issuance, e,r if He,d; a\lthr'l Ired by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiJe the Hork is commenced. One 90 day e=te~5iDli of tiae, lay be
<br />allowed for the per~it with fee charge of ~15.00. The extension shall be requested in Hriting to the Building Official. An
<br />approved inspecti(,n l:Iust be l(,gged during each six Mnth period, vr the prvj!:d ui II be c(,nsidered <lbdllde,,,ed.
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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 />SIGNATURE__~~------- SIGNATURE_ ~ ,,~~--~~
<br />OWNER OR AGENT ~~~~6R
<br />DATE__j!/n)tJI---------------------- DATE_jl/JA/1L------------------
<br />~~~~~yO~SA~~NT------C~~~---~--- ~g~~~~c~;R~~----~~--------
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<br />MY COMMISSION EXPIRES___"tI1J~,~(==.Ht2-- MY COMMISSION EXPIRES_s..'::.=.....:------
<br />, ccmna&iUnblilllAlri27.l992
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