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<br />CONDITIONS. OF,PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The.undersigned understands that this perlit lay be subject io "deed restrictions" which ~ay be Dore restrjctive than City
<br />regulations. The undersigned assulles responsibilitf;forcollpliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONtRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the own~r has hired a cDntractor .or contractors to undertake Hork, .they lay be required tD be licensed in accordance with
<br />state and local regulations. . If the contractor is not licensed as required by law, both the o>>ner and contractor nay be
<br />cited for a .isdemeanor violation under state laH. If the OHner or 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 Building Departlent, (813)
<br />788-bbll.
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<br />Furthermore, if the OHner has hired a contractor or contractors, he is advised to have the conlractor(s) sign portions of the
<br />'Contractor Sections" of this application for which they Hill be responsible. If YDU, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wory.. If lhe contractor wishes you to sign
<br />as contractor that may be an indication that he is not properly licensed ~nd is not entitled to per~ilting 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 C(lnstruction lien law - Ho~eowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the ~rplicant is SOle~ne other than the
<br />"oHner", I certify that 1 have [.btained a. copy of the above described de,cument and prclrr,i~e in g(,od fai th to del iver it to the
<br />"owner" prior to cO.llence.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 application is accurate and that all work will be dDne in coapliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby made to obtain a per.it to'do work and install~tion as indicated. I certify that no work or
<br />installation has COllmenced prior to issuance of a per.it and that all wory. will be perfor~ed to roeet standards of all laMS
<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 may apply' to the intended work, and that it is
<br />IY responsibility tel identify what actions I must take to be in cOlllpliance. Such agencies include but ~le 1\[ll liaited to:
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<br />...
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<br />I Deparhe~,t Df Envir~nllental ReQul;tion - Cypres5 Fayheads, Hetland Areas and EnvifClnITientally Sensi tj\ie L~nds,
<br />Water/HasteMater Treatment
<br />I Southwest Florida Hater ManaQement District - Hells; Cypress Bayheads, Hetland Areas, Altering ~aterc0urses
<br />. ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks
<br />. US Environaental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Flc.od Ze,ne "A" [.r "A,etc.', it is unders.tel(ld 11,,1 a drainage plan
<br />addressing a 'compensating volule" will be sublitted which is prepared by a rrDfessiona\ engineer registered in the state of
<br />Florida prior to permit issuance.
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<br />A perlit issued shall be construed to be a license to proceed with the wory. and not as authority to viol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offi[i~J frol thereafter
<br />requiring a cHrection e,f errors in plans; c[lnstructi[.n, c.r violations of any [clde. bery per~it iSSll,!J ::hall bHc'!e invalid
<br />unless the wc.rk authelrized by such permit is celllllenced within six lIlonths of issuance, (Ir if \itld. autl.e" !,ed by the per.it is
<br />suspended or abandoned feor a period e.f Sill lonths after the ti:lle the lllJry. is c(I~lmenced. One 90 day ('~l"i.sio\l of tile, may be
<br />allowed for the per0it with fee charge of $15.00. The extension shall be requested in writing to th~ Building Official. An
<br />approved inspecti,.n oust be logged during each six lIlonth period, c.r the prc.ject Iii II be cc,nsidNed db.;lldc.n..d.
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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 $2,500 IN V UE
<br />DO NOT NEED TO RE ORD AND POST A II NOT I CE OF COMMENCEt1EN r" .
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<br />SIGNATURE ----- -I ~~:~__________ SIGNATURE --~~
<br />OWNER R AGENT NTRACTOR
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<br />DATE__.JJ&d.L::Zr-Lfi..2.L------------ DATE _/-L2:1J:-::.lL.----------------
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<br />NOTARY AS TO -/.../ ./ \,(l NOTARY AS TO.// ~I . '\ Y2._ .,JJ_
<br />OWNER OR AGEN:r4~~~A-- /Ylf~i/:t!J._ CONTRACTO~~-1h.~/&:f-"L~--
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<br />MY COMMISSION EXPIRES NotaryPul:!lic.StateofFl;~d~_9t3 MY COMMISSION EXPIRE!JI.!!9r...L~li'<<-$!~t!.!ln'!!~!.='1
<br />"Mj-cGfiljftllstlJrr1rpln!~ ' My (omnliGJion Expires Sept. 26, 1993
<br />Bonded T....rv fro)' Fain. Insuronce lAc. Dond~d Thru Troy Fain. IMUrance Inc.
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