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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 undersign~d understands that this permit may be subject to "deed restrictions" which may b~ more r~strictive than City
<br />regulations, The undersigned assules responsibility for compliance with any appl)cable 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 wor~, they may b~ r~quired to b~ licensed in aCCDrdanc~ with
<br />state and local regulations. If .the contractor is not licensed as required by law, both th~ owner and contractor ~ay be
<br />cited for a misdemeanor violation under state law. If the owner or intended contractor are unc~rtain as to what licensing
<br />r~quirelents may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, t813l
<br />788-6611,
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<br />Further'more, if the owner has hired a contractor Dr contractor5, 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 wor~, If the contractor wish~s you to sign
<br />as contractor that may 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 c~rtify 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 Deparhent of Agriculture and Consumer Affairs, If the ~ppl icant is SCtlleCtne (,ther than the
<br />"owner", I certify that I have obtained a copy of the above described document and prolise in good faith to deliver it to the
<br />"own~r" prior to commencement,
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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 don~ in co~pliance 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 installation as indicated. ] certify that no work or
<br />installation has comreenc~d prior to issuance of a per_it and that all work will be performed t(, 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 governmental agencies fiay aoolv to the intended work, and that it is
<br />ay responsibility to identify what actions I lust take to be in c(tmpliance. Such agencies include bill ~i ~ i1ltl li~ited t(l:
<br />
<br />i Department of Environ~ental Reoulation" Cypress Cayheads, Hetl~n1 Areas a~d Environmentally Sensi \iv2 l~nds,
<br />Water/Wastewater Treatment
<br />i Southwest Florida Water ManaQeilfent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses
<br />* Army CorDs of EnQineers - Seawalls, Docks, Navigable Waterways
<br />! D~partl~nt of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Tr~at~e~:. Septic TanKS
<br />! US Environmental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill material is tv be used in Flor.d Zone nA" Dr "A,etc.", it is underst(t(,d th~t a d! ainage plan
<br />addressing a "compensating voluilfe" will be submitted which is prepared by a professional engineer reqi;t~,od in the State of
<br />Florida prior to permit issuance.
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<br />A perilfit issued shall be construed to be a license to proceed with the worK and not as authority to viojjte, cancel alter, Dr
<br />set aside any provisions of the technical cc.des, nor shall issuance (,f a pt!Tmit prevent the Building tJff';ci~l fn'!f1 thereafter
<br />requiring a cc,rrection (.f ~rf[trs in plans, ((lnstructic1n, (11' vicllatictns (If any code. Every per:nit iSSllt!J ~h.;JI beCC'ie invalid
<br />unless the work authorized by such perllit is ce,uenced within six ilIonths of issuance, or if \'I(tlt: autlti" i;:ed bi the per~it is
<br />suspended Dr abandoned for a period of six lonths after the tiili~ the work is cOID.ellced. Dne 90 day e=IE~;ID" of ti&e, ~ay be
<br />allowed for the per~it with fee charge of $15.00, The extension shall be requested in \'Iriting to the Building Official. An
<br />approved inspectiDn must be logged during each six month period, Dr the project \'Iill be considered db.;i,dDned.
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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 PROPERI"Y. 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 />SIGNATURE_~N~---~---
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<br />
<br />;;~;:~:~::~::~~~.;Z~
<br />r68r ~r~ "IJI3' 100/- III ' .
<br />MY COMMISSION EXPIRES PJl.tPUJe~;:' ~l , Ii iN-
<br />, ollQnrt'-'N
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<br />SIGNATURE
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<br />CONTRACTOR
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<br />DATE
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<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
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<br />MY COMMISSION EXPIRES
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