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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 ~hat this perait aay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations, The undersigned assules responsibility for cOlpliance 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 aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (BI3)
<br />7BS-bbH.
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<br />Furtherlore, if the owner has hired a contractor or contractofs, 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 sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to periitting 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. 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 Departaent 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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has comaenced prior to issuance of a pertit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction, 1 also
<br />certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
<br />.y responsibility tc. identify what actions I lust take to be in cOlpliance, Such agencies include bllt ~i i? liCIt liiited to:
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<br />. Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitiv~ I.~ndsf
<br />Water/Wastewater Treataent
<br />* Southwest Florida Water Manaoeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Arty Corps of Enoineers - Seawalls, Docks, Navigable Waterways
<br />. Departtent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~ent. Septic Tanks
<br />. US Environlental Protection Aoency - Asbestos abatement
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<br />1 also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a dlainage plan
<br />addressing a "coapensating volume" will be sublitted which is prepared by a professional engineer registcled 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 vioiate, cancel alter, or
<br />set aside any provisjons.,of tbe tec~nical codes, nor shall issuance of a permit prl!vent the Building Official fn.1I thereafter
<br />requiring a correction of errfJ!-'s in plans, construction, or violations of any code, Every perllit iSSUed ~haJl becc'le invalid
<br />unless the work authorized by such per.it is cOI.enced within six sonths of issuance, Dr if work authol lIed by the pertit is
<br />suspended or abandoned for a period of six lonths after the tile the work is co&menced, One 90 day i!~tensioli of tile, lay be
<br />allowed for the perlllit 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 tonth period, Dr the project will be considered abaHdoned.
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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 RECpRDlNG YOUR ~OTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO.R.ECORD AND POST"A "NOTICE OF COMMENCEMENT". .
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<br />SIGNATURE-------OWNER-6R-AGENT------------- SIGNATU;'-~~
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<br />DATE_______________________________________ DATE___l~=_g_:~l_____________________
<br />~\\"'\"\1l11l1!ll;!, L7
<br />NOTARY AS TO #\'~~.).t~~.",AS TO n . I! t:oa.
<br />OWNER OR AGENT _________________________ ~...,... CONrf(~~~R---[7a~---.!.----:..-':::"-':::"---
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<br />MY COMMISSION EXPIRES ~ + ~ I"W CO~t:1If5SION EXPIRES 1/- JJ/ - y.f:J-
<br />------------------~;%-~...... .' "..~.:..: .- ------------------
<br />
<br />;~ / ( .........
<br />;/;//1//. or ,\. "',.
<br />IjJ//ld~tn;.\.-. .
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<br />JAN:S ~. c(;;\'.!
<br />My Comm. Ex;:;. (:0\/. ~(~ 1,:.?j
<br />r.cmm. No. CC 1C::~:sB
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