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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 perlit lay be subject to "deed restricti~ns" which may be more restr,ictive 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 contractori to undertake work, they may 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 ~ay be
<br />cited for a eisdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />reQuirelents lay apply felr the intended wlIrk, they are advised to cllnt'act the City of 2ept~yrhills Building Deparhent, (B131
<br />7BB-bb 11.
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<br />Furthermore, if the owner has hired a contractor or 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 contractor,
<br />Yllu are indicating that you, rather than the contractor, are resp~nsible fllr the work. If the contractor wishes you to sign
<br />as contractor that lay be an indicati~n 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.
<br />
<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 Departlent of Agriculture and ConsUler Affairs. If the applicant is s~le{.ne other than the
<br />'owner" , I certify that I have obtained a, copy of the above described d~cUlent and proffiise in g~od faith to deliver it to the
<br />'owner' prior to cOlmencelent.
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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 Hill be done in compliance with all
<br />applicable laws regulating c~nstruction, 20ning, and land developlent.
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<br />Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work or
<br />installati~n has cOllenced prior to issuance of a perlit and that all w~rk Hill be perf~rmed to ~eet standards of all laMS
<br />regulating construction, City cod~s, 20ning regulati&ns, and land d~velopment requlations in the iurisdicti~n. I also
<br />",'if, 'h.t I ",d"".,d 'h.1 th, ,'g"I.'i'" ,f ,Ih" g",r,."I.! ag",i" .., .ppI, I, 'h' i,'"d,d "", .,d 'h.' i' i'
<br />., "'p " , i hi Ii" to ""Ii f, ,h. \ .d i '" I m t h" t, b, i, ,,'p Ii .,,,. '"d,.g ",d" i ,d"do b" "" ,.,,' Ii. i I,d '"
<br />
<br />,0-
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<br />I Departle~t of Envir~nlental ReQulation - Cypress Bayheads, W~tland ~reas and Environmentally Sensitive Ldnds,
<br />Water/Wastewater 1reatment
<br />I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArtY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Hastewater Treat~e~~. Septic Tanks
<br />I US Environaental Protecti~n AQenct - Asbestos abatement
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<br />I also certify that, if filllaterial is to be used in Flc.od ZClne 'A' cor "A,ete.', it is understc.c,d \hilt a drainage plan
<br />addressing a 'compensating volume' will be sublitted which is prepared by a professional engineer regi5t~led in the State of
<br />Florida prillr to perlit issuance,
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<br />A p".i' i,,",d ,h.11 b, "",,",d I, b' . Ii"", " p"",d ,ilh th' ",t .,d ", ., ."'h"i\y ,. ,i,I,\" ,.",1 .1"', "
<br />set aside any provisi~ns of the technical c~des, nDr shall issuance of a per~it prevent the Building Official from thereafter
<br />","i,i'g . ,.",,'i., .f """ i, pl.,,; """,,'i.'. ., ,i,I."'" .f ." "d'. ,.." p".i, "".. ,h.11 b,,'" i".lid
<br />unless the work authorized by such perlit is commenced within six months ~f issuance, or if work authOI lzed by the perait is
<br />,"'p"d,d " .b.,d",d f" . p"i.. .f ,I, .,,\b' .f'o; th' 'i., th, ",k i, "...",d. D"" d., .,1.,.,., .f Ii." .., b,
<br />allowed for the permit with fee charge of $15.00. The extensi~n shall be requested in ~riting to the Building Official. An
<br />approved inspedie.n '!!Iust be l~gl}edduri~g,each six month period, clr the prclject ~i 11 be cconsidered <lb,;l,dclned.
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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 T RECORD A lD POST A "I'iOT I CE OF COMMENC MEN'
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<br />SIGNATURE
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<br />
<br />SIGNATURE
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<br />NOTARY AS TO . . . fl -.
<br />OWNER OR AGENT ____~-~~------.-
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<br />MY COMMISSION EXPIRRa~lX~~~j~!~~l~d~~------
<br />My Commission Expb:. ~,pirl 2, 199%
<br />eond;;d lhru Troy fain. In~uran,e IlK.
<br />
<br />NOTARY AS TO j~' ~ <
<br />CONTRACTOR______~----~------
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<br />MY COMMISSION ~~~~~~6~~~~~01brli~-------
<br />'" t"' ~'~'l""- i\"irl '2, 1~~~
<br />it,.) ~~...h".. ';'...l\..'.l 'U'"'
<br />>>91i~Jl" 1hlll1,91 fWD' W111~illlio
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