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<br />CO~DITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />Thll,unduslgnl!d undus~a;ds tha~ this penH uy bl lubject to "deed res~rlcti(.ns' Hhich ~ay be: oCor~ rl!str,idive Ihan Ci ty
<br />regulations. The undersignl!d asSUllleS rl!spon51bl1itf.:for"co~pliancl! with any appJic~ble: dced rc.lridiQns.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIRILITI~S
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<br />If the own~r has hired a c~n~ractor ,qr con~ractors to undertake work, 'they lay be required t~ be licensed in accordance with
<br />'!ate and loc~l regula~ions. ' If the,contractor 11 not licensl!d as requirl!d by I"H, b~th the (,uner and contractor nay be
<br />Cited for a mlsdellleanor violation under state laH., 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 Departlent, (8131
<br />7BB-66 II.
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<br />Furthermore, if the owner has hired a contractor Dr contractors, he is advised tD 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 ~nd 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~ FLORID~ ST~TUTES, AS AMENDED)
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<br />I certify that I, the applicant, have been provi~ed with a copy of "Florida's Construction Lien LaM - Ho~eowner's Protection
<br />Guide. prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the opplicant is sote6ne other than the
<br />'owner", I certify that I have obtained ~ c~py of the above described document and pro~ise in good faith to deliver it to the
<br />.owner' prior to cOI~ence~ent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the infor~ation in this application is accurate and that all "ork Hill be done in coapliance with all
<br />applicable laHs regulating construction, zoning, and land development.
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<br />Application is hereby ftade tD obtain a permit to'do work and install~tion as indicated. I certify that no work or
<br />installation has co~~enced prior to issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laws
<br />regulating constructiDn, City codes, zoning regulatiDns, anrl land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended wDrk, and that it is
<br />ay responsibility tc, identify what actions I must take to be in compliance. Such age:,eies include bill :<\C Ii(,t liaited to:
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<br />I Department Df Environmental ReQ~lation - Cypress Bayheads, Hetland Areas and Environmentally SEns! liv! Lands,
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<br />Water/Waste~ater Treatment
<br />I Southwest Florida Hater" ManaQeftent District - Hells; Cypress Bayheads, Wetland ~reas, Altering HatercQurses
<br />I Arty CorpsDf Enqineers - SeaHalls, Docks, Navigable Waterways
<br />I DepartaeTit e.f Health L Rehabilitative Services, EnviroMlentall!ealth Unit - \le,lls, 1j"steHater Trei,t,~€r\~. Septic Tanks
<br />I US Environ~ental Protection Aqency - Asbestos abatement
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<br />also certify that, if fill mate-rial is to be used in FlC,od Zone "A" e.r 'A,etc.', it is under::te,e,d lIdl a drainage plan
<br />addressing a 'coapensating vDlu~e" Hill be sublitted which is prepared by a professional engineer regisl~red in the State of
<br />Florida prior tD permit issuance.
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<br />A perfJit issued shall be construed to be a license to proclled 11lth thll wc,d: "nd m,t as authc,rit)' tc' vic.J,'\e, cancel aller, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Duilding Officii! fro~ thereafter
<br />requiring a c(,rrection (,f errors in plans; cc,nstructic,n, c,r vic,lalions of any e(,de:_ [very pl'r~il issu,!j ~haJI bH('H inv~lid
<br />unl!:ss the Heork auth(.riz!:d by such permit is cC'lIIl1enced within six lIlonths [,f issuance, c,r if l1C' 1\; a\,tl,c", ],ed bi the peoit is
<br />suspended or abandoned f[ol" a periCld e.f six lonths after the ti.1e the \lurk is r.c'~lmrnr.ed. D'le 9(; day e";t~"siol1 of tile, aay be
<br />allc,wed for the perl1lit ~Iith fee charge of $15.00. The extensie,n shall be requested in lirilinQ tc, the 8t1ilding Official. An
<br />approved inspecli(.n /'Just be I[,gged during each six month period, (.r the pre,jeet liill be e['nsider~d iJbdlldc'i,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 LEI'IDER 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 "NOT I CE OF Cm1 - 'JEt-IT" .
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<br />SJCNATURE_~1{fAf=---
<br />DATE__J-.,g,~~_2!J._.:_(2_fL~_,--,-------
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<br />
<br />DATE
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<br />~_~~~~_!J:9~--------
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<br />NOTARY AS TO jl}ll .d.A (y~ '
<br />OWNER OR AGENT /~~-2.:..'- -- ---'--"--
<br />r UUfry Ie, Sfal~ m ROnda
<br />MY COMMISSION EXPIRES_~:~~~~~~~~~!~~-~~~~-
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<br />NOTARY AS T~ ~~
<br />CONTRACTOR_ _ _ . --'A.-_ '" --
<br />Notary Pu e; Sla1e m ROrrek
<br />MY CO~'~lISSIDN EXPIRES~;L_~~~~~E<!~~~~_J.~iI.,
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