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<br />CONDITIONS O~ PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The undersigned understands that this per.it lay be subject to "deed restrictions" which lay be more restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
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<br />B. UNL I CENSED CONTRACTORS AND CONTRACTOR RESPONS I B,I LIT I ES
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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 lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 indicat~ng 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 licens~d and is not entitled to permitting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CON~ECTION FEES
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<br />D. CONSTRUCTION LIEN LAW (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 sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described document and proMi~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 ~nd that all work will be done in cOlpliance with all
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<br />applicable laws regulating construction, zoning, and land develDplent.
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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 cOllilienced~ritJr to issuance of a perlit and that all wClrk will be performed to meet standards (If 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 governaental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include ~lt ~le nol liaited to:
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<br />I ~ ReQulation - Cypr2ss R:yhrl~s, ~2tland Ar~as and Environmentally Sensitive I.ands,
<br />Water/Wastewater Ifeataent
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatment. Septic TanKS
<br />I US Environmental Protection AQency - Asbestos abateaent
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<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood th~t a drainage plan
<br />addressing a "compensating volule" will be sublitted which is prepared by a professional engineer feqist~ied in the State of
<br />Florida prior to per.it 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 yioj~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Uffici~] frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit iSSUed shall become invalid
<br />unless the work authorized by such permit is cnlenced within six lonths of issuance, or if work authollzed by the perllit is
<br />suspended or abandoned for a period of six lonths after the time the work is cOlmenced. One 90 day e~ho,,51011 of tile, aay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection must be logged during each six tonth period, or the project will be considered dballdoned.
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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 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 />SIGNATUR~___ -OWNE~ :~---------
<br />DA TE _________j..d=_~_-::9..L--------.------------
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<br />SIGNATURa~~~~~_~j1 . ~,J.7
<br />CONTRACT~
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<br />DATE ____-'-d.;.-=~:3...L_ _______ ------ ------
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<br />. ~~~:yo~~-~1Zc~- ~~~~:~C~~R~~g_~
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<br />N NOTARY PUBLIC. STATE OF FLORIIlA
<br />MY COMMISSION EXPIRES M~Tt{~\'illIC. STilTE OF F1"o.BIDA MY COMMISSION EXPIRM COMMISSION EXPIRE~_M.!\B~26, ;994.
<br />["0ND~::> ,.,~u ..~,ii~~: lIlJi'R" 26. i 994 ....,.".,mrmrrAm'''f>UBLic UNDIlRWRIT'R',
<br />,. vTI-.,-" ,'."" SLrc PN!....EF(\VRrT~-i'7S..
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