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<br />CONDITIONS OF,~ERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />Th. ,undersigned understands that this perlit lay bl sub3ect to "deed restricti~ns' Hhieh Nay b~ Dore restr,ictive than City
<br />regulations. The undersigned assules responsibilltf;for, compliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
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<br />If the owner has hired a c~ntractoror contractors 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 laH, both the ~Hner and contractor nay be
<br />cited for a lisdemeanor violation under state law. If the owner Dr intended contract~r are uncertain as to what licensing
<br />requirelents lay apply f~r the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent, (813\
<br />799-6611.
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<br />Furtherlore, if the OHner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they Hill 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 Hork, If the contractor wishes you to sign
<br />as contractor that aay 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~ 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 - Ho~eowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the "pplicant is sote6ne other than the
<br />'oHner", I certify that I have elbtained a, cDPy of the above described dClcument and pre,rrli~e in ge,od faith to deliver it to the
<br />"OHner' prior to cOI.encelent,
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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 w~rk will b~ done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
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<br />Application is hereby ~ade to obtain a permit t~" do Hork and install~tion as indicated. I certify that no work or
<br />installation has cOll~nced prior to issuance of a perlit and that all work Hill be performed to roeet standards of all laMS
<br />regulating construction, City codes, zoning regulati~ns, anrl land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies r,ay apply'tel the intended Hork, and that it is
<br />ay responsibility tc, identify Hhat actions I must take to be in compliance, Such agencies include bllt ~1 e m.t li~ited to:
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<br />I Departle~t of Envir~neenial ReQul:tion - Cypress Bayheads, Hetland Areas and Environmentally Sensitive ldnds,
<br />Hater/Wastewater Treatment
<br />. Southwest Florida Hater ManaQe!ent District - Hells; Cypress Bayheads, Hetland Areas, Altering Hatercpurses
<br />I Aray Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environmental Health Unit - Urlls, HasteHater Treat~e~~. Septic Tanks
<br />I US Environ~ental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill aaterial is to be used in FlCood Ze,ne "A" e,r 'A,etc,', it is understele,d t1.,1 a drainage plan
<br />addressing a 'compensating voluae" will be submitted Hhich is prepared by a professional engineer regi5t~red in the State of
<br />Florida prior to permit issuance,
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<br />A perait issued shall be tonstrued to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a cClrrection (.f errors in plans; ce,nstrudic,n, c'r violations of any c(,de. Every per,~it iS5111,j ~hall beee,1(' invalid
<br />unless the HC<rk authorized by such penit is celnenced Hithin six months clf issuance, or if lH,d: alltl,[1\ ),ed by th~ per.it is
<br />suspended or abandoned for a period of six lonths after the ti~e the Hork is commenced. One 90 day e:le~5iDI\ of tile, aay be
<br />alle.wed for the perfllit ~Jith fee charge of $15.00. The extensicln shall be requested in \1Titing tel the' Building Official. An
<br />approved inspectie,n ~ust be logged during each six Mnth perieod, Cor the prc.ject Iii II be ce'nsid~rfd dbdlldc.ned,
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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 Al"TORNEY
<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 />5JGNATURE~"-' __~____u_--
<br />TOR
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<br />DATE___~__~~-'_~~~-~- ------------
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<br />NOTARY AS T ,! -
<br />CONTRACTOR_~'_~_---- -~~------
<br />".. J.1ntuV D.'b\ic PaSCO CO, fL
<br />MY COMMISSION '-XP~~~ ru. U USi
<br />'My ComnitsSi"olI f;xpttes -May- r .
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<br />SIGNATURE
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<br />OWNER OR AGENT
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<br />DATE
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<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT
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<br />MY COMMISSION EXPIRES
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