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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />The undersigned understands ~hat this perlit lay be subject to "deed restrictions. which may be lore restrictive than City
<br />regulations. The undersigned assules responsibiljty fDr compliance 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 con~ractor or contractors to undertakr ~ork, 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 laM. If the OMner or intended contractor are uncertain as to what licensing
<br />requirelentslay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813)
<br />788-6611. '
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<br />Furtherlore, if the owner has hired a contractDr 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 />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 licensRd and 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, 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 - Homeowner's Protection
<br />Guide. prepared by the Florida Departlent of, Agriculture and Consuler Affairs. If the applicant is someone 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 cOlmencelent.
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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 cOipliance with all
<br />applicable laws regulating construction, 2oning, and land developlent.
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<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co~.enced prior to issuance of a per.it and that all work will be performed to meet standards of all laws
<br />regulating constructicln, City codes, 20ning regulations, and land development regulatic.ns in the jurisdictic.n. I also
<br />certify that I understand that the regulations of other govern.ental agencies may apply to the intended work, and that it is
<br />my responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~i i? not liaUed to: ,
<br />
<br />I: Department of Env,~rolllental ReQulation - Cypress Bayheads, Wetland Areas and Envirc.nmentally Sen-5'itii'e L:iiids,
<br />'t Water/Wastewater Treatment
<br />. Southwest Florida ~a~er HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses ,\"
<br />I: ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treat~ent, Septic Tanks"
<br />I US Environ.ental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be uset in Flood Zone "A" or "A,etr,', it is understood t~it a drainage plan
<br />addressing a "colpensating volume" will be ~ublitted which is prepared by a professional engineer fegist2r~d in the State of
<br />Florida prior to perlit 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 viol~te, ranrel alter, or
<br />set aside any provi~~ons of the technical codes, nor shall issuance of a permit prevent the Building Ufficiil from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit isslled ;hall beco.e invalid
<br />unless the work authori2ed by such penit is cOllented within six lonths of issuance, c,r if wor~ autllllllZed by the per/llit is
<br />suspended or abandoned for a period of six lonths after the tile the wor~ is cOlllmenced. One 90 day e~tE>>SIOII of tite, /IIay 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 inspectic.n lllust be logged during each six IClnth period, or the prclject will be cc,nsidf?red dbaildoiied.
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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 />SIGNATURE~~E~---
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<br />DA-TE___::J_~~~__"L~____\.C:-C<j_~________-" -
<br />NOTARY AS T(J--:', .--=~ \\
<br />OWNER OR AG~~___~~~~~_~~~~
<br />MY COMM I SS ION E' P mES .l\""::J.\~L~:1.,}.:::L_-
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<br />SIGNATUR~~__-
<br />Co/'KACTOR
<br />
<br />DATE__~_~~~__~~_--J_:\~-~----
<br />
<br />NOTARY A~~. ~ '\:'\
<br />CONTRACTO ____..,;:-::~~-~~""^'-
<br />
<br />MY COMMISSION EXPIRES__fu~~\:\-r'>':1.]:J..
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