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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />Th~ und~rsign~d und~rstands that this perlit lay be subj~ct to "d~ed restrictions' which may b~ ~ore restrictiv~ than City
<br />regulations. Th~ und~r5ign~d assules responsibility~for coapliance with any applicable de~d restrictiDns.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESpnNSI8II_ITI~S
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<br />If the owner has hired a contractor or contractors to und~rtake work, they may be required to b~ licensed In accordanc~ with
<br />stat~ and local regulations. If the contractor is not licensed as requlr~d by liW, both the o>>n~r and contractor aay be
<br />cited for a lisdeleanor violation under state law. If the own~r or int~nded contract~r. .Ode uncertain as to what licensing
<br />requirelents aay apply for the intended work, they are advised to contact the City of ZephyrhilJs Building Departlent, (813)
<br />788-66JI.
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<br />Further.ore, if the owner has hired a contractor or contractors, h~ is advised to hav~ the contractor(sl sign portions of the
<br />"Contractor S~ctions' of this application for which th~y will be r~sponsibl~. Jf you, is the Dwn~r sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the worr.. Jf the contractor wishes you to sign
<br />as contractor that lay be an indicatiDn that he is not properJy 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~ FLORIOn STnTUTES, 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 Consumer Affairs. ]f the applicant is sOle6ne other than the
<br />'owner', I certify that I have Dbtained a copy of the above described document and promise in good faith to deliver it to the
<br />'owner' prior to co.aenceaent.
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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 "ork will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developc~nt.
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<br />Application is hereby lade to obtain a perlit to do work and instal12tion as indicated. I certify that no work or
<br />installation has coemenced prior to issuance of a perlit and that aJI work wilJ be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply t(1 the intended wurk, and that it is
<br />IY responsibility te, identify what actions I lUSt take to be in compliance. Sucl, d~r:flcie5 Include bill ,'I e Iie,t lillited to:
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<br />...
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<br />I Deparh!?~lt {,f Envir~'nll!?ntal ReQulation - Cypress Bayheads, lIetland rlreas and Envifclnmenta lly Sensi th;e Ldnds,
<br />Water/Wastewater Treatsent
<br />I Southwest Florida Water HanaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering WatercDurses
<br />I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departl!?nt of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~€n~, Septic Tanks
<br />I US Environmental Protection Anency - Asbestos abatement
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<br />I also certify that, if fill material is tu be used in Flc.od Z{,ne "A' or 'Aide.', it is understeleld thilt a drainage plan
<br />addressing a 'colpensating vuluee" will be sub.itted which is prepared by a professional engineer fegist~fed in the State of
<br />Florida prior to perlit issuanCE.
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<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or
<br />set aside any provisiDns of the technical codes, nor shall issuance of a permit prevent the Building Ufficia] froa thereafter
<br />requiring a ((,rrection elf errors in plans, c{'nstructi{,n, (Ir vic.jatie,ns of any ((,de. [very per~it iSSII,Ij ::ball bece'le invalid
<br />unlfss the we,rk authorized by such perlllit is ce'lIl1enced within six months c,f issuance, e,r if ,'C<I k aut/'clllzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti3e the >>ork is commenced. One qo day e~lf~sjDli of tile, lay be
<br />alle,wed fc.r the perlllit with fee charge of $15.00. The extension ~haJI be requested in IHiting tel thi:' 8ullding Official. An
<br />approved inspectie.n eust bf le,gged during each six month period, c,r the prc,jt:.(t liill be ([,nslilered dbollde",fd.
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<br />WARN I NG TO OWNER: YOUR FAI LURE TO RECORD A ~,J(lT I CL, O!- COMt'1E::I.!I.T r'lENT f'!(\Y
<br />RESUL TIN YOUR PAY I NG TW I CE FOR I MPROVEMENTS TO YUIJl< FJROPER fV . I F 'leu
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDEI~ OR AN All'ORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOGS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOT I CE OF Cm1r1U~CEMENT 01 .
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<br />SIGNATURE__';~_~~~____ _~____ SIGNATUnE__~/]co;;;-~'---
<br />OWNEfl fl flGENT cmnRArC.?
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<br />DATE__~__:1L__/.f~~____ ---______ DA TE --f).~ .L;JTJ'22!3:----------
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<br />NOTARf AS TO rJ)./ If --LJ.J /J. NOTARY (\~l.~ro ..?:2 I
<br />OWNER OR AGENT~,Q-~?L-~---- eONTRAeTOI~. - ~~-~l:fOri(fa
<br />.OlmY potifle, sta~ (ff Ronda ~ .. . 2~ 10Q"
<br />My Comml~slon EXDires Sect. d. ..d"
<br />MY eOMM I SS ION EX P I RES ._~~~~~~:x!~~_~.!_!~._1~~2_ MY em,f" I S~l I UN EX P I RES ______.:..:.__________
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