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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The.undersigned understands that this permit may be subject to "deed restrictions" which may be more restr.ictive than City
<br />regulations. The undersigned aSSUIRS responsibilitf~for, coaplianc! 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 contractor ~r 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 ftay be
<br />cited for a tisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirements aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />7BB-bb II.
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<br />Furtherlore, if the owner 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 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 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 - HOleowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is SOlec.ne other than the
<br />"owner", I certify that I have obtained a, copy of the above described document and pro~ise in good faith to deliver it to the
<br />"owner" prior to com.ence.ent.
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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 work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
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<br />Application is hereby lade to obtain a permit to' do work and install~tion as indicated. I certify that no work or
<br />installation has COllenced prior to issuance of a permit and that all worK will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 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 />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~le nc,llillited to:
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<br />. Departle~t of Envir~nlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water' ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Arty Corps of EnQineers - Seawalls, Dods, Navigable Waterllays
<br />I Department of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~En~. 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 used in Flood Zone "A" or "A,etc,", it is understoc,d lli3t a drainage plan
<br />addressing ,a "colpensating volule" will be submitted which is prepared by a professional engineer regist2rl?d in the state of
<br />Florida prior to permit issuancl?,
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<br />A pertit issued shall be construed to be a license to proceed Ilith the work and not as authority to viol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every permit issu~d ~hall becole invalid
<br />unless the NorK authorized by such permit is cOllenced within six months of issuance, or if work authol lzed by the perlit is
<br />suspended or abandoned for a period of six tonths after the tiJe the worr. is co~menced. One 90 day e~t~~sioll of tite, lay be
<br />allowed for the perlit with fee charge of ~IS.OO, The extension shall be requested in writing to the Building Official. An
<br />approved inspection ~ust be logged during each six month 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 ATTORNEY
<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~,(~{~~f:!:~,:~--i Ia,' ' &1 SIGNATURE~t:.:-~..~
<br />f) OWNER OR A'17"T r- fl- 'f-f. ~~TOR'
<br />DATE_______~lL~l'.i~---------------------- D~TE___r:LL~_~"i~~______________________
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<br />NOTARY AS TO {\, -' ---r;~
<br />OWNER DR AGENT~!-~.-- -----~:..-.., "
<br />Notary Publi . Stale At Ulfge. Flonda.
<br />MY COMMI SSION EXPIRES My commission Expires July 30.1995
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<br />NOTARY AS T~ -
<br />CONTRACTOR_~~_ ;-Florida.
<br />.. My C mission Expires July 30. 1995
<br />MY'COMMlSSION EXPIRES________CC1V~Z~---
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