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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 perlit lay be subject to 'deed restricti~ns" which .ay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restriction~.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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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 Dr 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 />799-6611.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 perlitting 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 />..
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<br />D.
<br />
<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 - Ho.eowner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is s~.e~ne other than the
<br />'owner', I certify that I have obtained a copy of the above described d~culent and prolise 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 and that all work will be done in cDlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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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 c~lienced prior to issuance of a perlit and that all work will be perf~rled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulati~ns in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply t~ the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include bllt ~Ie not lilited to:
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<br />I Depart.ent of Environlenl:t ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive l~nds,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlen~. Septic Tanks
<br />I US Environ.ental Protection AQency - Asbestos abatelent
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<br />I also certify that, if fill latE'Tial is to be used in Flood Zone "A' or 'A,etc.', it is understcl~d that a drainage plan
<br />addressing a 'colpensating volule: will be sublitted which is prepared by a pr~fessi~nal engineer registried 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 n~t as authority to vi~late, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any c~de. Every pertit isslled ;hall becole invalid
<br />unless the work authorind by such penit is tOllenced within six lonths of issuance, ~r if ~j(lrk auth{'llZed by the perl it is
<br />suspended or abandoned for a period of six lonths after the tile the work is c~..enced. Doe 90 day e~t€"SiOIi of tile, lay be
<br />allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, ~r the project will be considered dbdl,doned.
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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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT R AND POST A "NOTICE OF COMM~CEMENT".
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<br />SIGNATUR~:~_:~~-~
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<br />TD '- -,+ B ~2NG~~C~~~ Sr- ~l?-O
<br />DATE___~~-~~~~~-------------------
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<br />
<br />DATE_________________________
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<br />MY COMMISSION EXPIRES______________________
<br />
<br />NOTARY AS y~.... t' ---/ -P,
<br />CONTRACTO~~~'~
<br />
<br />MY COMM I SS I ON EA8f~~-te,-S-l'Aff~FL_rnrn:rA
<br />My commission expires Jan. 28, 1995
<br />Bonded thru Patterson. Becht Agency
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<br />NOTARY AS TO
<br />OWNER OR AGENT_____________________________
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