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<br />CONDITIONS~OF,PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The ,undersigned understands that this per.it lay be subject to "deed restrictions" which .ay be more restr.ictive than City
<br />regulations. The undersigned assumes responsibility~for, co.pliance with any applicable deed restrictions.
<br />i.- . ,
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<br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor 'or contractors to undertake work, they .ay 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 OHner and contractor lay be
<br />cited for a .isdeleanor violation under state law., If the owner or intended contractor are uncertain as to what licensing
<br />require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (8131
<br />788-6611.
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<br />Further.ore, 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 aay 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 Const\uction Lien Law - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleCone other than the
<br />"owner", I certify that I have obtained a, copy of the above described docu.ent and promise in good faith to deliver it to the
<br />"owner" prior to cOllencelent.
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<br />I .:'
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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 co.pliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent. '
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<br />Application is hereby .ade to obtain a perlit to' do Mork and install~tion 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 leet standards of all laMS
<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 ~ay 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 bllt ~le not limited to:
<br />
<br />. ",.~
<br />I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />i Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps Gf EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treat;en~. Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill .aterial is to be used in Flbod Zone "Aft or "A,etc,', it is understood tll~t a drainage plan
<br />addressing a "compensating volute' will be sub.itted which is prepared by a professional engineer fegist~ied in the State of
<br />Florida prior to perlit issuance.
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<br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every permit issued :hall becole invalid
<br />unless the work authorized by such permit is comlenced within six months of issuance, or if work authDrl~ed by the per.it is
<br />suspended or abandoned for a period of six .onths after the tiJe the work is commenced. One 90 day e~tt~Sioll of tile, may 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 must be logged during each six lonth period, or the project will be cDnsidered dbdlldoned.
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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 />SlGNATUR~-- Rjl~_~__________ SlGNATU~ ~~
<br />OWNE~-AGENT NTRACTOR
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<br />DATE___~_L2J-~1-~----------------'------- DATE____:1-L~:l~~------------------
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<br />NOTARY AS TO J . "',,./ j "\.... A ~ . n ~ NOTARY AS TO
<br />OWNER OR AG5/~---'!_~",;--~ CONTRACTOR_
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<br />MY COMMISSION EXPIRESWo1ary Publi~. State ~f Florida at Large MY COMMISSION
<br />-My-E>ormms'Slel'l"'EKplras Aug~T994
<br />~, ~ ~ c: 0 <( 3 \)c, Cj
<br />
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<br />~_____.. _}n~~~
<br />
<br />EXP I RES~~~~~,_S.!81~Q.I.f]Ql:jda..at Large
<br />My commiSSIOn Expires Aug, 28. 100.
<br />~ .4f c Co ~3l>h ')
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