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<br />CONDITIONS. OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />Th, .undersigned understands that this perlit lay be subject io 'deed restrictions" which may be ~Dre restr.ictive than City
<br />regulations. Th. undersigned assu_es responsibllitf;fof..colpliance 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 .Of contractorl to undertake wDrkl .they lay be required to be licensed in aCCDrdance with
<br />state and local regulations. . If the contractor il not licensed as required by law, both the OHner and contractor ftay be
<br />cited for a .isde.eanor violation under state laH., If the oHner or 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 Depart_entl (813)
<br />788-6611.
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<br />Furtherlorel if the owner has hired a contractor or contractors I 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 e.wner sign as the contractor,
<br />you are indicating that youl 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 ~nd is not entitled to periitting 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 applicantl have been provided Hith a copy of 'Florida's CDnstruction Lien Law - Ho.eowner's Protection
<br />Guide' prepared by the Florida Depart_ent of Agriculture and ConsuDer Affairs. If the applicant is so.eCone other lhan the
<br />'owner', I certify that I have (,btained a. copy of the above described dc,culDent and prcorrtise in gcood fiith to deliver it to the
<br />toNner' prior to cOllencelent.
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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 Hork will be dDn~ in coapliance with all
<br />applicable laws regulating construction, zoning, and land developcenl.
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<br />Application is hereby ,ade to obtain a perlit to'do work and install~tion as indicated. 1 certify that no work or
<br />installation has CODlenced prior to issuance of a per_it and that all work will be perfDrmed to m~et standards of all laMS
<br />regulating construction, City cod~sl zoning regulati~ns, and land development regulatiDns in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies ~ay apply' to the intended work, and that il is
<br />IY responsibility tCI identify what actions I lust take to be in compliance. Such agencies include t'\l1 ~Il! Ilc,llilSited to:
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<br />I Departle~t of Envir~nlental ReQul;tion - Cypr~ss Bayheads, Helland Areas and Environmentally Sensitive ldnds,
<br />Water/WasteHater Treatlent
<br />I Southwest Florida Water' ManaQelent District - Wells; Cypress Bayheads, Helland Areas, Altering Watercourses
<br />f Artv Corps ~f EnQineers - Seawallsl Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - lIells, IJastewaler Treat~en~. Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
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<br />1 also certify that I if fill .aterial is to be used in Flood ZClne 'A" c.r "A,elc.', it is underste.e.d tli~t a drainage plan
<br />addressing a "colpensating volu.e' will be sublitted which is prepared by a professional engineer rr:9ist~ir:d 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 wilh 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 permit prevent the Building Official froa thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every per~it iSSlled ihall becole invalid
<br />unless the llc.rk authe,rized by such penit is cCluenced within six lonths e,f issuance, cor if IH.d; allll,[o,IIed bt the perlit is
<br />suspended or abandoned for a period of six _onths after the tiJ~ the Hork is COlllm~n[ed. Dne 90 day r::I~~sioll of tile, lay be
<br />allc,wed for the perlllit with fee charge of $15.00. The extensic,n shall be requested in liriling tc, the Bldlding Official. An
<br />ilpproved inspectic,n oust be IClgged during each six lonth period, or the prc.ject Ilill be [eonsidered db.;\IdCoi,cd.
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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 N 0 RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />-~ ON--ER OR---A-G~EN--T-' ---". -......- SIGNATURE_~~':~)-f--t.r:: -,,, -
<br />~ G~ CONTRACTOR fjCl5 ,>LJe;;.;;..,
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<br />DA TE____.~:.~Ljh-----------------.------- DA TE_______~___~~L=_C[~ --- -------------
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<br />NOTARY AS TO .
<br />OWNER OR AGENT_~-~-~-~~~--~-~-
<br />"(y..,A \td l. L R..o<J l(.(j . J .' .
<br />MY COMM I SS ION EXP I RES Notary PubliC, S.ate of flOrida
<br />f1.i ComniisSiOn E'Xpmrs~ay 1C7,4993'
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<br />Bonded Thru Troy fain. InsuJance inc.
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<br />NOTARY AS TO '-1/1/1 ---/
<br />CONTRACT9R----fJ-~rz-- ___Q{~--C:~--
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<br />..-: .1'- . "' U' (':-'c' ron a
<br />MY COiMISSION EXPI E~ota!'/lu.J(, "...- of .
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<br />M (^~m.."Oll I:x"~r.";> i..u 11).....
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<br />Bonded lhru I10Y falO' In~;,.;I;jUc.a Inc.
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