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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, restr1ctive than City
<br />rl!guhtions. The undersigned aSSUIl!S responsibil1t('for compliance with any applicable deed restrictions.
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<br />B. UNL I CENSED CONTRACTORS AND CONTRACTOR 8ESPQJ:IS I R I LIT I ES
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<br />If the owner has hired a cc,ntractor or contractors to undertake work, they may 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 cDntractor lay be
<br />cited for a misdeleanor violation under state law. If the owner Dr intended contractc,r are unCErtain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building nepartlent, (8131
<br />788-6611.
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<br />Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractor(sl 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 ~nd 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 />D.
<br />
<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713~ FLORIDn STnTUTES, AS AMENDED)
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<br />I certify that I, the applicant, have been provided lIith a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is sOle6ne other than the
<br />'ollner', I certify that I have obtained l copy of the above described doculent and prolise in good faith to deliver it to the
<br />'ollner" prior to cO.lencelent.
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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 Mork will be done in compliance lIith all
<br />applicable lalls regulating construction, zoning, and land developaent.
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<br />Application is hereby lade to obtain a per.it 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 leet standards of all laws
<br />regulating construction, City codes, zoning regulations, an~ land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governm~ntal agenci~s ~ay apply to th~ intended work, and that it is
<br />IY responsibility te, id~ntify what actions I must take to be in compliance. Suel, aQe-:,cies iCjclude bill ~I e Iiot lj~ited to:
<br />
<br />. ,.
<br />I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Ar~as and Environm~ntal1y Sensi tjV! L~nds,
<br />Water/WasteMat~r Treatment
<br />I Southwest Florida Wat~r HanaQelent nistrict - Wells,' Cypress Bayheads, Wetland ~reas, ~lterjng Hater[o~CseS
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services, Environ~ental Health Unit - Wells, Waste-water Treat~en:. 52ptic Tanks
<br />I US Environaental Protection Aqency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Fle,od Zc,ne "A" or "A,de.' J it is understc,c,d t1"t a drainage plan
<br />addressing a "colp~nsating volule' will be submitted which is prepared by a professional engin~er regist2red 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 violate, cancel alter, or
<br />set aside any prDvisions of the technical codes, nor shall issuance of a permit prevent the Building Official fr~1 thereafter
<br />requiring a C(lrnctioTl elf errors in plans, nnstructic.n, (.r viol.;ti~T1s (,f any [{.d[' , [y['ll per~it iSSIIL'J ::hall bece'le invalid
<br />unless the weork authorized by such permit is cC'lIlIIenced within six IlIDTlths (.f issudnce, (.r if "c'lk allthCqJled by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiJe the Hork is (O~ffiL'n(ed. One qo day ['=tf~5ioli of tile, lay be
<br />allolled for the per~it with fee charge of $15.00. The extension shall be requested in Mriting to the 8uilding Official. An
<br />approved inspectie,n i!lust be l(,gged during each six Ilonth period, (of the prc.jc'(\ 11111 he c(.nsiderl:d db."dc.r,fd.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESUL TIN YOUR PAY I NG TW I CE FOR IMPROVEMENTS HJ YUUI~~ PROPERTY. I F YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JUDS UNDER $2,500 IN VALUE
<br />DO NOT~NE ~ :ECy~D p:s; A "NOTICE OF cmlMrCNCEME,NT". . c:
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<br />SIGNATli ______~__________~____~___ SIGNATlIRE~.__~--~---~
<br />I) OWNER OR AGENT jl j~mHW~CTty
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<br />DATE_,_...~_j~_!ft2__:2:.____ _________ DATE~-L~~-~~_L9.7..:?::--------
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<br />NOTARY AS TO I}!;/ J 11 /J, NOTARY AS TO ill ;J ~ ,/JA /J {" . 13 '
<br />OWNER OR AGENT~.A:.L~'-______7_ CONTRACTm~_$-/~-_L6"jRt>Y$J.. 1{.5
<br />OlI1D'IS (., /3u s "\. ~
<br />MY COMMISSION EXPIRES_______________________ MY COMMISSION EXPIRES__________________
<br />ffm!ry ~.- ~-ijr-nirflf1:f
<br />My Commiss'on Expires Sept 23, 1992
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<br />Notary 1'IffiIIe, Sfal! tit' FToff(ftf
<br />J.ly Commission Expires Sept. 23, 1992
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