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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 may be subject to "de~d restricti~ns" which ~ay b~ ~~re restrictive than City
<br />regulations. The undersigned assules responsibility for compliance 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' or contractors to undertake work, they lay be required t~ 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 ~ay be
<br />cited for a lisdeneanor violation under state law. If the owner ~r 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 Department, (BI3)
<br />788-6611.
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<br />Furthermore, if the owner 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 r~sponsible. If you, as the ofln~r sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wish~s you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled te, permitting 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 - Ho~eowner's Protection
<br />Guide' prepared by the Florida Departient of Agriculture and Consum~r Affairs. If the applicant is someone other than the
<br />'owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />'owner' prior to commencement.
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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 c03pliance with all
<br />applicable laws regulating construction, z~ning, and land development.
<br />
<br />Application is hereby ~ade t~ obtain a perlit to d~ work and installati~n as indicated. I certify that no work or
<br />installation has comreenced prior to issuance of a pertit and that all w~rk will' be performed to IDeet 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 governmental agencies may apply to the intended work, and that it is
<br />IY responsibility te, identify what acti~ns I must take to be in [(,mpliance. Such agencies include bill :oil? 1I(,l limited to:
<br />
<br />I Department of Environmental Reoulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi live l~nds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Hatercou,ses
<br />I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Department of Health L Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~€n~, Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill material is to be used in Floc,d Zc.ne "A" c,r "A,etc.", it is unders,te,c,d tt,~t " ct. ainage plan
<br />addressing a 'co/Jpensating volu~e" will be submitted which is prepared by a professional engineer fe~i~'~li!d in the State of
<br />Florida prior to permit issuance.
<br />
<br />A permit issued shall be construed to be a license t~ proceed with the work and not as authority to yioi~te, cancel alter, or
<br />set aside any provisie.ns of the technical (e.des, ne.r shall issuance elf a pt!TIllit prevent the Building Uffici"j flC'~ thereafter
<br />requiring a (c,rrection of ernors in plans, [(Instruction, c,r vir.latie,ns of any ce,dc" Every per~,it isstll'd :hall becolf: invalid
<br />unless the work authclrized by such permit is comllenced within six months of issuance, e,r if \Iolk authr'i j,i!d bi the permit is
<br />suspended Dr abandoned for a period of six lonths after the time the work is commenced. One 90 day ~~lf~~JDII of ti&e, may be
<br />allowed for the per~it with fee charge of $15.00. 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 db6l,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 PROPERfV. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
<br />BEFORE RECORD I NG YOUR NOTI CE OF COMMENCEMENT. JOBS UN,.DER $ 2 '5010 I N VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMEN~E~r".
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<br />SIGNATUR-~ 7?:~:_~: J_O_~-------- SIGNATURE_~~ ~- ------
<br />7"-~65~-;t.i AGENT bR"-'ER'$ L\~ 7~~-CONdtr~1
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<br />DA TE_____~~y_~lg.~~~g--_~Qt-~9.9..~------- DATE__~~__?i.)-j!l.qa------------
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<br />NOTARY AS TO . t\ ,\ {\~ NOTARY AS TO(\ ~ ( ;~.
<br />OWNER OR AGENT _~-- _ __ CONTRACTOR__~\b.~-f:-j_UAxrM"~"/
<br />t>ASc..o I FLO \C>A.
<br />MY COMMISSION EXPIRES___~_~J~~J_~_________ MY COMMISSION EX~~~~~~~~~
<br />IOIIJlD TN'" GENERAL INS. UIID.
<br />
<br />NOTARY PUBLIC, STATE OF FLORIDII
<br />My commission expires Oct. 2, 19J
<br />JiQndecl thru Eatterson -Becht Apn~
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