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<br />CONDITIONS. OF,PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The ,undersi9ned understands that this per.it .ay be sublect to "deed re5trlcti~ns' whi~h lay b~ ~~re restr-i~tive than City
<br />regulations. The undersigned iSSUles responsibllitf;for"colpliance with any appli~able deed restri~tions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the OMner has hired a ~ontractor ,~r contractor. to undertake work, 'they lay be required to be licensed in accordance Kith
<br />state and local regulations. - If the contractor Is not licensed as required by law, both the ~"ner and contractor .ay be
<br />cited for a lisde.eanor violation under state law., If the owner ~r intended contract~r are uncertain as to "hat licensing
<br />requireaents aay apply f~r the intended work, they are advised to contact the City ~f Zephyrhills Building Departlent, (813)
<br />78B-bbll.
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<br />Further.ore, if the owner has hired a contractor or contract~rs, he is advised to have the c~ntract~r(sl sign portions of the
<br />'Contractor Sections' of this application for Hhich they Hill be responsible. If y~u, as the ~Hner sign as the c~ntractor,
<br />you are .indicating that you, rather than the contractor, are responsible for the w~rk. If the contract~r wishes you to sign
<br />as contract~r that lay be an indication that he is not properly licensed ~nd is not entitled to per&itting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPeg:" FEES AND UTILITY CONNECTION FEES
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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 - HOleowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOlec.ne other than the
<br />'owner" , I certify that I have obtained a, co-py of the above described d(lcullent ilnd prelnlise in good fai th to delivH it tCo the
<br />"oMner' prior to cOlienceient.
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<br />~ t, .; ~~: _ "
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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 done in coapliance with all
<br />applicable laws regulating constructi~n, zoning, and land development.
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<br />Application is hereby lade to obtain a perait to'do work and install~tion as indicated. I certify that no wCork or
<br />installati~n has COltenced prior to issuance of a per.it and that all w~rk Hill be perf~rmEd to meet standards of all laws
<br />regulating construction, City codes, ZConing regulatiDns, an~ land development regulations in the jurisdicti~n. I also
<br />certify that 1 understand that the regulations of other governmental 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 bIll II e not liaited to:
<br />
<br />. ".''>
<br />I Depart_ent Df Environmental ReQulation - Cypress Bayheads, W~tland Areas and Environmentally Sensitive ldods,
<br />Water/~aste"ater Treatment
<br />. SDuthMest Florida Water-ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Haterc~urses
<br />t Aray Cc.rps ,of EnQineers - Seawalls, Docks, Navigable Waterways
<br />t Departaent of Health ~ Rehabilitative Services, Environmental Health Unit - ~ells, ~astEwater Treat~en~, Septic Tanks
<br />t US Envir~nlental Protection AQenc~ - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Fl~od Zone "A" Dr 'A,etc,', it is understoDd tl13t a drainage plan
<br />addressing a 'cColpensating volule" will be sub.itted which is prepared by a professional engineer reqist~ied in the state of
<br />Florida prior to perlit issuance.
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<br />A periit issued shall be construed to be a licens! to proceed with the work and not as authDrity to viol~te, cancel alter, or
<br />set aside any pr~visiDns of the technical cDdes, nor shall issuance of a p~r~it prevent the Building Offi,i.1 frol thereafter
<br />requiring a correctic.n (,f errors in plans; cc.nstructi(,n, (,r violations of any ce.d~. Every per~i t issll~d ;hall beee.11! invalid
<br />unless the wc,rk authorized by such penit is cC'lllenced within six months of issllance, (or if 1-/e,l\: allll,c'll.ed bt the perait is
<br />suspended or abandoned for a period of six lonths after the tiJe the Hork is CDmmenced, One 90 day e:I~~5ioll of tile, lay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An
<br />approved inspectiDn oust be logged during each six tonth period, or the project Hill be considrred ~b~lldoned.
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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 ~O ~/~C~D ..JjND PqST A II NOT I CE OF COMMENCEMENT".
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<br />...:-t t:~ e; ~~
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<br />SIGNATURE__~~~~-~----
<br />m.JNER OR AGENT
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<br />SIGNATURE______________________________
<br />CONTRACTOR
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<br />DATE---~~~~jC~M. --.~r---..---@:-------.- ----
<br />
<br />NOTARY AS TO ' . / ~ ~
<br />mINER OR AGENT __ ~f.,k------t.A-------'---
<br />~)c~' ~~Lt /9'/ '
<br />MY COMMISSION EXPIRES_____~__~21~2~-----
<br />
<br />DATE_________________________----------
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
<br />
<br />MY COMMISSION EXPIRES__________________
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<br />"
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