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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 penH uy be subject to "deed restrictitlns. which lllay be IItJre restrictive than City
<br />regulations. The undersigned assules responsibility:for ,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 or contractors to ~ndertake Mork, 'they lay b~ required to be licensed in accordance with
<br />state and local regulations. If the contractor il not licensed as required by law, both the tJliner and ctJntractor ~ay be
<br />cited for a eisdeleanor violation ~der state laM. If the owner or intended contractor are uncertain as ttJ what licensing
<br />requiruents uy apply felr the intended work, they are advised to tontad the City of Zephyrhills Building Depadlent, IBl'3}
<br />7B8-6611. '
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<br />Furtherlore, if theDMner has hired a contractor Dr contractors, h~ is ~dvised to have thetontractorlsJ sign portions of the
<br />'Contractor SectioAs" of this application for 'Milich they Min lie responsible. If YClu, as the e,wner sign as the contractor,
<br />you are indicating that you,nther t\\an t~" contrac\!lr,are re$ponsible ,for the work. If the contracte.r wishes yelu to sign
<br />a,S contractar that lilY be an indication that he is notpropedy'1icensed"and is not entitled tc. perlitting privileges in the
<br />City of Zephyrhil1s.
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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 pTCIvfded Mith atopy of "Florida's Construdieln lien Lall - Hel.eowner's Protection
<br />. Guide" prepared by the Fhrida. Deparhent of Aqriculture and Consuler AiJairs. If the applicant is sCl.ee~ne other than the
<br />"oMner", I certify that I hav~(lbhineda,copy of the above describeddotulent and pttl~,ise in gClod faith tCl deliver it to the
<br />'owner' prior to cOllence.ent. '
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<br />E. CONTRACTOR'S/OWNER'5 AFFIDAVIT
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<br />I certify that all the infor.ation in \~\5 ,~p~lication is ilccurate and that all work lIill be dClne in coapliance with all
<br />, applicable lallS rel}ulating construction, zoninq, and landdevelllplent.'
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<br />Application is hereby tade to obtain a penit h'do work and install~tion' as indicated. I certify that no 1I0rk or
<br />installation bas couenced prior to issuance of a peraH and that all wo.rk will be perf o fill ed to .eetstandards of all laws
<br />regulating construction, City COd~51 20ning regulathns, and land developaent regulations in the jurisdiction. I also
<br />certify that I understand that the r~gulatiD~s of ~ther governaental agencies lay apply'to the intended lIork, and that it is
<br />IY responsibility to idlmtify Mhat actiOns I lust take to b~ inc{\lplianc~. Such agencies include but ~Ie not lillited to:
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<br />. J.;
<br />I Depart,ent of Environ.ental ReQulation - Cypress Bayheads, Wetland 'Ar~s and Environmentally Sensitive L~nds,
<br />Water/Wastellater Treatlent
<br />I Se.uthllest Florida lIater l1analleaent District- Wells; Cypress Bayheads,lIetlandAreas, Altering lIatercourses
<br />* Anv Ce,rps -of EnQineers - Seawalls, Docks, Navigable lIaterllays
<br />* Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - \lells, Wastellater Treilt~en~. Septic Tanks
<br />* US Environaental Protection AQency - Asbestos abatennt
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<br />I also certify that, if fill laterial is to ,be u!l!IIin FloodZo. "A" "or "A,etc.', it is understcleld tt.~t il drainage plan
<br />addressing a 'colpensating volule" will be sublitled which 'is prepared by a professional engineer reqisl~ied in the State of
<br />Florida prior to per.it issuance.
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<br />A penit issued shall be construed to be a license to proceed llith the tlorkand neot as auttlCoTi,ty tel \'ie,J~te, cancel aHer, or
<br />set aside any provisions of the t~chn.ical cod,1s,' nor shall issuance Df a per III it prevent the Bui lding Offici.1 fn,. thereafter
<br />requiring a correction elf errors inplansj cf1lls1ruc~tion, or viDlations of any code. Every per.it iss\ll!d =hall becc.1e invalid
<br />unless the "Drk authorized by suchperliti" f~.~nc;,ed within silt tlonths flf iS5uanc~, or if wel\k authM l1ed by the perlit is
<br />suspended or abandoned fH a periDd clf six,_onths af1;er the tin t~e. 1I0r,kis CCI'lmenced. One 90 day (I~\;;r,siDII of tile, lay be
<br />allowed for the permit lIith fee,charge of $15.00. The e1(~ension shall be'requested in IIriting to thl' Building Official. An
<br />approved inspection lust be logged during each six eonth period, or the prcljllct tiill be ceonsidert'd dbcilldoned.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A ,NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE.E'OR I MPRO,VEMENTS ,TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAI~: FI.NANCl,NG., C.ONSUL.i~ITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORD7N& YOUR NOTICE OF CO~MENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COM~~~'Y'~~
<br />I/' A-'/. dJ () I /H' - /Z;; )2P'V ;:z C6d'~.4>
<br />SIGNATURE____~~OR~-~-~ rGNATUR~~~:-
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