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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 ~hat this perlit aay be subject to "deed restrictions" which may be lore restrictive than City
<br />regulations. The undersigned assu.es responsibility for C~.pli,89ce with any appq,cable cl-eed restrictions.
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<br />B. UNLICENSED:CONTRACTORS AND, CONTRACTOR RESPONSIBILJTIES
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<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in actordance with
<br />state and local regulations. If th' Fontractor is not licensed as required by law, both the own~r and contractor lay be
<br />ci ted for a lisdeuanor violation under state ,law. If the owner or i}ltended, cClntracte.r are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to ,cClntact the City Clf Zephyrhills Building Depart.ent, (813)
<br />788-bbll. '
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<br />Furtherlore, if the owner has hired a contractor or contrattbrs, De"is advised to have the contractor!s) sign portions Clf 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 and is not entitled to 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.
<br />
<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED>
<br />
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Suide' prepared by the Florida Departlent of, Agriculture and Consuler, Affairs. If the applicant is sOleone other than the
<br />'owner', I certify that I 'have obtained a copy of the above described docule~t and promise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inforaation in this application is accurate and that all work will be done in cospliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that nCl work or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be performed to meet 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 governlental agencies lay apply to the intended worl:, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies' include bill ~ie not liftlited to:
<br />
<br />I Departtent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Envirc.nlllentally Sensi live Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercou.ses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatelent
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<br />I also certify that, if, fill lateri,a,l is to be used in Flood Zone 'A' or 'A,etc.', it is underste,od thiit a drainage plan
<br />addressing a 'colpensating volume" will b~'sub.itted which is prepared by a professional engineer regist~lud in the State of
<br />Florida prior to permit 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 yioi~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uffici,;l from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issu~d ;hall becole invalid
<br />unless the work authClrized by such perlit is cO'lenced within six sonths of issuance, elr if work autl,{,! Ized by the permit is
<br />suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~te~~IOil of tile, may be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved in6pllction lust be 109ged dlU"ing eac~six lonth period, or the prclject will be cC'f1sidered dbdilde,ned.
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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 A1TORNEY
<br />BEFORE RECORDING YOUR NOTICE QF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE_~_~_ Y
<br />OWNER OR AGENT
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<br />SIGNATURE
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<br />DATE____G2:_J_:L~_~~____________________
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<br />DATE__~=_1_-:l_~_9_~____________-_--_-
<br />
<br />NOTARY AS TO P.C"no rYY'Ylt'.{ NOTARY AS TO () P0norYYY1 rJ)
<br />OWNER OR AGENT:rJ[j~_~.~..~- CONTRACTOR_~_~__~"~'"
<br />
<br />MY COMMISSION EXPIRES_~4f~~~~__ __ MY COMMISSION EXPIRestJ-'~_l________
<br />IM'R'nfr;'OOEMAN .... ~ MARY R EDGEMA
<br />· jj( . My Commission CC287048 · Ii( · MYCom I' N
<br />. " . m SSlOn CC2870
<br />. . Expllos May 17 1997 .: Expires May 17 19"7 '
<br />cI'~ ~~ Bonded by ANB d'~ !\" Bonded by ANB -
<br />'if!" OF f\.t;)~ 800-852,5878 ..,~ OF f\.Q~~ 800,852,5878
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