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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 restrictions" which may be Dore restr,ictive than City
<br />regulations, The undersigned assules relponsibillty;for cOlpllance 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 c~ntract~r or contractors to undertake work, they lay 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 contractor lay be
<br />cited for a lisde.eanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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- and is not entitled to pertitting 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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle~ne other than the
<br />"owner", I certify that I have [.btained a, copy of the above described de,culDent and pr(,rr,ise in good fai th to deliver it to the
<br />"owner" prior to coalencelent,
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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 compliance with all
<br />applicable laws regulating construction, zoning, and land developeent.
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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 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. 1 also
<br />certify that I 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 b\l~ ile not lilited to:
<br />
<br />I Departle~t of Envir~nmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~p.n~. Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill material is to be used in Flc.od Zone "A" e.r "A,etc,', it is underste.(.d lliit ,a drainage plan
<br />addressing a .coapensating volule" will be sublitted which is prepared by a professional engineer regist~,ed 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 violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every permit iSSllvd :hall becole invalid
<br />unless the Nork authori2ed by such permit is co.menced within six sonths of issuance, or if work authDI l~ed by the perlit is
<br />suspended or abandoned for a period of six lonths after the tiae the work is commenced. One 90 day e:tE~sioll of tile, aay 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 inspectic.n f1ust be lc.gged during each six lonth period, or the pre.ject liill be c(.nsidered Clbal,de.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 ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF 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_~~~~J9C~~-----------
<br />OWNER OR AGENT
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<br />DATE__4-.L;--t.Lf.3.-------------------
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<br />NOTAt AJlTO --1;/, () J ' /
<br />OWNER OR AGENT~~~---?i~h~-:- -,-,'
<br />Rotary PUblic. State of FlorWcl '~
<br />MY COl"It1ISSION EXPIRES_JlrJJlmmIWmlJ>'pll'... ~11,-U9"
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<br />Ionded Thru Troy Fain .lnsur"nCIIIInI. .-..
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<br />SIGNATURE__<=~~_-~~~~~-----
<br />CONTRACTOR
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<br />DATn--~-df..2---..------------
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<br />NOTARY AS ToJ" ~ n ' /1 /
<br />CONTRACTOR_~C~_~2:.-~{d;:&Y=~' ,
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<br />MY COMM I SS ION EX P I R~ ...., PuYe. State o' FIoricla
<br />IIJ-<ommlnhnrfJpft'H"Sip-r. TI;' 994
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<br />Ionded Tim. Troy Foin . Insur"nce Inc.
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