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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 .ay be more restrictive than City
<br />regulations. The undersigned assumes 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 undertake work, they eay 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 .isdemeanor violation under state law. If the owner or 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, (B13l
<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 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.
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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 Depart.ent of Agriculture and Consu.er Affairs. If the applicant is sOleone 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 cOlmence.ent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
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<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co..enced 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 eay 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 bllt ale not limited to:
<br />
<br />I Depart.ent of Environ.entaI ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitjv~ Linds,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abate.ent
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<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "compensating volume" will be sublitted which is prepared by a professional engineer reqisteied in the State of
<br />Florida prior to perlit 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 vioj~te, 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, Dr violations of any code. Every perlit issu~d shall becole invalid
<br />unless the work authorized by such perlit is com.enced within six Bonths of issuance, Dr if work authollzed by the permit is
<br />suspended or abandoned fC'T a period of six lonths after the tile the work is cOlilllenced. One 90 da'y e~t;;j,5]Oil of tile, lIay 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 />appro'ved inspection llIust be lc.gged during each six IImnth period, or the project will be cronsidered dbdiJdc'iied.
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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 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 />SIGNATUREL~____f]_~~___ SIGNATURE___i~J:1~-, ,
<br />OWNER OR AGENT CONTRACTOR
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<br />DATE__ ~~ -~71.r~L_-.-.---..~~.'c1__~___----- DATE___ ~~~_~__.___~_sr_~~_C___)
<br />?T~'::k L..,;~,)J. (5 i. P'lSt( l- ~#j}//J A, / J Lf.-J/r
<br />NOTARY AS TO ! ;J I~ ~.J(-, - /J NOTARY AS TO t/#' Jl . ~ /' /~
<br />OWNER OR AGENT ___~;;)1~L;..____--- CONTRACTOR....".~<!;{/:.<!-:..<!%.f2_dLQ4s:-L___-
<br />
<br />MY COMMISSI~~IRES_~~~t-SEAt--------- MY COMMISSI~~~.~~~~ES_~o~~Cr~S!AL-----
<br />,. I!I~ GLADYS L. BUSH ~~~~ \ Gl.ADYS l.. BUSH
<br />i ) My Commlulon Expires I My Commission Expires
<br />Ot:t. 7, Hl96 \ 1 Oct. 7, 1996
<br />~"l~ Comm. N9. CC 234022 ....~,., d!!,..... Comm. No. CC 234022
<br />-.... ... *"..~~..,
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