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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 pertit tay be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cotpliance 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 NOrk, 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 misdeteanor 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, 1813}
<br />788-bbll.
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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 perlitting 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 - Homeowner's Protection
<br />Suide" prepared by the Florida Department 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 doculent and promise in good faith to deliver it to the
<br />'owner' prior to coetencelent.
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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 developlent.
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<br />Application is hereby lade to obtain a perlit to do worK and installation as indicated. I certify that no worK or
<br />installation has cO.lenced prior to issuance of a perlit and that all work will be performed to leet 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 governmental agencies lay apply to the intended work, and that it is
<br />/lY responsibility to identify what actions I /lust take to be in compliance. Such agencies include bill ~ie not liilited to:
<br />
<br />. Depart_ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />. Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment, Septic Tan~s
<br />. US Environlental Protection AQency - Asbestos abatelent
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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 understc.(.d tli~t. a drainage plan
<br />addressing a .colpensating volUMe" Hill be subtitted which is prepared by a professional engineer feqist.~lj!d in the State of
<br />Florida prior to perlit issuance.
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<br />A permit issued shall be construed to be a license to prDceed with the work and not as authority to yioi~te, cancel alter, or
<br />set aside any prDvisions of the technical codes, nor shall issuance of a permit prevent the Building uffici~l from thereaftel
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issll~d ,hall becole invalid
<br />unless the work authe-rized by such perlit is cOllllenced within six lonths of issuance, (Ir if \'I(lrk autl,["lZ[;d by the perw.it is
<br />suspended or abande-ned fe-I' a perie-d of six tonths after the tile the work is commenced. One 90 day e=IE~5JOI' of tile, lay 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 inspection must be logged during each six month period, e-r the project will be considered dbandoned.
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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 />ATE "'-'-- _ LJ / C4 c U DATE j .(.~ ' -L I I C; 't ~/
<br />D -- --------C~:L;."b-q-f2~-7fy7h-)------ --f'------ ---<-;1'(JZHT5ijT:t:-/3v::S~j
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<br />NOTARY AS TO i/I.. J! I ..j! y; . // NOTARY AS TO f'h? -;/. ~/.1 . L
<br />OWNER OR AGENT~~~~~~~~~~----- CONTRACTOR~~~~_~~~L_------
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<br />MY COMMISSION EXPIRES
<br />....... ----------------------
<br />....~~..... OFFICIAL SEAL
<br />! ~ \ GLADYS L BUSH
<br />: : My Commission Expires
<br />\ : Oct. 7, 1996
<br />.. .
<br />....~f~ #!,.-- Comm. No. CC 234022
<br />..f1~~:~...
<br />
<br />MY
<br />
<br />COMMISSION EXPIRES
<br />....**.. ------------------
<br />...~ Put....... OFFICIAL SEAL
<br />o," '""t' 'l.
<br />: ~ .. GLADYS L. BUSH
<br />.
<br />: : My Commission Expires
<br />.. ..
<br />':. : Oct. 7, 1996
<br />..~f~OFF~~-- Comm. No. CC 234022
<br />.............
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