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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 say be subject to "deed restricti~ns" which ~ay b~ o~re restr,ictive than City
<br />regulations. The undersigned assules respDnslblllty~for, COMpliance with any applicabl~ deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
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<br />If the ONner has hired a contractor .~r 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, b~th the ~Hner and contractor ~ay be
<br />cited for a lisdefteanor violation under state law. If the owner or intended contract~r are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City ~f Zephyrh11ls Building Depart.ent, (813)
<br />7BB-bbll.
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<br />Furtheraore, if the owner has hired a contractor or contract~rs, 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 ~wner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the w~rk. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed ~nd is not entitled to per~itting 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 provi'ded with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection
<br />Guide. prepared by the Fl~rida Depart.ent of Agriculture and Consuler Affairs. If the applicant is s~t~6ne other than the
<br />.owner., I certify that I have (Ibtained a. copy of the above described d(lcuJltent ilnd pr(,rrli~e in g~od faith to deliver it to the
<br />.owner' prior to co.~encement.
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<br />; 1 "; ':~
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inforffiation in this application is accurate and that all M~rk ~ill be don~ in c~apliance with all
<br />applicable laws regulating c~nstructi~n, zoning, and land development.
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<br />Application is hereby made to obtain a permit to'do Kork and install~tion as indicated, I certify that no w~rk or
<br />installation has CDlmenced prior to issuance of a perlit and that all w~rk will be p~rf~rrned t~ roeet standards of all laws
<br />regulating constructi~n, City codes, zoning regulatiDns, and land development regulati~ns in the jurisdicti~n. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is
<br />.y responsibility te, identify what actions I must take to be in compliance. Such agencies ir,clude bid ~1 e Ii(,t liaited to:
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<br />. ,,#" -..
<br />I Department ~f Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi liv! Ldnds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Hater ManaQelent District - Wells; Cypress Bayheads, Wetland ~reas, ~Itering Haterc0urses
<br />I Arey C~rps ,of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent ~f Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~, Septic Tanks
<br />I US Envir~naental Protection AQency - Asbestos abatement
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<br />1 also certify that, if fill aatHial is to be used in Hood Z(lne "A" (lr "A,elc,', it is underste,e,d 11,,\\ a drainage plan
<br />addressing a 'colpensating voluee" will be subtitted which is prepared by a profes5i~na] engineer regi5t~red 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 w~rk and n~t as authority to yiol~te, cancel alter, or
<br />set aside any pr~visi(.ns of the technical cDdes, nor shall issuance of a permit prevent the Building Official fr~~ thereafter
<br />requiring a C(lrrection (If errors in plans; c~nstructi(ln, (Ir vi(llations of any c(,de. Every per:llit isslI"j "hall bece'le invalid
<br />unless the w~rk auth~rized by such permit is c(,,,menced within six months (,f issuance, (,r if Me,d: atltl,cI\J,ed by the perait is
<br />suspended or abandoned f~r a period ~f six tonths after the tiJe the HDrk is [~~men[ed, One 90 day e:tE~5ioll of tile, aay be
<br />all~wed for the per~it Hith fee charge of $15.00. The extension shall be requested in Hriling to the Building Official, An
<br />approved inspectic.n !'.lust be l~gged during each six month period, (,r the prclject Hill be [[,nsidered dballd(,n~d.
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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___~~~<~ :~, ~ -----
<br />CONTRACTOR ...&!'7--
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<br />DATE
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<br />
<br />DATE
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<br />NOTARY AS TO
<br />OWNER OR AGENT
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<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
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<br />MY COMMISSION EXPIRES
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<br />MY COMMISSION EXPIRES
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