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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 perait lay be subject to "deed restrictions" which may be lore restrictive than City
<br />regulations. The undersigned assuaes responsibility for coapliance 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 contracto~' or contractors to undertake work, they aay be required .to be licensed in accordance with
<br />state and local regulations, If the contractor is not licens~d as required by law, both the owner and contractor may be
<br />cited for a tisdeteanor violation under state law. If the ONner or intended contractor'are uncertain' as to what licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813)
<br />788-6611,
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is! 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 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 doculent and promise in good faith to deliver it to the
<br />'owner' prior to coa.enceaent,
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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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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<br />Application is hereby aade to obtain a pertit to do Nork and installation as indicated. I certify that no work or
<br />installation has co.aenced prior to issuance of a pertit 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 work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlllpliance, Such agencies include bllt ~iP. liCIt liilited to:
<br />
<br />* Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlllentally Sensitive lands,
<br />Water/Wastewater Treataent
<br />* Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />. US Environaental Protection AQency - Asbestos abatement
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<br />I also cedify that, if fill material is to be used in Flc.od Zone "A" or "A,etc.", it is understc,(,d tho!. a drainage plan
<br />addressing a .colpensating volute" will be sub.itted which is prepared by a professional engineer reqisteiud in the State of
<br />Florida prior to perlit issuance,
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<br />A pertit issued shall be construed to be a license to proceed with the work and not as authority to vioi~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;hall becole invalid
<br />unless the work authorized by such perlit is cO'lenced within six months of issuance, or if work authol Ized by the pertit is
<br />suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~tEnSJOil of tile, may be
<br />alloNed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered dbdi~oned.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ~AY
<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 ~OTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NE::ED.TO RECORD 'AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE__________________________________
<br />OWNER OR AGENT
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<br />SIGNATURE
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<br />
<br />CONTRACTOR
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<br />DATE
<br />
<br />---------------------------------------
<br />
<br />DATE___________________________________
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT
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<br />-----------------------------
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
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<br />MY COMMISSION EXPIRES
<br />
<br />MY COMMISSION EXPIRES
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