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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />Tht undtrsigntd undtrstands that this pertit tay be subject to "deed restrictions" whi(h may be more restr,ictive than City
<br />regulations. The undersigned a5suteS respon5ib~1~tY;for"colpliance w~th any applicable deed restrictions,
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If tht owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />stlte and 10cIl regulat~ons, If the contractor is not licensed as required by law, both the owner and contractor ~ay be
<br />cittd for a lisdeteanor violation under state law. If the owner or intended contra(tor are uncertain as to what licensing
<br />rtquirelents lay apply for the intended work, they are advistd to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the (ontra(tor(s) sign portions of the
<br />.Contractor Sections' of this application for which they Hill be responsible, If you, as the owner sign as the contra(tor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contra(tor wishes you to sign
<br />as contractor that lay be an indication that he is not properly li(ensed and 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 provided with a copy of "Florida's Constru(tion Lien Law - HOleoHner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs, If the appli(ant is sOle6ne other than the
<br />"owner', I certify that I have obtained I copy of the above describad dDcument and promise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
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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 (oapliance with all
<br />appli(able laws regulating construction, zoning, and land development.
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<br />Application is hereby aade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or
<br />installation has cOltenced 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. 1 also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply to the intended ~ork, and that it is
<br />IY responsibility to identify what actions I must take to be in COMpliance. Such agencies include but ~le Iic.t lillited to:
<br />
<br />. .,J.;
<br />I Department of Environmental ReQulation - Cypress BayheadS, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />f Southwest Florida Water. ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Departtent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, ~astewater Treat~en~. Septic Tanks
<br />. US Environmental Protection AQenc~ - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in He.od Zone "A" or "A,etc.", it is understc,c,d tli~t a drainage plan
<br />addressing a 'colpensating volule. will be sublitted which is prepared by a professional engineer reqi51~ied in the State of
<br />Florida prior to per.it 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 yioI~te, cancel alter, or
<br />set aside any provisions of the te(hnical codes, nor shall issuan(e of a permit prevent the Building Official frolft thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every permit iss\l~d :hall be(Ole invalid
<br />unless the work authorized by such permit is (~Iienced within six months of issuance, or if Hork authof Ized by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti,e the work is commenced. Dne 90 day e~tE~5ioll of tile, lay be
<br />allowed for the per~it with fee charge of $15,00. The extension shall be requested in Hriting to the Building Offi(ial. An
<br />approved inspedie,n must be lClgged during each six month period, or the prc,jed Hi 11 be cc.nsidered Clbci\,dc.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 />WN'ft-iR AGEN SIGNATURE~~~:Y~/
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<br />vA yC- ,~ t -.J, _/.
<br />'5'j?i '1\ATE__ri~-"-c:1F-.~----
<br />. )- 2.3- 9t:.[/
<br />NOTARY AS nY, '/~'
<br />OWNER OR;~~~--~~
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<br />MY COMMISSION EXPIR9~ 1'i,:-"'-~~~"---""
<br />~' State 28 ,.,
<br />i " My c<,mm. ElCP. J~...:.
<br />=" COMM ICC DIU';>'
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<br />DATE____J.--:.~-=-!:i-~----------------
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<br />NOTARY AS T<;Y-)". f ./-) {)f 1A
<br />CONTRACTOR_~'t~,..sd..~~~-"::"'_-~:"''': ~
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<br />MY COMMISSION EX~lVAEC~~;f,-~qi~~~.l-
<br />NOTARY PUBLIC, STATE OF FLORIDA
<br />My Commission Expires May 29, 1999
<br />Commisslon No, CC 467880
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