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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />.
<br />Th~ und~rsign~d und~rstands that this perlit lay be subject to "d~ed restrictions' which ~ay be ~ore restrictive than City
<br />regulations, The undersigned assules responslblllti"for COlpIiance with any applicable deed restrictions,
<br />
<br />B. UNL J CENSED CONTRACTORS AND CONTRACTOR BESPl]!:IS I Fl I LIT I ES
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<br />If the owner has hired a cc,ntractor or contractors to und~rtake work, they may be requir~d to be licensed in accordance with
<br />state and local regulations, If the contractor is not licensed as requir~d by Jaw, both the owner and contractor lay be
<br />cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what lic~nsing
<br />requirelents lay apply for the intended work, they are advised to contact the City Df Zephyrhills Building Departlent, (8131
<br />788-6611,
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<br />Furthertore, if the owner has hired a contractor or contractDrs, he is advised to have the contractor(s) sign portions of th~
<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 Mish~s you to sign
<br />as contractor that tay be an indication that he is not properly licensed and is nDt entitled to permitting privileges in the
<br />City of Zephyrhills,
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<br />C. TRANSPORTAT I ON IMPACT FEES AND UT I L I TY CONf\IFCT I ON FEES
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<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713~ FLORID~ 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 sOle~ne other than the
<br />'owner', I certify that I have obtained a copy of the above described docuffient and pro.i~e in good faith to deliver it to the
<br />'owner' prior to COlaencement,
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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 wor~ will be done in compliance with all
<br />applicable laws regulating construction, 10ning, and land developD~nt.
<br />
<br />Application is hereby made to obtain a perait to do work and install~tion as indicated, I certify that nu work or
<br />installation has co.tenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, 10ning regulatiDns, and land develupment regulations in the jurisdiction, I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply to the intended wurk, and that it is
<br />IY responsibility tc. identify what actions I lIust take to be in cOlllpliance', Sue I, ag{of,cies If,clude bill "I " lid li~ited to:
<br />
<br />, ..
<br />I Department Df Environmental Requlation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive ldnds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water Manaqeaent District - Wells; Cypress Bayheads, Wetland nreas, Altering WatercDurses
<br />I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Dep;,rtlent c.f Heal th L Rc'habi I i t;,tive Services, Environ~lental He_~lth Uill - Hr,lls, Hi,stE'watN Treah€rt~, Septic Tanks
<br />t US Environsent;,1 ProtEction nQency - Asbestos abatement
<br />
<br />I also certify that, if fill aaterial is to be used in F1c,od Zc.ne "n" E.r "I~,etc,', it is undE,rstc,cld th,t a drainage plan
<br />addressing a 'colpensating volume" will be sublitted which is prepared by a professional engineer r~gistafcd in the State of
<br />Florida prior to permit issuance,
<br />
<br />A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisic.ns of the technical cc.des, nor shall issuance of a pl?rmit prr:vent the [luildir,g Official fre'lI thereafter
<br />requiring a ((trrection c.f errors in plans, c[,nstructictn, e.r viol;,tie,ns of allY ({,de, hel i pcrilit iSSUI,;j :;hall becc'le invilid
<br />unless the wc,rk authc,rized by such perillit is c['lImenced within six ~onths e,f i55l1JriU', c,r If IIC" f: alltltr" Jz~d bf the perlit is
<br />suspended or ;,bandoned for a period of six lonths after the tiJe the work is e~mmen[ed. One qo day ~=te~510II of tile, aay 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 />approved inspecti(,n f1ust bE; logged during each six month pHi~d, c,r the prc,jl:'ct Iii 11 he cc,nsidered db"l,dctr,ed,
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<br />WARN I NG TO OWNER: YOUR FA I LURE TO RECDRD A NllT I [T DF COMMEt,ICEMENT MAY
<br />RESULT I N YOUR PAY I NG TW I CE FOR I MPRO~)EMENTS TO YULm PROPERTY. I F YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JUDS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOT I CE OF C0l'1r--1[=:~~CEMENT",
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<br />SIGNATURE_8~~-2?l~~-------- SIGNATlJREn~,-, (} --u---
<br />OWNEf1 ?NT CllNT~B"""
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<br />DA TE____J_/R3/~------------ _________ DATE -- __!l/2-1/iL----------------
<br />
<br />NOTARY AS TO ;Y/ fd NOTARY (j~) TO ;;I . f
<br />OWNER OR AGENT ---t;~ ___~-D--.---- CONT:ACTOIl_.._:C~ ___~-O----
<br />
<br />MY COMMISSION EXPl~. , ., ..........,. ~....."""1 MY COMMISS -p, p~1~Hr-~-':::::--1 --
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