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<br />CONDI1IONS OF PEnMIl AFFIDAVII
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The undersigned understands that this permit may be subject to "deed restrictions' which may br f0re restrictive than City
<br />regulations. The undersigned assu~es responsibility for compliance with any applicable deed restrictions.
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<br />B. UNL I CENSED CONTRACTORS AND CONTRA~TQH RESPONS I B I L J_Il,E:J2.
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<br />If the owner has hired a contractor or contractors to undertake work, they may 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 OHner and contractor ~ay be
<br />cited for a misdeleanor violation under state law. If the owner or intended contractor arf Ilncertain as to what licensing
<br />require.ents Itay apply ft'l the intenderl Hcork, they are advise,' to rr,nti1rt the r:ity 1.( ZerhYlhill'- guilding Ilrpi11 tment, (AI3\
<br />788-6611.
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<br />Furthermore, if the owner has hired a contractor or contractors, 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 owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the wDrk. If the contractor wishes you to sign
<br />as contractor that may be an indication that he is not properly licensed and is not entitlrd to permitting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTIOIi__FEE~
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<br />D.
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<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713, FLORID() STATUTE~}, AS AMENDED)
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<br />I certify that I, the applicant, have been provided with a copy of "Florida's CDnstruction lien law - Homeowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Con5u~pr Affairs. If Ihe ~ppli[~nt is SD~eDne other than the
<br />"owner", 1 certify that I have obtained a copy of the above described documEut and promiSE in good faith to deliver it to the
<br />"owner" prior to cOfimence~ent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVI~
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<br />I certify that all the information in this application is accurate and that all work will b~ done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work Dr
<br />installation has comMenred prior to issuance of a perMit and that all work will bp. performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdicticln. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />flY responsibili ty te, identify what actions I must I,ake to be in ([Imp I iance. Such agencies include bill :<1 p. II[ll J imi led to:
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<br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive i "nds,
<br />Water/Wastewater Treatment
<br />f. Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering ~atercOUISp.5
<br />I Army Corps of Engineers - Seawalls, Docks, Navigable Waterways
<br />I Department of Health ~ Rehabilitative Services, Environmental Health Unit - Hells, WastE~ater l:eBtrnen~. Septic Tanks
<br />f US Environmental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill material is to be used in Flclod Zone "A" Dr "A,p.tr.", it is uHdr-rstc,cld lI"d a d1ainage plan
<br />addressing a "compensating vc,Jullie" \lill be submitted which is prepared by a profesc:iclnal rnginr,cr reqic:thi'lj in the State clf
<br />Florida prior to permit issuance.
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<br />A per~it issued shall be construed to be a license to proceed with the work and not as autt,ority to 1iDj~tr, cancpl alter, 01
<br />set aside any provisie.ns cof the technical [(.des, nor shall issuance eof a pl?rmit pTl'vf'nt the Building tlff\ci,,} fl [1m thereaftpl
<br />requiring a cClrrectic.n elf ernrs in plans, cClnstructicon, clr vicllatiHls of any cCldl'. Eyeri perillit iss\l..d ,J,oll beecl.e invalid
<br />unless the work authorized by such permit is cc'lIIllenced within six months nf issudnce, clr ,f llCllk alltllllj "et! hi the permit is
<br />suspended Dr abandoned for a period of six months after the time the Hork is cClmmenced. One 90 day r~le~5)nli of time, may be
<br />allclwed for the permit with fee charge c.f $15.00. The extensicln shidl be reque::tcd in '!fiting to ti,l.' Bllildillq Ufficial. I\n
<br />approved inspectiCln must be logged during each six month period, or the project Hill be considrred dbdl~on[d.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENI:EMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERI-Y. IF VOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AllORNEV
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A II NOT I CE OF COMMENCEMEN r ,. .
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<br />SIGNATURE____.A~---~-~---- SIGNATURE,..d.,~~--..-
<br />OWNER OR AGENT CONTRACTOR
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