<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The und~rsigned understands that this perait aay be subject to "deed restrictions" whicfi lay be lore restrictive than City
<br />regulatIons. The undersigned aSSUle! responsibility for cOlpliance 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 contractor or contractors to undertake work, they tay 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 owner and contractor lay be
<br />cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent (813)
<br />788-6611. '
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<br />Furthertore, 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 work. If the contractor wishes you to si~n
<br />as contractor that aaY be an indication that he is not properly licensed and is not entitled to perlitting 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 - Hoteowner'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 cOllencelent.
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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 lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co..enced 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 developlent 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 cOilpliance. Such agencies include but <lie not li.ited to:
<br />
<br />I Departient of Environ_ental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departaent of Health ~ Rehabilitative Services. Environaental Health Unit - W~lls, Wastewater Treatlent, Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatelent
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<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr 'A,etc.., it is understood that a drainage plan
<br />addressing a .colpensating volule. will be sublitted which is prepared by a professional engineer reqisteied 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 violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pertit issu~d ~hall becole invalid
<br />unless the work authorized by such pertit is cotlenced within six lonths of issuance, or if work authorIzed by the pertit is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOlmenced. One 90 day e~tensiOll of tile, lay be
<br />allowed for the permit with fee (harge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection must be logged during each six tonth period, or the project will be considered aballdoned.
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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 yo RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNAT~~~~)7___________ SIGNATURE------CONTRACTOR--------------
<br />
<br />DA TE.__._____(L:._~lj~____________________
<br />
<br />DATE
<br />
<br />NOTARY AS TO //:{ /1A1 .. ~ ~) NOTARY AS TO
<br />OWNER OR AGENT~~~~~~- CONTRACTOR_____________________________
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<br />MY COMMISSION EXPIRES_lIje~-guauc..-S.LA1I-QLE'=.P~IE~Y COMMISSION EXPIRE~AA""~I6t-8l'Al=E-~ FLeR'DA
<br />My commission ey,p:res Jan. 28, 1 J J' My co"""b"it", expires Jan. 28, Er95
<br />Bonded thru Patterson - Becht Agency ..flo.lded Uuu f "H",:;vtl. l:,u"J.1 ',"",W_y
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