<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 perlit tay be subject to "deed restrictions" which lay be I~re restrictive than City
<br />regulations. The undersigned assules responsibility for cotpliance 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 lisdeteanor violation under state law. If the ~wner Dr intended contractor are uncertain as to what licensing
<br />requirelents tay apply f~r the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
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<br />Furthertore, if the owner has hired a contractor or contractors, he is advised t~ have the contractor Is) sign portions of the
<br />"Contractor Sections" of this application for which they will be resp~nsible. 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 tay be an indication that he is not properly licensed and is not entitled t~ pertitting 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. CONSTRUCTION LIEN LAW (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 Constructl~n Lien Law - HOleowner's Protection
<br />Suide" prepared by the Florida Departtent of Agriculture and Con suter Affairs. If the applicant is soteone other than the
<br />"owner", I certify that I have obtained a copy of the ab~ve described doculent and pr~lise in good faith to deliver it to the
<br />"owner" prior to cOliencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the infortation 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 pertit to do work and installation as indicated. I certify that n~ work or
<br />installation has COltenced prior to issuance of a pertit and that all work will be perforted to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governtental agencies lay apply to the intended work, and that it is
<br />ty responsibili ty to identify what actions I tust take to be in cOlpliance. Such agencies include but m! not litited t~:
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<br />I Departl~t of Environten~11 ReQulati~n - Cypress Bayheads, Wetland Areas and Envir~nlentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
<br />I US Environtental Pr~teition AQency - Asbestos abatetent
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<br />1 also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be subtitted which is prepared by a professional engineer register~d in the State of
<br />Florida prior to pertit issuance.
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<br />A perlit 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 frot thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every perlit issu~d ~hall becote invalid
<br />unless the work authorized by such pertit is cottenced within six lonths of issuance, Dr if work authorIzed by the perlit is
<br />suspended or abandoned for a period of six tonths after the tite the work is co..enced. One 90 day ~xtEnsiou of tile, lay be
<br />allowed for the permit with fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six tonth period, Dr the project will be considered dballdoned.
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<br />SIGNATURE_~~~~~_~~_
<br />OWNER OR AGENT
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<br />DATE_______~i~~1~2________________________
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<br />NOTARY AS li~/ <:::) .
<br />OWNER OR AG ~~...L- /" __ __
<br />Notlll' . 1(, State of Roridll
<br />MY COMMISSION EXPIRES~~wWWWm~~~Q~~2-~(
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<br />Bonded lhru Troy Fi;;in - Insurance Inc:.
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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 />SIGNATURE~~~~~
<br />CONTRA~TOR. -
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<br />DATE___~:iJr~~[_____________________
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<br />NOTARY A~ . n. ----, 'L/'
<br />CONTRACT _ ~_ _~_~~
<br />Notary P c, State of Florida
<br />MY COMM I SS I ON EXP _6:w'J.iU;~Q!LgJ][~L~L9~_~
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<br />001'1(;erJ ThrL Tr:JY F,,:n Insurance Inc.
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