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<br />CONDIT.IONS OF PERMIT AFFIDAVIT
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<br />A.'. NOT I CE OF DEED RESTR I CT IONS:. .
<br />
<br />The undersigned understands that this perlit lay be subject to "deed restrictions' ~hich ~ay be m~re restrictive than City
<br />regulations. The undersigned assumes responsibili~Y.for, compliance with any applicable deed restrictions.
<br />.. .'.. '" ...... " . ,
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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 may b& required to be licensed in accordance with
<br />stitt and local regulations. If the contractor is not licensed as required by la~1 beoth the ollner and contractc.r n.y be
<br />cited for a lisdemeanor violation under state law. . If the ~wner ~r intended contract~r are uncertain as to what licensing
<br />requirelents lay apply for the intended work, theY are advised to contact the City of Zephyrhills 8uilding Departeent, (813)
<br />788-6611.
<br />
<br />Furtheraore, if the owner has hired a cDntractor or contractors, he is advised to have the c~ntractor(s) sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If y~U~ as the owner sign as the contractor,
<br />y~u are indicating that you, rather than the contractor, are responsible for the wory.. If the contractor wishes y~u to sign
<br />as contract~r that aay be an indication that he is not properly licensed and is not entitled to permitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Ho~eowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is s~meone other than the
<br />"owner", I certify that I have obtained a copy of ' the above described docuffient and promise in good faith to deliver it to the
<br />'owner" prior to COlmencement.
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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 Mork Hill be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or
<br />installati~n has c~&~enced prior to issuance of a permit and that all wory. Hill be performed to roeet standards ~f all laws
<br />regulating construction, City codes, zoning regulations, and land development regulati~ns in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply t~ the intended Hort, and that it is
<br />ay responsibility to identify what actions llllust take to be in compliance. Such agEncies include but ~le liot li,lited to:
<br />
<br />I Departlent of Environ~ental ReQulation - Cypress Bayheads, Hetland Areas and Envir~nmentally Sensitive L~ndsJ
<br />Hater/Wastewater Treatment
<br />I Southwest Florida Hater ManaQelent District - Hells, Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />I Ar~y CorDS of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environmental Health Unit - W~lls, Waste"ater Treat~En:. Septic Tanks
<br />I US Environoental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if filll1aterial is to be used in Flc.od Zone "A" or "A,etc.', it is understc,eod t1.,t a drainage plan
<br />addressing a 'colpensating volu~e" will be submitted which is prepared by a professional engineer regist~ied in the State of
<br />Florida pric1r to perlli t issuance.
<br />
<br />A per~it issued shall be construed to be a license to proceed with the "ory. and not as authority to violate, cancel alter, ~r
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a correction ~f errors in plans, construction, or violations of any code. Every permit iSSlled shall bec~ae invalid
<br />unless the work authorized by such permit is cOlll~enced within six months of issuance, or if Hork authorIzed by the perait is
<br />suspended Dr aband~ned for a period of six lonths after the time the HOry. is commenced. One 90 day e:te~5joll of tiae, lIay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in Hilting to the Building Official. An
<br />approved inspectie,n r"ust be lcoggedduring each six 1II0nth period, Dr the pr~ject l'Ii II be ce'nsidt?Ted tlbaiide,ned.
<br />
<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 />
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<br />:~G:A::R~E~;4;~~_ ~~:TI:~G:~TU~_~~__~ ()
<br />
<br />~ER 0 A ENT'~ ~- . . CONTRACTOR ~
<br />DATE_____~~-~1':_Qf---------------------- DATE____O~~j{~52~--------------------
<br />
<br />NOTARY AS TO /._ . Il .. r tJ.. _. J.:--.J J
<br />OWNER OR AGENT~_~_~~-----
<br />
<br />Notary Public. State of Florida
<br />MY COMMISSION EXPIRES_~~~~A~!~19n
<br />Bonded Thru Troy Foin -Insurancelnc:.
<br />
<br />NOTARY AS TO Ie- - I'l \ r 11 . (~J
<br />CONTRACTOR_~_-hL_~----
<br />Notary Public. State of Floridcr
<br />MY COMMISSION EXPI~~~~~~~~~r,1993
<br />
<br />landed Thru Troy fain -Inwran..lne.
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