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<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. whic6. may be more res~rictive than City
<br />regulations. The undersigned i1SSUlI1 relpOnsibili\V..for cOlpliance lIith any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the ollner has hired a contractor or contractors to undertake work, they tay be r~quired to be licensed in accordance lIith
<br />state and local regulations. If the contractor il not licensed as required by law, both the owner and contractor lay be
<br />cited for a tisdeleanor violation under state lall. If the ollner or intended contractor are uncertain as to what licensing
<br />requirelents tay apply for the intended 1I0rk, theY are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611. -
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<br />Furthertore, if the ollner has hired a contractor Dr contractors, he is advised to have the contractor Is) sign portions of th~
<br />.Contractor Sections. of this application for which they lIill 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 sign
<br />as contractor that tay be an indication that he is not pro~~rly licensed and is not entitled t~ 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. 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 Construction Lien Law - HOleowner'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 pr~lise in good faith to deliver it to the
<br />.ollner. prior to cOltencetent.
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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 w~rk will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby tade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has COllenced prior to issuance of a pertit and that all work will be performed to teet standards of all laMS
<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 govern.ental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify IIhat actions I tust take to be in cOlpliance. Such agencies include ~lt ~le not litited to:
<br />
<br />I Departlent of Environ,ental ReQulation - Cypress Bayheads, Wetl~nd Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treattent .
<br />I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arlv Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environtental Health Unit - W~lls, Wastewater Treatment. Septic Tanks
<br />I US Environtental Protection AQency - Asbestos abatelent
<br />
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tllat a drainage plan
<br />addressing a .cotpensating volule. will be subtitted which is prepared by a professional engineer regist€r~d in the State of
<br />Florida prior to perlit issu~nce.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, Dr
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fr~. thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every per.it issllud ~hall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six .onths of issuance, or if work authol J.ed by the perlit is
<br />suspended Dr .abandoned for a period of sill tonths after the tite the work is commenced. One 90 day e~t.,nsioll of tile, laY 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 inspection lust be logged during each six tonth period, or the pr~ject will be considered dballdoned.
<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 />tNTEND 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 .. NOT I CE OF COMMENCEMEN;r".
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<br />SIGNA~URE__~~_~~~~~~~--~~--
<br />CONTRACTOR--
<br />
<br />DATE__~__~Ql._Jl3._L_____------
<br />
<br />NOTARY AS ~ . (\ "'\
<br />CONTRACTOR~_J.:l~~-
<br />
<br />'C ST~~' cr FLORIDA
<br />My COMMISSION EXFtmMt'l PUs.';'" y '~j. :'-':;'1.21,1995
<br />Ii '!;c..l;il~.........-.:;'{.\.I-l-\i.):.? "'-.'--m.,...--
<br />I~, 'JI'..":-,;::' rl:r-jl.AL INS. u,'u.
<br />80\'(DEO I h;\u d::...~'
<br />
<br />t. / . /".:'// - .
<br />. . j//;/;/' .
<br />SIGNATURE ~~~~-~--~--_t_~~t-~----------
<br />~ OWNER OR AGEN:r /
<br />
<br />DATE_~_~_c)~_J_~CjJL_---------------
<br />
<br />NOTARY AS TO C--\ . \.\ \ f ~r,~^ n A /
<br />OWNER OR AGENT ~~lL__t"J.i.~~.~~\=p~::-::_-
<br />r~!DT/~d1Y nl;;:, Tr ~'T",,""r- "..-
<br />MY COMMISSION EXPIRESjiY. c.:,'~:~::'.'~~:~ l.,. FLORIO."
<br />BO~UEo-0;7:7'b" [ii:;; ;'I"1''':"r 7:,~Tu;:.f~95
<br />..., .- 1'-.\1....... j~;.}" ND.
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