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<br />CONDIT.IONS OF PERMIT AFFIDAVIT
<br />A:: NOT J CE: OF' DEED RESTR I CT IONS:. .
<br />
<br />The undersign~d understands that this perlit lay be subject to "de~d restrictir,ns" which ~ay b~ m~re res~rictive than City
<br />regulations. The undersigned assumes re5ponsibili~y.fo~ compliance with any applicable deed restrictions.
<br />.., ,..' '" "', . ,
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake work, they may b& required 1.0 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 nay be
<br />cited for a lisdemeanor violation under state law. . If the owner or 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 />Furtherlore, if the OHner has hired a contractor or contractors, he is advised to have the c~ntract~r(s) sign porti~ns of the
<br />"Contractor Sections" of this application for which they Hill be responsible. If y~u, as the ~wner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are resp~nsible for the work. If the ce,ntractor wishes y~u to sign
<br />as c~ntractor that lay be an indication that he is not pr~perly licensed and is not entitled te, per~itting 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 Departlent of Agriculture aod Consumer Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of " the above described docurne~\ and ~roffii5e in good faith to deliver it to the
<br />"owner" prior to COlmencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all Nork Mill 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 perlit to do work and installation as indicated. I certify that no work or
<br />installati~n has c~&!enced prior to issuance of a perlit and that all Nor\: will be perf~rmed to meet standards ~f all liWS
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdicti~n. I also
<br />certify that 1 understand that the regulations of other governmental agenci~s may apply to the intended ~ork, and that it is
<br />ay responsibility to identify what actions laust take to be in cc,mpliance. Such agencies include bllt ~le nc,t litlited to:
<br />
<br />I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lanas,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Hater ManaQe~ent District - Wells, Cypress Bayheads, Hetland ~reas, Altering Haterc~urses
<br />I Ar~y Coros of Enoineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environffiental Health Unit - W~IIs, Wastewater Treat~en:. Septic Tanks
<br />I US Environcental Protection ~Qency - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in FIMd Zc,ne .~. or .~,etc.", it is understr,(,d tt.~t a drainage plan
<br />addressing a 'colpensating volu~e" will be sublitted which is prepared by a professional engineer reqistaied in the State of
<br />Florida prior to permit iss~ance.
<br />
<br />A per~it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, ~r
<br />set aside any provisi~ns of the technical codes, nor shall issuance of a p~rmit prevent the Building Official fro~ thereafter
<br />requiring a correction Df errors in plans, construction, or violations of any code. Every permit issu~d shall bec~.e invalid
<br />unless the work authorized by such permit is com~enced within six months of issuance, or if Mork author lied by the perlit is
<br />suspended or abandoned ftor a peric,d of six lonths after the time the Ilork is CO!!lffienced. One 9(; day c.~t,,;,;:i(lll e,f tile, say be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be request~d in writing to the Building Official. An
<br />approved inspectie,n l!Iust be lc.ggedduring each six Mnth period, c,r the project liill be ct'nsidered abailde,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 />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE_-:'-.ctz;;~. ...~.. '7
<br />OW1R OR.. GENT
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<br />DATE____~--_~~-~---~--~~----------
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<br />NOTARY AS TO \.-_ ~ ~'\ ~ ~TARY AS TO\ r-~-'~ '\'\~ ~. ~
<br />OWNER OR AGENT~~_ ~_~~j~~~J-~~~ CONTRACTOR__~~_ ._~~~~~-~~~~~~(
<br />NorA~' STATE OF FLORID A.- . ~ NOfARY PIC, STATE OF FLORIDA'.nn.,~
<br />MY COMMISSION EX.I"III":;&",,,ON EXPORES, APRILS, "93.. M COMmSSION ~ON EX"RES, APROL 5. '99.C
<br />Elo,,,OliL:l TI'mO"'Flt71'iRrI'tlllCT/:"0Ntl"ERWRTTER..-- · IE H HG'f".......-f'i:t't1...t(MtN~.............lTE1<S-
<br />
<br />SIGNATURE
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<br />DATE_____~-~-~-~~-~~-----------
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