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<br />CONDITIONS. OF PERMIT AFFIDAVIT
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<br />A.': NOT T CE OF DEED RESTR I CT IONS ;', ...
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<br />Tht undtrsigned undtrstinds that this plrlit lay bl subJlct to "deed restrlcti~ns" which ~ay ba sore rts,rictlve than City
<br />regulations. lht undD~slgned essuleS responsibili'~.fo~ co.pliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />;.....,....
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<br />If the owner has hired a contractor or contractors to undertake wor~, they lay be required t~ be licensed in accordance with
<br />statt and local rtgulations. If the contractor is not licensed as required by law, both the OHner and contractor ~ay bt
<br />cited for a aisdeaeanor violation under state laK.', If the ~wner ~r intended c~ntract~r are uncertain as to what licensing
<br />requireaents aay apply fe.r the intended Hork, theY are advised to cc,ntact the City elf Zephyrhills Building Departeent, (8131
<br />788-(,(,1 \.""
<br />
<br />Furtherlore, if the owner has hired a contractor 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 w~rt. If the contract~r wishes y~u to sign
<br />a5 c~ntract~r that Day be an indication that he is not pr~perly licensed and is not entitled to per&itting 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 certi'fy that I, the applicant, have been provided Kith a copy of "Flc.rida's C[.nstruction Lien Law - He,aeowner's Preltection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is SO!EOne other than the
<br />.owner", I certify that I have obtained a copy of.the above described document and pro.15e in good faith to deliver it to the
<br />"owner' prior to cOi~encement.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />1 certify that all the information in this application is accurate and that all Mort Mill be done in co~pliance with all
<br />applicable laws regulating c~nstructi~n, zoning, and land development.
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<br />Application is hereby fiade to obtain a ~er.it lo'do work and installation as indicated. I certify that n~ work or
<br />installati~n has c~&!enced priDr to issuance of a perlit and that all w~rt will bn performed to ~ect standards ~f all laws
<br />regulating Cttnstrudie,n, City ct.des, 20ning re'gulati~ns, and land devele,prnent. regulatie,ns in the jurisdictie.n. I also
<br />certify that 1 understand that the regulations of other g~vernmental agencies ~dY apply to the intended work, and that it is
<br />/lY resp~nsibility to identify lIhat actions 1 must'tate to be in c('l1lpliance. Such agencies include bllt ~l e IiCII I i'li ted trJ:
<br />
<br />I Departlent of Envir~noental ReQulation - Cypress Bayheads, Hetland nreas and Environmentally Sensiliv~ L~nds,
<br />Water/Wastellater Treatment
<br />I Southwest Florida Ilater ManaQe~ent District - Hells, Cypress Bayheads, Hetland Areas, Altering Haterc~urses
<br />I Army Coros ~f Enoineers - Seawalls, DrJcks, Navigable Waterways
<br />I Departaent of Health L Rehabilitative Services. Environ~ental Health Unit - W~lls, Wastewater Treat~~n~. Septic Tanks
<br />I US Environaental Pr~tection Aoency - Asbestos abatement.
<br />
<br />1 also certify that, if fill material is to be used in Flc,~d ZClnl! "A" or "A,etc.", it is underste,[.d t,,~t a drainage plan
<br />addressing a 'colpensating volule" will be subJitted which is prepared by a professional engineer reqisl~ied in Ihe State of
<br />Florida prior to permit iS5u,ance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or
<br />set aside any provisi~ns Df the technical codes, nor shall issuance of a permit prevent the Building Official fro~ Ihereafter
<br />requiring a correction of errors in plans, construction, or violati~ns ~f any code. Every per~it issued ~ha)1 bec~.e invalid
<br />unless the work authori2ed by such permit is cO/l~enced within six /I~nths of issuance, Dr if UDlk authorIzed by the perait is
<br />suspended or abandoned for a pl!riod of six lonths after the till! the Mort is c~~menced. One 90 day e:te~5iDII Df til!?, Day 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 inspedirln l!Iust be IClgged 'during each six IIDnth period, Clr the pre,jed \.,ill be ((.nsidered ~b,;Hd[.rl;;d.
<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 />51 GNATURE~:_:~--_&~~----
<br />OWNER OR AGENT
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<br />DATE_________~~-~~ri~!!-------------
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<br />~e~~~yO~SA~~NT_~~~~-~~-------
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<br />MY COMMISSION EX ~~*~T~~---------------
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<br />~ .::; OJ LHIJ <J
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<br />SIGNATURE~~--~~-~~--
<br />CONTRACTOR
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<br />DATE_____~~~~~-~y(-LY~~-------------
<br />1/
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<br />~~~~~~c~~n~~__'1l;"Q"-~cf~-f------
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<br />, MY COMmSSIOI'l EXP1RES__________________
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