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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which ~ay be more restrictive than City
<br />regulations. The undersigned assules responsibility.for co~pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake work, they may 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 o"ner and contractor ~ay be
<br />cited for a lisdeleanor violation under state laM. . If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
<br />'Contractor Sections' of this application for which they will 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 lay 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
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<br />D.
<br />
<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided Mith a copy of 'Florida's Construction Lien Law - HOleowner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is sOleone other than the
<br />'owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />'oMner' prior to cOlmencement.
<br />
<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 work will 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 pertit to do work and installation as indicated. ] certify that no work or
<br />installation has commenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
<br />regulating construction, c~ty cod~s, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulatiDns of other governmental agencies may apply to the intended work, and that it is
<br />IY responsibility to identify what actions I llIust take to b~ in -=omplianc~. Such agencies include bllt ~1 e not lillited to:
<br />
<br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQe,ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - W~lls, WasteHater Treat~ent. Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abatement
<br />
<br />] also certify that, if fill Ilat~rial is to be used in Fle.od Zc.ne "A" or "I\,etc.", it is underste,e,d tli~t a drainage plan
<br />addressing a 'colpensating volu~~' will be subtitted which is prepared by a professional engineer reqisl~,ed in the State of
<br />Florida prior tD permit issu.ance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with th~ work and not as authority to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froft thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ihall becote invalid
<br />unless the work authoriz~d by such perlit is co.~enced within six months of "issuance, or if Hork authorIzed by the pertit is
<br />suspended or abandoned for a period of six lonths after the time the work is commenced. One 90 day e=tE~5joll of tiee, aay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in "riting to the Building Official. An
<br />approved inspection ~ust be logged during each six month period, or the project Hill be considered abal~oned.
<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".
<br />
<br />
<br />SIGNATURE_~~-m..5:)~
<br />. CONTRACTOR +- C k-' N cf(
<br />
<br />SIGNATURE
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<br />----------------------------------
<br />
<br />OWNER OR AGENT
<br />
<br />n
<br />DATE_______~~-~L-!-~5-L----------
<br />tJ I
<br />NOTARY AS TO t"~ '
<br />CONTRAC T OR __ _ _ _ c; ~'S.j!.:---;,::5"!1f~~'-4 - ----
<br />
<br />MY COMMISSION ~~~Y~ZUL~All~CSLW~~~~
<br />
<br />{' -:.
<br />I".',
<br />
<br />l. ". ~ i >~ '~,..-: ~
<br />
<br />DATE
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<br />---------------------------------------
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT_____________________________
<br />
<br />MY COMMISSION EXPIRES______________________
<br />
<br />_ _ '; :,';: ";<i.L.! .'~ ~ "J I>
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