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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A.' NOT I CE OF DEED RESTR I CT IONS'
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<br />The undersigned unders~ands ~ha~ ~his per.i~ lay be subjec~ ~o 'deed res~ricti~ns' whicn may be more res~rictive than City
<br />regulations, The undersigned assumes responsibility. for cOlpliance with any applicable deed restrictions.
<br />
<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 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 owner and contractor lay be
<br />cited for a .isdemeanor 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, ~hey are advised to c~ntact the City ~f Zephyrhills Building Departlent, (813)
<br />788-6611.
<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 ~wner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the c~ntract~r wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled t~ permitting privileges in the
<br />City of Zephyrhills.
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<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 applican~, have been provided wi~h a copy of 'Florida's Construction Lien Law - Homeowner's Protec~ion
<br />Guide' prepared by the Florida Depar~len~ of Agriculture and Consumer Affairs. If the applicant is somEone other than the
<br />'owner', I certify that I have obtained a copy of the above described document and prolise in good faith to deliver it to the
<br />'owner' prior to cOliencement.
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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 work will be d~ne in c~~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby made to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has commenced prior to issuance of a pertit and that all Horl: will be performed to meet standards of all l.ws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />,.y responsibility to identify what actions I llIust take to be in crlmpliance. Such agencies include bllt ~1 emIt 1 iili ted to:
<br />
<br />I Department of Envi,oo~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlllent
<br />I Southwest Florida Hater ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />I ArlllY CorDS of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart_eot of Health ~ Rehabilitative Services. Environmental Health Unit - H~lls: \jasteHater Treat~e~t. Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill laterial is to be used in Fle,od Ze,ne "A' or 'I\,etc.', it is understr,e,d th,l a drainage plan
<br />addressing a 'colpensating volule' will be sub.itted which is prepared by a professional engineer feqisl~,ed in the State of
<br />Florida prior to permit issu~nce.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the wor~ and not as authority to yiol~le, cancel alter, or
<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 of errors in plans, construction, or violations of any code. Every permit issued ;hall becole invalid
<br />unless the work authorized by such permit is commenced within six months of issuance, Of if work authorized by the perlit is
<br />suspended or abandoned for a period of six tonths after the time the work is commenced. One 90 day e:tE~5jDII of tile, aay 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 inspectie,n l!Iust be le.ggedduring each six lIIonth period, elr the pre,ject wi 11 be (e,nsidered dboiide,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".
<br />
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<br />SlGNATURE~~_~------
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<br />
<br />DATE__~__:?~(~~___-__--_-_--_-_____----
<br />
<br />I NOTARY AS TO 4
<br />OWNER OR AGENT__ __ --- -- -------
<br />
<br />> .... '''''''0.' .., no,,'.
<br />MY COMMISSION EXPIRES__ML~m~~~~~~~~~~~~!_-
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<br />SIGNATURE______________________________
<br />CONTRACTOR
<br />
<br />DATE___________________________________
<br />
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
<br />
<br />MY COMMISSION EXPIRES
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