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<br />tONDITIONS, OF PERMIT AFFIDAVIT
<br />A.': NOTICe: OF DEED RESTRICTIONS ;', , ,
<br />
<br />The undersignvd understSnds that this per.lt lay be subject to "dved restr1cti~ns' whicK may b~ lore restrictive than City
<br />regulations. The undersigned nsulI!s rl!sponslblllt~",f~,~ cOllpllanc!! lIith any applicable d~~d res\ric\ion~.
<br />~:. ,:.\ ,'. '.. .
<br />t- " '."~ . (
<br />B. UNLICENSED CONTRACTORS AND' tONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertakc 1I0rk, they ~ay b~ required 10 be licensed in accordance with
<br />state and local regulations, If the contra~tor is not licensed as re,quired by law, be,\h the ollner and contracteor nay be
<br />cited for a .isdel!!anor violation under state lall,'. If the ollncr or intcnded contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, thl!Y are advised to contact the City of Zephyrhills Building Departaent, (813)
<br />788-6611. ',',
<br />
<br />Further.ore, if the ollner has hired a contractor. Dr contractors, hI! is advised to have the contractor!s) sign portions of the
<br />'Contractor Sections' of this application for IIhleh 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 aay be an indication that he is not properly licensed and is not entitled to 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
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<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />I cedify that I, the applicant, havl! b!!en pro'vldedlllth a cop'y of "Fle,rida's Ce.nstruction Lien lall - He'lleollner's Prc.teclion
<br />Guide' prepared by the Florida Department of Agriculture and ConSUI!!r Affairs. If the applicant is SOlE one other than the
<br />'owner", I certify that I have ~btain!!d a copy of.the above d!!scribed document and proDi5e in gDod f~ith 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 work Mill be done in c~ftpliance lIith all
<br />applicable lalls regulating construction, z~ning~ and land dl!velopaent.
<br />
<br />~ -', ;
<br />Application is hereby made t~ obtain a pertit t'o'do 1I0rk andinstallatie.n as indicaied. I certify that no lle,rk or
<br />installation has co&!!!nced prior to issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laws
<br />regulating ce.nstructie.n, City ce.dl!s, zoning re'gulations, and land develr,pment regulatie,ns in the jurisdictieln. I also
<br />certify that 1 understand that the regulations of other gov!!rnaental agencies ~ay apply tD th!! intended w~rk, and that it is
<br />.y responsibility to id!!ntify IIhat actions I lUSt' take to bl! in cCompliance. Such agencies include loII1 ~l!! liC.t li.lited to:
<br />
<br />I Departlent of EnvirCon~enial ReQulation - Cypress Bayheads, Hetland Areas and EnvirDnmentally Sensi tive l~nds,
<br />Water/Wastewater Treatlll!!nt
<br />I SCoUthllEst Florida Hatl!r ManaQelent District - Hells, Cypress Dayheads, Hetland Areas, Altering Watercourses
<br />I Army C~ros of EnQineers - Seallalls, Docks, Mavigable Haterways
<br />I Departlent Cof Health L Rehabilitativl! Services. Environmental Health Unit - H~lls, Wastewater Treat~en:, Septic Tanks
<br />I US EnvirCon~ental Protect iCon AQency - Asbestos abatem!!nt
<br />
<br />I
<br />I also certify that, if fill lIaterial is to'be used in Flood Ze,ne "A" or "A,etc.', it is underste,e.d t;.~t a drainage plan
<br />addressing a "colpensating volule" will be subtitted which is prepared by a professie,nal enqineer reqisl~iod in the State of
<br />Florida prior to perlllit iss~anc!!.
<br />
<br />A perlit issul!d shall be constru!!d to be a license to proce!!d with the work and nol as authority to yiDl~te, cancel alter, or
<br />set aside any provisions of th!! technical codes, nor shall issuance of a pcrmil prevenl the Building Official fro~ thereafter
<br />requiring a correction e.f errc.rs in plans, constructlc,n, or violations e.f any (e,de. EYery per~it iSSlled :hall bece,ae invalid
<br />unless lhe Nork auth~ri2!!d by such perllit is commenced within six months pf issuance, or if Hork authorIzed by the perlit is
<br />suspended or abandoned fpr a pl!ripd of six .onths aftl!r the time thl! H~rk is (o~men(ed, One 90 day ~:li~5ioll of tile, aay be
<br />allolled for the per~it with fee charge of $15.00. The ext!!nsion shall be requested in "riting lo the Building Official. An
<br />approved inspection ~ust be Ipgged 'during each six m~nth p!!riCod, ~r the project Hill be cDnsidered ~balidonfd.
<br />
<br />WARNING TO OWNER: YOUR FAI(URE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUI~ 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 RE POST A "NOT I CE OF COMMENCEMENT ".'
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<br />
<br />~nRAcTOR
<br />
<br />DATE_C_________~~f!--------------
<br />
<br />NOTARY AS TO ~ It: ~
<br />CONTRAC TOR _._-~-A.-tt,. ___ __l~.L-- ----
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<br />~IY Celi'lm SS I ON EXP rPf6tlJy-PuWie-PIIeo-fo.-R.---
<br />My Commission Elpirn May 13. 1995
<br />
<br />WNER OR AGENT
<br />
<br />DATE______________~~~(----------------
<br />~~~~:yo~SA~~NT__!~~~0c~~~~-------
<br />
<br />MY COMMISSION EXPIREN~~1iiOlArft-----
<br />My Commission Etpircs May 13: I,'"
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