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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A; NOTII;E OF DEED RESTRICTIONS.
<br />
<br />Thr undrrsign~d undrrstands that this prrait lay be subject to "dred restricti~ns' which'may be lore r~strictive than City
<br />rrgulations. The undersigned assules responsibility.for co.pliance with any applicable deed restriction~.
<br />,
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the OHner has hired a contractor or contractors to undertake work, they may b~ required to be licensed in accordance with
<br />statr and local regulations. If the contractor is not licensed as required by law, b~th the owner and contractor ~ay be
<br />cited for a misdemeanor violation under state law. If the owner or intend~d contractor are uncertain as to what lic~n5ing
<br />requirelents lay apply f~r the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
<br />788-6611.
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<br />Furthermore, 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 resp~nsible. If you, as the owner sign as th~ c~ntractor,
<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 pr~perly licensed and is not entitled to per&itting privileges in the
<br />City ~f 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 applicant, have been provided with a copy of "Fl~rida's C~nstruction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have e.btained a copy of the above described de,culIJent and prc.mi:e in good fai th t,o deliver it to the
<br />"owner" prior to cOlmencement.
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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 done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated, I certify that no work or
<br />installation has commenced prior to issuance of a perJit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies IDay apply to the intended work, and that it is
<br />IY responsibili ty to identify what actions I lIlust take to be in compliance. Such agencies include bllt. ~l e Iic.t I iili ted to:
<br />
<br />I Departm~nt of Envi,on~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlllent
<br />I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />I ArlllY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treat~ent, Septic Tanks
<br />I US Environmental Protection AQency - Asbestos abate~ent
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<br />I also certify that, if fill material is to be used in Flood 20ne "A' or "A,etc.', it is understood tll~t a drainage plan
<br />addressing a "cDlpensating volu~e" will be subJitted which is prepared by a professional engineer regi5t~ied in the State of
<br />Florida prior to permit issuance.
<br />
<br />A perlllit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any prDvisions of the technical codes, nor shall issuance of a permit prevent the Building Official fre.. 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 cOIDenced within six months Df issuance, or if Hork authol12ed by the per.it is
<br />suspended or abandoned for a period of six lonths after the time the Hork is commenced. One 90 day e:te~5ioll of tile, aay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An
<br />approved inspection ~ust be logged during each six month period, or the project Hill be considered ~balidoned.
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<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 $2J500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />5IGNATURE~~~----
<br />. CO~~TDR
<br />DATE____1f~~~-~J-_-_-----------------
<br />
<br />SIGNATURE_~ ~d_!L_J2_- ~~::::=-------
<br />V-"-OWNER OR ~7--
<br />J r- /;; .y ,:'
<br />DA TE___~__-_-___I/-___._-_._!..~----------
<br />
<br />NOTARY AS TO "l/.r)9 g~
<br />OWNER OR AGENT _L!-3-0:!:;flc:::J_:I;:L~__~----
<br />---r;r Notary PublIc, Stat. of fhwida
<br />MY COMMISSION EXPIRES~~~.~~!~~~~!~l~!!
<br />loru:.iCKI Thru Troy Faln - 'nsuronce 'nc:.
<br />
<br />NOTARY AS T~ ;? ~~ ~
<br />CONTRACTOR_______~-~~~~~f~;~a
<br />MY COMMISSION EXPIRES~.~~-~~~~9~~~1'"
<br />landed Thru Trey Fain. Insuron:elnc.
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