<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A; NOTICE OF DEED RESTRICTIONS.
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<br />The undersigned understands that this perlit lay be subject to "deed restricti~ns" which ~ay be Dore res~rictive than City
<br />regulations. The undersigned assules responsibility.fof co.pliance with any applicable deed restrictions,
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor or contractors to undertake Hork, they may be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not lfcensed as required by law, b~th the o>>ner and contractor ftay be
<br />cited for a lisdeleanor 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, they are advised to contact the City of Zephyrhills Building Departlent (8131
<br />788-6611. r
<br />
<br />Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor!s) sign portions of the
<br />'Contractor Sections' of this application for which they Hill be responsible. If yc,u, as the ~wner sign as the c~ntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work, If the cc,ntractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled tc, 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)
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<br />I certify that I, the applicant, have been provided with a copy of "Florida's .Construction Lien Law - H~.eowner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is s~le~ne other than the
<br />'oHner', I certify that I have obtained a copy of the above described document and prc'mise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
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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 w~rk Hill be done in co!pliance with all
<br />applicable laHs regulating construction, zoning, and land development.
<br />
<br />Application is hereby aade to obtain a perait to do Hork and installation as indicated. I certify that no Hork or
<br />installation has commenced prior to issuance of a perlit and that all work will be perf~rmed t~ meet standards of all laHS
<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 ~ork, and that it is
<br />my responsibility to identify IIhat actic.ns I lust take to be in compliance. Such agencies include bllt. ~l e Jiol lillited to:
<br />
<br />I Department of Environ~ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensjtiv~ Lands,
<br />Water/Wastewater Treataent
<br />I Southwest Florida Hater ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />I Arty Corps of EnQineers - SeaHalls, Docks, Navigable Waterways
<br />I Depart_ent of Health L Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~ent. Septic Tanks
<br />I US Environ~ental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc,', it is understDod t~al a drainage plan
<br />addressing a 'colpensating volu~e" will be sublitted Hhich is prepared by a pr~fessional engineer regisl~red in the State of
<br />Florida prior to per~it issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the 1I0rk and not as authority to vi~l~te, cancel alter, or
<br />set aside any provisi~ns of the technical codes, nor shall issuance of a permit prevent the Building Official fr~1 thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every permit issued ~hall beCDle invalid
<br />unless the work authorized by such perait is cOllenced within six lonths of issuance, Dr if work authorIzed by the perlit is
<br />suspended or aband~ned f~r a period of six lonths after the time the uork is co~menced, One 90 day e:tE~5ioll of tile, lay be
<br />allowed for the permit Hith fee charge of $15.00. The extension shall be requested in ~riting tD the Building Official, An
<br />approved inspectic,n /'.iust be le.ggedduring each six lIIOnth period, e,r the prDject wi] I be cc.nsidered dbalidoned.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YBUR ~~I~~~~CEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT f\!~~ ~~/I":':.'- T:CE OF COMMENCEMENT".
<br />
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<br />SIGr.~()f-~4~l--k 5 I GNATURE ------OO"1'ROO1'OR--------------
<br />:::~--J-~-~-L~-C}~--L--------. :::::~-::-~:---------------------------
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<br />OWNER OR AGENT ~ __~~ CONTRACTOR_____________________________
<br />----- Rl . , 1':1':15
<br />. sibn eXPires Jan. 28,
<br />MY COMMISSION EXPIR~~~~~~~~~~:O~~~~~~_~~~~ MY COMMISSION EXPIRES__________________
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