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<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 restrictions' whicn lay be .ore res~rictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance 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 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 ~ay be
<br />cited for a lisdeleanor violation under state law. 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.
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<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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 .ay be an indication that he is not properly licensed and is not entitled to permitting privileges in the
<br />City of Zephyrhills.
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<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 with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection
<br />Guide' prepared by the Florida Departaent 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 />.owner.prior to co.aencement.
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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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cO'lenced prior to issuance of a permit 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 may apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlllpliance. Such agencies include but ~le liCIt liltited to:
<br />
<br />. Department of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Tr~atment, Septic Tanks
<br />. US Environlental Protection AQency - Asbestos abate.ent
<br />
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "colpensating volule" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to per.it iss~ance.
<br />
<br />A per.it 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 provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issu~d "hall becole invalid
<br />unless the work authorized by such per.it is co..enced within six months of issuance, or if Hork authorIzed by the per.it is
<br />suspended or abandoned for a period of six lonths after the time the work is commenced. One 90 day e~tEnsioll of tile, lay 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 inspection must be logged during each six lonth period, or the project will be considered dbalidoned.
<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 II NOT I CE OF $ENCEMENT II .
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<br />SIGNATuR~jll~__1J__k~__ SIGNATURE__ _ ~
<br />OWNER OR AGENT CONTRACT
<br />
<br />DATE__2.f_~_~~~_~~_____________________
<br />
<br />NOTARY AS TO L/f!.. (/~I/// ,/
<br />OWNER OR AGENTI/t{f~/ C(-, , ~-----
<br />" ;. J:;' Notary P Ii .
<br />MY C[)M.'I~r'ION" ~-"PI S~' II..,.. . State of FlOrida
<br />, r.~;;) t;..... -e. .~ "~J1llD.. fx/.l-ArIal:.-Y.m~--
<br />
<br />DATE___2l~~-~~~~----------1- ------
<br />
<br />NOTARY AS TO~~~ -4 I~ /
<br />CONTRACTOR /. / /-r. . '-.
<br />--- - " 'N' Public S e- Fion a-'
<br />~ ' o,sry , 17. 1995' :
<br />MY COMMISS:ON EXP] .J!!!5".~~~'::~_~____~.
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