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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 per.it .ay be subject to "deed restricti~ns' which ~ay be more restr.ictive than City
<br />regulations. The undersigned assules responsibllity~for co'pliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake work, they .ay 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 ~"ner and contractor lay be
<br />cited for a misdeteanor violation under state law. If the owner ~r intended contract~r are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City ~f Zephyrhills Building Depart.ent, (813)
<br />789-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contract~r(s) sign portions of the
<br />'Contractor Sections' of this application for which they will be resp~nsible. If y~u, as the ~wner sign as the c~ntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the w~rk. If the contractor wishes you to sign
<br />as contractor that .ay be an indication that he is not pr~perly licensed' and is not entitled to per&itting 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 applicant, have been provided with a copy of "Florida's Constructi~n lien law - Ho.eowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is sOlec.ne 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 cot.encelent.
<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 will be done in co.pliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby .ade to obtain a perlit to'do Mork and install~tion as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all w~rk will be performed to leet 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 governaental agencies ~ay apply'to the intended work, and that it is
<br />.y responsibili ty to identify what actions I lust take to be in compliance. Such agencies include bill ~\ e Iwt 1 illi ted to:
<br />
<br />. ".r
<br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive landsr
<br />Water/Wastewater Treatsent
<br />I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Ar.v Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tan~s
<br />I US Environmental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill aaterial is to be used in FlCood Zone "A" or "A,etc.', it is underste,e,d that a drainage plan
<br />addressing a "colpensating volume" will be submitted which is prepared by a professional engineer feqist~ied in the state of
<br />Florida prior to permit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, 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 e.f errors in plans; construction, Dr violations of any ((ode. Every perlllit iss\l~il "hall ben'le invalid
<br />unless the work authorized by such permit is comsenced within six months of issuance, Dr if work authDflled by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti,e the work is co~menced. One 90 day e:tE~5iol\ 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 must be le,gged during e~ch si~ lIonth period, or the pre.jl:ct \jill be nnsiilered ilballde,ned.
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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 $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE~~~ ----
<br />CONTRACTO~~~
<br />
<br />DATE_________~~~j1~7~-----------------
<br />
<br />NOTARY AS ,TO/;; V? - \
<br />CONT~ACTOR:,.~j:.C{)J~,-A-~~--
<br />
<br />MY COMM1SSION EXPIRE.liJi.~-ii!:,,-.........:_;.;;.....,...~-;--:::-, n,
<br />
<br />SIGNATURE~ .~~~~,---
<br />OWNER ~..._------
<br />
<br />DATE _________ijj-'l!3-~---------------------
<br />
<br />NOTARY AS TO ~' \ r;), f
<br />OWNER OR AGEN ______'!/!!:-~IJ-J-~'l-W&i:::-L-
<br />
<br />.. I I "-" ", .'. .,' ,"
<br />No! y PdJ!l:, ~'[~,L O! r1c.rid'.i at liilge
<br />MY COMMISSION EXPIRE~Y CommiSSion ExpireS Jec. 6 195"
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