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<br />CONDITIONS~O~iPERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The,undersigned understands that this permit lay be sub3ect to "deed restrictions' which ~ay be ~orc rcstr.ictivc than City
<br />rl1guhtlons. The undersigned assumes responsibility:;fori.,colpliance with any applicable deed restrictions.
<br />~ ~ ,1/. . ,.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
<br />
<br />If the ollner 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 o\!ner and contractor nay be
<br />cited for a Ilisdeaeanor violation under state lall., If the oltner e'r int,ended contracte.r are uncertain as to what licensing
<br />require.ents lay apply for the intended llork, they are advised to contact the City of Zephyrhills ~uilding Departlent, {B131
<br />7B8-6611.
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<br />Furtherlore, if the Ollner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
<br />'Contractor Sections' of this application for IIhich 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 lay be an indication that he is not properly licensed ~nd is nDt 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
<br />
<br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
<br />
<br />I certify that I, the applicant, have been provided lIith a copy of 'Florida's Construction Lien Lalt - HOlleoltner's Protection
<br />Guide' prepared by the Florida Department of Agriculture and Consuller Affairs. If the applicant is sOlleone other than the
<br />'oltner', I certify that I have elbtained a, CDPy of the above described de,cullient and prc,rr,i"e in ge.od faith to deliver it to the
<br />'ollner' prior to co.~ence~ent.
<br />
<br />~ \,'; r:.. t,. I ; '~
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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 ~or~ Itill be done in coapliance with all
<br />applicable lalts regulating construction, zoning, and land development.
<br />
<br />Application is hereby ~ade to obtain a per.it to'do work and install~tion as indicated. I certify that nD Itork or
<br />installation has co..enced prior to issuance of a permit and that all work Itill be performed to roeet standards of all lalls
<br />regulating construction, City codes, zoning regulati~ns, and land development regulations in the iurisdiction. I also
<br />certify that 1 understand that the regulations of other governmental agencies ~ay apply to the intended work, and that it is
<br />IY responsibility tel identify Ithat actions I lIIust take to be in compliance. Such agc::,cic:s include bllt :.>\ e not liaited to:
<br />
<br />...
<br />
<br />. Departle~t of Envir~nmental ReQulation - cypr~ss Bayheads, Hetland Areas and Environmentally Sensi tive Ldndsr
<br />Water/Wastewater Treatlllent
<br />f Southwest Florida Hater'ManaQement District - Hells; Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable HaterHays
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, IJastewater Treat~en~. Septic Tanks
<br />I US Environeental Protection AQenct - Asbestos abatement
<br />
<br />I also certify that, if fill aaterial is to be used in Flc,od Zone "A" or "A,etc.', it is underste.[.d lIdt a drainage plan
<br />addressing a 'colpensating volule' llill be subtitted Ithich is prepared by a professional engineer re~ist~led in the State of
<br />Florida prior to permit issuance,
<br />
<br />A per.it issued shall be construed to be a license to proceed with the Itork 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 frolft thereafter
<br />requiring a correction e,f erTDrs in plans; construction, e,r violations of any code. Every per~it iSSlled "hall beee,le invalid
<br />unless the wc.rk authe,rized by such perlllit is celllll\enced llithin six "onths of issuance, or if IH.d: all the" ),ed by the perlit is
<br />suspended or abandoned fCtr a period [,f Sill months after the ti:le the llor~ is cc'Menced. One 90 day e'~t",.SiOIl of tiae, lay be
<br />allowed for the per~it Itith fee charge of $15.00. The extension shall be requested in llriting to tho Building Official. An
<br />approved inspedi(.o /!lust be lelgged during each six month period, [.r the project ~ill be ce.nsidered <lbo\Jde,ned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1'Y. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE_~l1m~----- SIGNATURE__Y~~-~
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<br />DATE__________31~l1L------------------ DATE_u______"lL!i'!L----------------
<br />
<br />NOTARY AS TO p/J ' NOTARY AS TO c;:;:::{; 0 OJ" A__
<br />OWNER OR AGENT~ ~ONTRACTOR-~_~cI'-~
<br />Hotary Public. Stat, of Florida
<br />MY COMMISSION EXPIRES___,___~pim"NoYoa9; 199i1Y
<br />
<br />lcinded Thi-v Troy fQin .ln$Ufance Inee
<br />
<br />C;MM 155 ION EX P m[~ot~ Public. State offloridCl"
<br />''''Y ;omnllsskSffIXpiresflciY:-30:J993
<br />
<br />8o'nJ",d Thru Troy fgin. Inwfonce fn~.
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