<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' which may b~ more restr.ictive than City
<br />regulations. The undersigned USUle5 responslbltitf:for cOlplianc!! with any applicable d~ed restrictionlO.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a con~ractor ~r contractors to undertake work, 'they lay be r~quired 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 ftay be
<br />cited for a aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent, t813}
<br />788-6611.
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<br />Further.ore, if the OHner 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 Hill 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 wor~. 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 per&itting 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.
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<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 - HOleoHner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the
<br />"oHner", I certify that I have obtained l c6py of the above described document and proffiise in good faith to deliver it to the
<br />'oHner' 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 work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
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<br />Application is hereby lade to obtain a pertit to' do work and install~tion as indicated. I certify that no Hork or
<br />installation has cOllenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
<br />regulating construction, City cod~s, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other govern~ental agenci~s ~ay apply- to the intended MorK, and that it is
<br />.y responsibility tel identify what actions I IIUSt take to be in cOAlpliance. Such agencies include but ~l enol lillited to:
<br />
<br />...
<br />
<br />I Departle~t of Envir~n.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps ,of EnQineers - Seawalls, Docks, Navigable Waterllays
<br />f Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Tr~at~errt. Septic Tan~s
<br />I US Environaental Protection AQency - Asbestos abatement
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<br />I also certify that, if filllat~rial is to be used in Flc.od Ze,ne "A" elr "A,etc.', it is understN,d l"~t a drainage plan
<br />addressing a 'colpensating volule" Hill be sublitted which is prepared by a professional engineer regist~ied in the state of
<br />Florida prior to perlit issuance.
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<br />A perlit issued shall be construed to be a license to proceed Ilith the wor~ and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perAlit 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 becDae invalid
<br />unless the lIork authorized by such perlit is cOllenced within six lonths of issuance, or if wOI'k aulho(Jied by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti,e the wor~ is commenced. One 90 day e:tensioll of tile, lay 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 inspecticln JlIust be lc'gged during each six Ilonth period, or the prcljed will be considered ilballdc,rled.
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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 BECORDING 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 />owN(ffi-CJR AGENT
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<br />SIGNATURE
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<br />
<br />CONTRACTOR
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<br />DA TE--rJ-f-l-7-/-- 9!-(------.---------.-------
<br />
<br />NOTARY AS TO L "/', I r 11 J '" J
<br />OWNER OR AGENT ~Ji~~-
<br />Notary Public, State of Florida
<br />MY COMMISSION EXPIRES~~~~~~~T~
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<br />Bonded Thru Troy Fain. Insuronce Inc.
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<br />DATE___________________________________
<br />
<br />NOTARY AS TO
<br />CONTRACTOR__________~------------------
<br />
<br />MY COMMISSION EXPIRES
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