<br />CONDIT.IONS OF PERMIT AFFIDAVIT
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<br />A.', NOTICE OF DEED RESTRICTIONS:, ,
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<br />The undersign~d understinds that this perlit lay be subject to "d~ed restrictiDns' which ~ay b~ &ore restrictive than City
<br />regulations. The undersigned nsules responslbi1i~.Y.for co.pliance with any applicabl~ deed restrictions.
<br />;\',
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<br />8. UNLICENSED CONTRACTORS AND tON TRACTOR RESPONSIBILITIES
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<br />If the OHner has hired a contractor or contractors to undertake work, they may b~ requireq to be licensed in accordance lIith
<br />stAh and local regulatiDns. If the contractor 11 not licens~d as re,quired by lall, be,th the oltner and- contractc,r ~ay be
<br />cited for a misdeaeanor violation under state 1all. , If the owner or intended contracior are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, (BI3)
<br />7BB-6611.
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<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) sign portions Df the
<br />'Contractor Sections. of this application for which they will be responsible. If you, as the ollner sign as the contractor,
<br />you are indicating that youj'rather than the contractor, are responsible for the work. If the contractor lIishes you to sign
<br />as contractor that aay 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
<br />
<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 providedllith a copy of .Florida's Construction Lien Law - HomeoHner's Protection
<br />Guide. prepared by the Florida Departaent of Agriculture and Consumer Affairs. If the applicant is SOIEone other than the
<br />.ollner., I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
<br />.0Hner' prior to cOimencement.
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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 wort "ill be done in co~pliance with all
<br />applicable lalls regulating construction, zoning, and land development.
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<br />Application is hereby lade to obtain a per.it to do lIork and installation as indicated. I certify that no work or
<br />installation has com!enced prior to issuance of a permit and that all wort will be performEd to roeet standards of all lalls
<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 agenciei may apply to the intended \tork, and that it is
<br />my responsibility tc. identify what actions I lust take to be in ce.mpliance. Stich agencies include bllt ~ie IiC,t li.lited to:
<br />
<br />I Department of Envitonoental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi tive lands,
<br />Water/Wastellater Treatment
<br />I Southwest Florida Hater ManaQe!ent District - Wells, Cypress Bayheads, Hetland ~reas, Altering Hatercourses
<br />I Army Coros of Enoineers - Seawalls, Docks, Navigable Haterways
<br />I Department e,f Health ~ Rehabilitative Services, Environ~lental Health Unit - (Jells, Ilasteliater Treahten~. Septic Tanks
<br />I US Environoental Protection ~Qency - Asbestos abatement
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<br />I alse. certify that, if fill material is to be used in Flood Ze,ne .~. or "A,etc.', it is underste,e,d tl.,t a drainage plan
<br />addressing a 'colpensating volu~e' will be subMitted which is prepared by a professional engineer registered in the State of
<br />Florida prior to permit iss~ance.
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<br />A per.it issued shall be construed to be a license to proceed with the work and nDt as authDrity to yiol~te, cancel alter, or
<br />set aside any provisions e.f the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />requiring a correction e.f errcors in plans, construction, [,r violations of any cc.de. Every permit isslIl!d :;hall bece..e invalid
<br />unless the work authori2ed by such perlit is com~enced within six months of issuance, or if work authDrlied by the per.it is
<br />suspended or abandoned for a period of six lonths after the time the Hork is co~mrinced. One 90 day e=tE~sjoll of tile, aay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in Mriting to the Building Official. An
<br />approved inspectie,n l!Iust be le,ggedduring each six Mnth period, or the pre,jr:ct \'lill be cc,nsidl?red dbaiidoned.
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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 NO~ICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND pOST A II NOT I CE OF COMMENZ' " . .
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<br />" ~A
<br />SI;;NATURE-------aE~ii"A~~~--- SIGNATURE -- CONTR?c'~~---
<br />nATE______________________J?~~i---------- DATE_____________~~~.(------------
<br />~~~~~y O~S A~~NT _/l~-~4-------- ~g~~~;C~~R:~J?~-~-------"
<br />
<br />MY COMMISSION EXPIRES NotarYPUUii\;
<br />----~mmfiH~T~-------
<br />'; i;ommission Expires Dec. 20, 1991
<br />
<br />MY COM~1ISSIO~j EXPIRES NotarvP'"
<br />- - r.:C:1-.....!JI...u:.----------
<br />SWill o. flarida at Larae
<br />.iy Commission Expires Dec.20.199J
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