<br />CONDIT.IONS OF PERMIT AFFIDAVIT
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<br />A.': NOT I cE: OF DE:E:D RE:STR I cT IONS:, ,
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<br />Th. und.rsigned understinds that this per.it lay be subject to "deed restrictions' ~hich ~ay be more res,rictive than City
<br />regulations. The undersigned assules responsibili~Y,fo~ compliance with any applicable deed restrictions.
<br />." ...\" ..\.
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<br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the ~"ner has hired a c~ntractor or contractors to undertake work, they may be required to be licensed in accordance with
<br />sta\I and local regulatl~ns. If the contractor i5 not licensed as required by lall, both the Ollner and contractor ~ay be
<br />cited for a .isdelean~r violation under state law. , If the owner or intended contractor arE uncertain as t~ what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, (813)
<br />7BB-6611.
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<br />Furtheraore, if the owner has hired a contractor or contract~rs, he is advised to have the contractor(s) sign portions ~f the
<br />'Contractor Sections. of this application for which they Hill be resp~nsible. If you, as the ollner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor lIishes you to sign
<br />as contractor that lay 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 provid~d ~ith a copy of .Florida's Construction Lien Law - Hoee~wner's PrDtection
<br />Guide. prepared by the Florida DEpartment of Agriculture and Consumer Affairs, If the applicant is soeeone other than the
<br />.ollner., I certify that I have obtained a copy of "the above described document and pro.i~e in good faith to deliver it to the
<br />.owner. prior to COlaencement.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the infurmation in this application is accurate and that all wor~ will be done in co~pliance lIith all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no 1I0rt or
<br />installation has co&!enced prior to issuance of a per.it and that all wor\: will be performEd to roeet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulati{,ns in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply t{. the intended work, and that it is
<br />flY responsibility to identify what actions I must ta\:e to be in cOlllpliance. Such agencies include bill ~ie )jot liilited to:
<br />
<br />I Department of Envi,onmental ReQulation - Cypress Bayheads, Hetland Areas, and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Hater ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
<br />I Ar~y Coros of Enqineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services. Environ~ental Health Unit - W~lls, Wastewater Treat~!n~. Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill material is to be used in Fle,od Zone 'A' or "A,etc.', it is underste.{.d thot a drainage plan
<br />addressing a 'colpensating volu~e. will be sub.itted which is prepared by a professional engineer regist~ied in the State of
<br />Florida prieor to permit issu,ance.
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<br />A per~it issued shall be construed to be a license to proceed ~ith the work and not as authority to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall becole invalid
<br />unless the work authorized by such permit is COllftenced within six months of issuance, Dr if work authorIzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the time the ~ork is co~menced, One 90 day e:le~5joil of tile, lIay be
<br />alloHed for the per~it with fee charge of $15.00. The extension shall be requested in "riting to the Building Official. An
<br />approved inspedie.n /:lust be le'ggedduring each six IlOnth period, eor the project Hi II be (C.nsidered dbaiidofled.
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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___~~o-: _ R--A~GE-AA~ __________ SIGNATUR~~~~..~~
<br />-6~~ ~ ~' " . ~ONTRACTOR '
<br />DATE_____~~~------------------------- DATE____~l~~-----------------------
<br />
<br />NOTARY A5 TO ~ /. /
<br />OWNER OR AGENT ~~~"~,,,,~_~44-.t~-:~-:_
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<br />rJc:~.r:: :n '.: ~,:r:_ '~,'_ '-','-~"'.'. ". -':' '-,
<br />
<br />MY COMM 155 ION EX P I RES _~;:.~:::,::,:,::,::.--_",:'::'----:..._-,-.:"~'
<br />
<br />~~~~~~C~~R~:aa""~~~(~-,",",
<br />MY COMMISSION E XP I R~S CC"~;'; :",i.:iC~ J!,,"! :,',:~ :'j"
<br />-.-- -- --;..:r;-T".rrrrTj------
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