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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 perlit lay bl subject to "deed restricti~ns' which may be more restr.ictive than City
<br />regulations. The undersigned assules responsibility~foT cOlpliance with any applicable deed restrictions.
<br />. ,
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the ONner has hired a contractor or contractors to undertakc work, they lay 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 owner and contractor lay be
<br />cited for a misde.eanor violation under state law. If the owncr or intended contractor are uncertain as to what licensing
<br />reQuire.ents aay apply for the intended w~rk, they are advised to contact the City of Zephyrhills Building Departlent, tBl31
<br />7BB-6611.
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<br />Furtherlore, if the owner has hired a contractor or contract~rs, he is adviscd to have the c~ntract~r(sl sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. 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 c~ntract~r wishes y~u to sign
<br />as contractor that say be an indication that he is not pr~perly licensed and is not entitled t~ permitting 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 Construction Lien Law - H~leowner's Pr~tection
<br />Guide" prepared by the FI~rida Departlent of Agriculture and Consumer Affairs. If the applicant is sOle~ne other than the
<br />"owner', I certify that I have (.btained a. copy of the above described de,cullient and pr~fflise in ge,od faith to deliver it to the
<br />'owner" prior to commencelent.
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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 c~spliance with all
<br />applicable laws regulating c~nstructi~n, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a permit to. do work and install~tion as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit and that all worK will be performed to meet standards of all laMS
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdicti~n. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
<br />IY responsibility te, identify what actions I lIust take to be in compliance. Such agencies include bnt ~i e Iie,l lifSited to:
<br />
<br />. J
<br />. Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
<br />. Ar_v Corps ~f EnQineers - Seawalls, DOCKS, Navigable Waterways
<br />. Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~e~~, Septic Tanks
<br />. US Environ.ental Protection AQencI - Asbestos abatement
<br />
<br />I also certify that, if fill material is to be used in Fltood Zone "A" or 'A,etc.', it is underste,e,d t!.ot a drainage plan
<br />addressing a 'colpensating volume" will be sublitted which is prepared by a pr~fes5ional engineer regist2ied 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 vio13te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall ,ssuance of a permit prevent the Building Ufficial frol thereafter
<br />requiring a correction of errors in plans; construction, Dr violations of any c~de. Every per~it issll~d ~hall becOle invalid
<br />unless the work auth~rized by such permit is cOI.enced within six months ~f issuance, Dr if M01.k aut!.DI Ized by the perait is
<br />suspended Dr abandoned f~r a period of six lonths after the tiJe the work is c~~menced. One 90 day e:leflsioli of tile, aay be
<br />alloNed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspecti~n ~ust be logged during each six lonth period, or the project "ill be considered dbii,doned.
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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 D AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATUR _ ~ ~~ SIGNATU E~ -----~-----
<br />-----~ER-6~- i~~i--- --------- ~~ ACTOR
<br />DATE____!{}---=--~-:_~(------------.-------
<br />
<br />
<br />
<br />NOTARY AS TO ., ~ _- / ~.
<br />OWNER OR AGENTJ;r~r~d-
<br />
<br />MY COMMISSION EXPIRES~~~~~~~E~~~l~~Ql~~~-
<br />My Comrn;?S;r.rl r"";f'"""<' 'nnil ')Q 10Q?
<br />
<br />DATE___~_~_::_~-~-~~----------------
<br />
<br />NOTARY AS TO/h~^-~/ J~ .
<br />CONTRACTOR__/,L~-Z:~~ - 1.~
<br />"' Notary ublic, State of F'Iorld .
<br />MY COMM I SS I ON EXP I RE9/~SQ.r!Lui:iSi.:l.J;;~ij;.*4~""'K}-""'~
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