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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The ,undersigned understands that this permit lay be sub5ect to "deed restrictions' which ~ay be ~Dre restrictive than City
<br />regulations. The undersigned assumes responslb~litf~for, cOlpliance with any applicable de~D restrictions.
<br />.,' '
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor .or contractors tD undertake 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 th~ OHncr and contractor ftay be
<br />cited for a misdemeanor violation under state law., If the ~wner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131
<br />78S-bb II.
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<br />Furtherlore, if the owner has hired a contractor or contract~rs, he is advised to have the contractor(s) sign portions of the
<br />'Contractor Sections' of this application for which they will 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 Hishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed ~nd 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.
<br />
<br />CONSTRUCTION LIEN LAW
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<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 - Ho.eowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is soeeCne other than the
<br />'owner', I certify that I have ~btained l c~py of the above described document and promise in good faith to deliver it to the
<br />'owner' prior to c~llencelent.
<br />
<br />'1 :.: ~ '.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inf~r~ation in this application is accurate and that all work will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby lade t~ ~btain a permit to'do work and install~tion as indicated. I certify that no worK or
<br />installation has commenced prior to issuance of a per.it and that all w~rk will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, an~ land devel~pment regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply"to the intended work, and that it is
<br />my responsibility tel identify what actions I lIluSt take to be in compliance. Such agencies include bllt ~l e Ii(,t lillited to:
<br />
<br />...
<br />
<br />I Depart.e~t of Envir~nmental ReQul~tion - Cypress Bayheads, Hetland Areas and Environmentally Sen;i tive L3nds,
<br />Hater/Wastewater Treatment
<br />I S~uthwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland ~rea5, Altering HatercOUfSES
<br />I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services, Environmental H~alth Unit - Uells, UasteHater Treat~en~. Septic Tanks
<br />I US Environ~Ental Protecti~n AQency - Asbestos abatement
<br />
<br />I also certify that, if fill matr:rial is to be used in Flc.od Ze,ne 'A" (.f 'A,dc.', it is undHste,(,d t1"t a drainage plan
<br />addressing it 'compensating voluie' will be sublltted which is prepared by a prDfessional engineer registered 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 ahd not as authority to viol~te, cancel alter, or
<br />set aside any provisions of th~ technical codes, nor shall issuance of a permit prevent the Building Dfficial fro~ thereafter
<br />requiring a corrEction of errors in plans; c~nstruction, or violations of any code. Every per~it iS511~j ~hall becolE invalid
<br />unless the we,rK auttlCtTized by such permit is ce'JUIenced within six I'lonths of issuance, e,r if Hc,d: alltl,cq ],ed by the pHlit is
<br />susp~nded or abandoned for a period of six months after the ti)e the "Drk is commenced. One 90 day e~te~5ioll of tile, ~ay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be r~quested in writing t~ the Building Official. An
<br />itpprov~d inspectie,n r..ust be logged during each six month period, CoT the pr~ject Iii II be cc,nsidrred dbdl,oe",ed.
<br />
<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 Al"TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. J08S UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE_~-dc-B~-----
<br />OWNER OR AGENT
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<br />DATE__LQ~LQ=lj------------,--,--_._---
<br />
<br />S]GNATURE_J1Ii~-c;--jj~-
<br />CONTRACTOR
<br />
<br />DA TE________LO-::-LQ-:-1L-~ ----,------ --
<br />
<br />~~~~~y O~S A~~N~~_!'__-_~-~~.. ;~~~~~C~;R~~-~
<br />
<br />"
<br />
<br />
<br />VIVIAN M. McCORMICK
<br />State 01 Florida
<br />UyCon\lll. Exp. May 22.1.
<br />
<br />MY COMMISSION EXPIRES
<br />
<br />MY COMMISSION
<br />
<br />
<br />- - v~I"i~~t.tcK
<br />
<br />yY Comlll. Exp. *Y 22.'- '
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