<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />Th! undersigned understands that this perlit la~,be subject to "deed re..rictions. which lay be lore restr,ictive than City
<br />regulations. Thlunde,T5igned USUliS rtlP~I)l1ilit,Y-:f~ co.,uV1c~..itihny applicabl! cleedns~ri~tions. .~
<br />,~,:"" :: .. ". '. .'.... ..,.,. . .. '.' . ," *' ';,
<br />B. UNL ICENS~D '1:-oNTRACTORS QND Cf}a.lT1'tAC?JR,:'~i,Sp.o~~. I~B..l: ~~lE.r ~,..;.
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<br />.' . ~,. .......
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<br />If the owner has hired a contractor or contractors to undertake work, they lay b!required to b! lic!nsed in a~c~~an~! with
<br />state and local regulations. If the contractor is not licensed as required by lair, both'the ownera'nd.C!"On\TKtor.lilY be
<br />cited for a lisd!l!anor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the inttnded work, they are advi~ed to contact the City of Zephyrhills Building Departlent, (813)
<br />788-6611.
<br />
<br />Furthenore, if the owner has hffed a contractor or con'tractors, he ,is .advised to have the contractor Is) sign portions of the
<br />.Contractor Se~ti.ons. of this application for which they will be responsible. If you, as the c.wn!T sign as the contractor,
<br />you are indicatiiig that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitl!d to permittlng~rivileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
<br />
<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 Const~uction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOle6ne other than the
<br />'owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />.owner' 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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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<br />Application is hereby lade to obtain a penit to do llork and inshlliltion as -indfeafed; I (~rt;'tt that no work or
<br />installation has cOllenced prior to issuance of a penH and that all work will be performed t..leet standards of all laws ..:..
<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 govern.ental agencies lay apply'to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include ~It ile not li.ited to:
<br />
<br />. J
<br />I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
<br />Water/Wastewater Treatlent
<br />f 50uthllest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatelent
<br />
<br />~ .....,- ~ .
<br />t -at'!1I..i'ertifyl1l,a.t."'I1f~f~1 laterl~__.i~..t.~~ ~d.il! Hood Zc.ne .A" or 'A,etc.', it is understc.c.d thilt a drainage plan
<br />addressing a 'colpensating volute" wiT'} De.~~tte~~"hich is prepared by a professional engineer regist~ied in the State of
<br />.1Joddi p.trt.i't~.tt permit issuance. '
<br />
<br />... ... _ ... - ~ ... ,,;.- ..!...~ .,.,..".'" .~~.. ~,'.... ~,,' "-
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<br />A per.it issued shall be construed to be a license to proceed with the lIork arid nc.t as authc,rity to vi[ll~ter cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frot thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code. Every perlit issued ~hdll becole invalid
<br />unless the work authorized by such permit is COllenced within six lonths of issuance, or if work authDl lIed by the permit is
<br />suspended or abandoned for a period of six lonths after the tiJe the work is co~menced. One 90 day e~tEnsiou of tile, lay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing tD the Building Official. An
<br />approved inspection lust be logged during each six lonth period, Dr the project will be considered dbdHdoned.
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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
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF MEN EMENT".
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<br />SIGNATlJRE__~-~~N~-
<br />
<br />DA TE_._~ftlL_fL------------------'-------
<br />NOTARY AS To2: '
<br />OWNER OR AGE ___~~~~~--~-
<br />MY COMMISSIO EXPIRES______________________
<br />
<br />
<br />CONTRACTOR
<br />
<br />DATE __ !Z-L.L-?-L------..-----------
<br />
<br />NOTARY AS ~ ' "\- I
<br />CONTRACTOR ~~~
<br />
<br />MY COMMISS N EXPIRES__________________
<br />
<br />NOTARY PUBLIC. STATE OF FLORIDA.
<br />MY COMMISSION EXPIRES: MAY 17.1992.
<br />l!!ONDEO THRU NOTARY PUBLIC UNDERWRITERS.
<br />
<br />NOTARY PUBLIC. STATE OF FLORIDA.
<br />NH COMMISSION EXPIRES: MAY 17. 1992.
<br />BONDED THRU NOTARY PUBLIC UNDERWRITER9~
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