<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 penit uy be subject to "deed restrictic,ns' which Illay be lore restr,ictive than City
<br />regulations. The undersigned assules respon5ibility~for"colpliance with any applicable d~ed restrictions.
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<br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor or contractors to 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 the OHner and contractor ~ay be
<br />cited for a .isdeleanor violation under state law. If the owner 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, (813)
<br />788-bbll.
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<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 wishes 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 provided with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
<br />'owner", I certify that I have obtained a, copy of the above described document and promise in good faith to deliver it to the
<br />"owner' prior to cO.lencelent.
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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 coapliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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<br />Application is hereby lade to obtain a perlit 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 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 governmental agencies ~ay apply to the intended worK, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bill j\l! not liaited to:
<br />
<br />. '
<br />I Department of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi live Lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps ~f EnQineers - Seawalls, DOCKS, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic
<br />I US Environmental Protection AQenc~ - Asbestos abatelent
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<br />Tanks
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<br />I also certify that, if fill laterial is to be used in Hood Zone "A" or 'A,etc.', it is understc,e,d tldt a drainage plan
<br />addressing a 'colpensating volute' will be sublitted which is prepared by a professional engineer rl!uist~led in the State of
<br />Florida prior to permit issuance.
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<br />A perlit issued shall be construed to be a license to proceed with 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 frol thereafter
<br />requiring a correction elf errors in plans; ce,nstructie,n, e,r violations of any cCode:. Every permi t isslIl!d "t..1l bece'le invalid
<br />unless the Hork authorized by such permit is coamenced within six months of issuance, or if HColk authol lIed by the per.it is
<br />suspended Dr abandoned for a period of six lonths after the tiJe the work is co~menced. One 90 day e~tEn5iol\ of tile, lay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspeclie,n i!lust be logged during each six lonth period, or the pre.jl:cl Hill be C('nsidered dbilllde'ned.
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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_~~~~~~----
<br />OWNER OR AGOO---.-O---
<br />DATE __________..L.L2-,-L~..s::.:-:i.L-------,-------
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<br />SIGNATURE~Url~
<br />CONTRACTOR
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<br />DATE________~~~-L-~~~qL--------------
<br />
<br />NOTARY AS TO , /', ' ...../ /0 .
<br />OWNER OR AG~~~~~;~~~----~-
<br />/,7 l...--' ~ .--
<br />MY COMMISSION EXPIRES_________~~~~~------
<br />i?;:~~\;~t;ii,:;.\ "\,.','; :t.,~~ ~
<br />
<br />
<br />NOTARY AS TO ::/' . /,}
<br />CONTRACT~__ ~~~~L______
<br />/ .-/'"
<br />"
<br />MY COMMISSION EXPIRES__________________
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<br />Notary Put!!c. Sta~() ell t:lpriO<l at ~arge
<br />My CC!mm\~s\"n ki\';lllflS Mar .3. 1':194
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