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<br />I
<br />
<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />. .'
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />Th~,und~rsign~d und~rstands that this perlit lay be subject to "d~ed r~stricti~ns" which may b~ ~ore restr,ictiv~ than City
<br />r~gulations, Th~ und~rsign~d assUles responsibility:for..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 owner has hir~d a contractor or contractors to undertake work, they aay be required to be licensed in accordance with
<br />state and local r~gulations, If the contractor is not licensed as required by law, both the owner and contractor ~ay be
<br />cit~d for a eisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply f~r the intended work, they are advised to contact the City of Z~phyrhills Building Departlent, 18131
<br />788-/,/,11.
<br />
<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the c~ntract~rlsl sign portions of th~
<br />'Contractor Sections' of this application for which they will be responsible. If y~u, as th~ ~wner sign as the c~ntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the w~rk. If the contractor wishes y~u to sign
<br />as contract~r that lay be an indication that he is not pr~perly licensed and is not entitled to per&itting privileges in the
<br />City of Zephyrhills,
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D.
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<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />I c~rtify that I, the applicant, have been provided with a copy of "Florida's C~nstructi~n Lien Law - H~.eowner's Protection
<br />Guide' prepared by the Fl~rida Departl~nt of Agriculture and Consue~r Affairs. If the applicant is sOleone oth~r than the
<br />'owner", I c~rtify that I have ~btained I copy of the abov~ described document and pr~mi5e in g~od faith to deliver it to th~
<br />'owner' prior to co.mencement,
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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 co~pliance with all
<br />applicable laws regulating c~nstructi~n, zoning, and land developeent.
<br />
<br />Application is hereby lade t~ obtain a perait to do Mork and install~tion as indicated. I certify that no work or
<br />installation has co..enced prior to issuance of a perlit and that all work will be performed t~ meet standards of all laws
<br />regulating construction, City codes, zoning regulations, anrl land development regulati~ns in the jurisdicti~n. I also
<br />,.,'ify th.t , .""".,d th.t th. ,.g.,.'i'" ,f ,Ih.r goy.rn..,'" .g,"i" .,y .p,ly" Ih. i,t"d,d ,.,k, .,d Ih.' il i'
<br />IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~le "~l li!ited to:
<br />
<br />. .;. """
<br />I Department of Environmental ReQulation - Cypress Bayheads, Wetland ~reas and Environmentally Sensitive LdDds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~err~. Septic Tanks
<br />I US Environlental Protecti~n AQenc~ - Asbestos abatement
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<br />I also certify that, if fill aaterial is to be used in Hood ZClne "A" or "~,etc.', it is underste,e,d l"~l a drainage plan
<br />addressing a 'colpensating volume' will be sublitted which is prepared by a pr~fessi~nal engineer fegisl2ied in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with the work and n~t as auth~rity to yi~l~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />,.,.i,ing . """Ii,' ,f .,r'" i, pl.n,; ""I,.,'i.n, " vi".I;,,' ,f "1 "do. '"ry ,.,." ;"",d 0,.11 b','" ;,v.I;'
<br />unless the work authorized by such permit is co.menced within six months ~f issuance, Df if HOlk authDI lzed by the pertit is
<br />,.,p.nd.d or ,b.,d".d f.' . p.ri,d ,t ,t. .,,'h, .f'., Ih. Ii.. Ih, ",k i, ".""". 0'. ,. d., ",.,.1,,, " Ii.., "Y b.
<br />allOMed for the per~it with fee charge of $15.00, The extension shall be requested in wriling tel the Building Official. An
<br />approved inspectie,n must be le,gged during each six eonth period, or the pre,jed wi II be considered dbdl.de'lled.
<br />
<br />
<br />MAY
<br />
<br />RESULT
<br />INTEND
<br />BEFORE
<br />DO NOT
<br />
<br />
<br />______~fi:
<br />
<br />DATE __Lj~_c:Bf.::-_CZf__--------------'-------
<br />
<br />NOTARY AS TO /-:J /(L.--:--r- / .-/1
<br />OWNER OR AGENT ~J.2:kU~~/~~':!'-
<br />
<br />MY COMMISSION EXPIRE~A~~~Y8~G,&~~~~~DA
<br />My commission expires Jan. 2 S, 1995
<br />Bonded thru Patterson. Becht Age~y
<br />
<br />DATE I () ,- d (~ 9' I
<br />--------------------_._------~--~---
<br />
<br />NOTARY AS TO /7 - / -//..
<br />CONTRACTOR__~-~~~~~
<br />
<br />MY COMMISSION EX~'~_~~~~S-~T3Ig~~-~~
<br />I\,y C~r;Jr.I1,ssJOn expires Jan. 2(;, 1995
<br />Bond~a ltlru t"\..lrtt.:'rson - B~cht r..\gency
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