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<br />CONDITIONS, OF.PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The ,undersigned understands that this perlit lay bl sublect to "deed restrictions" which ~ay bl oore restrictive than City
<br />regulations. The undersigned assules respon51blllty~for. COlpliance with any applicable decd rcstrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor .or contractors tD undertake work, .they lay be rcquired to be licensed in accordance with
<br />state and local regulations. . If thl contractor is not licensed as required by law, both thc ONncr and contractor lay be
<br />cited for a misdeaeanor violation under state law., If the owner or intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zcphyrhills ~uilding Departlent, (813)
<br />788-6611.
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<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
<br />'Contractor Sections' of this application for which they will be responsible. If you, as the owncr 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 Day be an indication that he is not properly licensed ~nd is nDt entitled to per~itting privileges in the
<br />City of Z~phyrhills.
<br />
<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 C[,nstruction Lien Law - Ho~eowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is soee6ne other than the
<br />'owner", I certify that I have elbtained a. CDPY of the above described de,culllent and promise in g[,od faith to deliver it to the
<br />'owner' prior to cOI~encement.
<br />
<br />~ 1 ." t' ~
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inf~rmation in this application is accurate and that all wor~ will be done in coapliance with all
<br />applicable laws regulating construction, 20ning, and land development.
<br />
<br />Application is hereby made to obtain a per.it to'do Mork and install~tion as indicated, I certify that n~ worK or
<br />installation has COlmenced prior to issuance of a per.it and that all work will be performed to ~eet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land devel~pment regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply. to the intended w~rK, and that it is
<br />my responsibility te. identify what actions I must take to be in compliance. Such agencies include bid ~IC Il[,t lillited t~:
<br />
<br />#'
<br />
<br />I Depart&e~,t of Envir~nlllental ReQul;tion - Cypress Bayheads, Hetland Areas and Environmentally Sensi tive Ldnds,
<br />Water/Wastewater Treatment
<br />* Southwest Florida \later' ManaQelent District - \/ells; Cypress Bayheads, Hetland ~reas, Altering Haterc~urses
<br />f ArtY Corps of EnQineers - Seawalls, Dods, Navigable Waterways
<br />f Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - W~Jls, Wastewater Treat~en~. Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill aaterial is to be used in He,od Ze.ne "A" or "~,etc.', it is undHst[,[,d tldt a drainage plan
<br />addressing a 'compensating volume" will be subtitted which is prepared by a professional engineer regi5t~red in the State ~f
<br />Florida prior t~ permit issuance.
<br />
<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Official fro~ thereafter
<br />requiring a n,rrediH, [,f errors in plans; constructie1n, [Ir violations of any c(,de. bery perlllit isslld ~hall bee[.1t invalid
<br />unless the w(.rk authorized by such permit is ce,uenced within six months (,f issuance, (.r if \it,d; a\!tho, l.:ed by the perlit is
<br />suspended ~r abandoned for a period of six lonths after the ti~e the NDrk is commenced. One 90 day e:le~5iDII of tile, say be
<br />allowed for the per~it with fee charge of ~15.00. The extension shall be request~d in Hriting to the Building Official. An
<br />approved inspecti[,n !:lust be l(,gged during each six 1II0nth period, (Ir the pr[Iject Iii 11 be c[,nsidNed ilbol,d(.ned.
<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 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".
<br />
<br />
<br />DATE ____lP____~~::-fj--------------.--.-------
<br />NOTARY AS TO \ --?: iOf / , ;'
<br />OWNER OR AGEN~..b1c:~ . U~'7r-'---.-
<br />MY COMMISSION EXPIRES_ __~~~_~~--L~2_~----
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<br />SIGNATURE~'~~----
<br />CONTR~TO;---.l--r
<br />DATE_~_C2_~;r-~-~-(--------------
<br />NOTARY AS, TO ~;;;: / .l
<br />CONTRACTOR_~~_~fL.,L?-~----
<br />MY COMMISSION EXPIRES~=~-~rj-~~-~-
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