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<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 permit may be subject to "deed restrictions" which ~ay be more restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
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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 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 owner and contractor lay be
<br />cited for a misdeleanor 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 Department, (B13l
<br />788-6611.
<br />
<br />Furthermore, if the owner has hired a contractor Dr 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 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 permitting privileges in the
<br />City of Zephyrhills.
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<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)
<br />
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOleone 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 co.mencelent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a permit to do work and installation as indicated. I certify that no work or
<br />installation has commenced prior to issuance of a permit 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 govern.ental agencies lay apply to the intended work, and that it is
<br />.y responsibilitt to identify what actions I .ust take to be in co.plianc!? Such agencies include bllt ~if' not limited to:
<br />
<br />. Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds,
<br />Water/Wastewater Treatment
<br />. Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />. Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatm€~t. Septic Tanks
<br />. US Environlental Protection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.., it is understood tli~t a drainage plan
<br />addressing a .colpensating volume" will be submitted which is prepared by a professional engineer reqistc,~d in the State of
<br />Florida prior to permit issuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to vioj~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uffieid] fro~ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit iss\led :hall becoie invalid
<br />unless the Nork authorized by such permit is co..enced within six months of issuance, or if wOI.k authorIzed by the permit is
<br />suspended or abandc.ned f[lf a peric,d of six lonths after the time the work is c04imenced. One 90 day (>;:t.f"SlOII of time, may be
<br />allowed for the permit with fee charge of $15.00. The extension ;hall be requested in writing to the Building Official. An
<br />approved inspection must be logged during each six lonth period, or the project will be considered dbrlildoned.
<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 A1TORNEY
<br />BEFORE RECORDING Y NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO R COR AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE
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<br />/ ~
<br />--r --- - ~~-------------
<br />DATE_______~_:;(.__dd:L--~-~-~.:t.L----
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<br />
<br />SIGNATURE_~_~~_____________
<br />CONTRACTOR
<br />
<br />DATE______J~=~1Y-----------------------
<br />
<br />NOTARY AS TO ...........
<br />OWNER OR AGE~~~\___9Jil~I~~_~~~~_______
<br />I 11 i CHARLES E. KASPER
<br />MY COMM I SS I ~ tJ My Commission Expire.
<br />~ 1----~~~it..--------
<br />. It 011 ...
<br />..."..-
<br />
<br />NOTARY AS TO .....,.
<br />CONTRACTOR ...:,'.~~v """';>. OFFICIAL SEAL
<br />---"llI:'-_'l:""-~~---------- ----------
<br />; ;\.<' .:: i.~ ~ CHARLES E. KASPER
<br />MY COMMI S5 I;"I\fl'~tiiii,~~~ My Commission Expires
<br />X oS';, ~~~;..' ----:!llly'22l:;1.'99S-----
<br />...4rE OF f\.~..
<br />fl.....,....
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