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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 und~rsigned understands that this periit may be subject to 'deed restrictions' whicn'may be more res~rictive than City
<br />regulations. The undersigned assumes responsibilitY,fo~ compliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the ~~ner has hired a contractor or contractors to undertake work, they may b& required to be lic~nsed in accordance with
<br />stale and local regulation~. If the contractor is not licensed as requirl!d by law, be,lh the ollner and contradeor nay hI!
<br />cited for a ~isdeaeanor violation under state law. , If the ownl!r or intl!nded contractor are uncertain as to what licensing
<br />requireAents may apply for the intended Hork, they are advised to contact the City of Zephyrhills 8uilding Departeent, (813)
<br />7BB-bbll.
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<br />Furthermbre, if the owner has hired a contractor or contract~rs, he is advised to havl! the contractor!s) 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 aay 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
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<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 Construction Lien Law - Homeowner's Protection
<br />Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone 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 thr
<br />'ollner' prior to COimencement.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the infor~ation in this application is accurate and that all work llill be done in co~pliance with al I
<br />applicabl~ laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I ce~tify that no work or
<br />installation has com~enced prior to issuance of a per.it~nd 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 may apply to the intend~d work, and that it i~
<br />,.y responsibility to identify lihat actions I llIust take to be in cClmpliance. Such agencies include bill "Ie nol li'lited to:
<br />
<br />I Department of Envir'o'nment"al Requlaticln - Cypress Bayheads, Wetland nreas and Envirc,nmentally Sensitive L~"ds,
<br />Yater/Wastewater Treatment
<br />I Southwest Florida \later Manaqement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Ar~y Coros of EnQineers - SeaHalls, Docks, Navigable Water~ays
<br />I Depart~ent of Health L Rehabilitative Services. Environmental Health Unit - Wflls, Waste\'later Treat~en:, Septic Tanks
<br />f US Environoental Protection Aqency - nsbestos abatement
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<br />I also cer,H..Jy that,. iL1fill lIlatl?rial is to ne used in Flclotl ZClne an" o,t ~A,etc.', it is understcleld th~l" a drainage plan
<br />addressing a: :.coJ\\p.insating voluille' Hill be subJ\\itted which is prepared by a prclfl?SSlcln'aI, e'nqineer rl!qi'sl;;r~d In the State 0
<br />Florida prior to permit iss~ance.
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<br />A per~it issued shall be construed to he a license to proceed \'lith the work and not as authority to yioJ~te, cancel alter,
<br />set aside any provisions of the iechnical codes, nor shall issuance of a permit prevent the Building Official fro~ thereaft
<br />requiring a correction ~f errors in plans, construction, or violations of ~ny code. Every permit issued ;hall becole inval
<br />unless the wDrk authorized by such permit is comhenced within six months o~.issuance, Dr.if ~ork'authorlzed by the perlit i
<br />suspended Dr abandoned fe,l" a perield of six aonths after the time the llork is CDmmenced. One 90 day e;:tto,SiCIII elf tilie, say
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Sui Iding Official. ~
<br />approved inspectieln /!lust be logged during each six Mnth period, or the prcljed \'Jill be nnsidered iibaiidclned.
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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 $2,500 IN VALe
<br />DO NOT NEED TO ECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />
<br />SIGNATUnE~ ' fl$--.,( "_A __
<br />~CTOR ~~
<br />
<br />
<br />MY COMMISSION EXPIRES
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<br />DATE__L)~--~~-Lq-f!-----------
<br />
<br />NOTARY A~ j. m /J IJ. , -
<br />CONTRACTO~~~~
<br />
<br />MY COMMISSION EXPIRES
<br />Notary RepubliC. stait at..: r=btda- _.-
<br />My Commission Explru July 8, 1i92.
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<br />DATE_______________________________________
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT_____________________________
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