<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 may be mDre restrictive than City
<br />regulations. The undersigned assules responsibility for co~pliance with any applicable deed restrictiDns.
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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 may 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 Ollner and contractor ~ay be
<br />cited for a ~isdeleanor violation under state law. If the owner or intended cDntractor are uncertain as to what licensino
<br />requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (8131
<br />7BB-bbll.
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<br />Furthermore, if the ollner has hired a contractor or contractors, he is advised to have the contractortsl sign pe,rtions 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 te' 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.
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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 - Homeowner's Protection
<br />Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is so~eone e,ther thon 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 />'ollner' prior to cOimencement.
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<br />E. CONTRACTOR'SIOWNER'S AFFIDAVIT
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<br />I certify that all the infor~ation in this application is accurate and that all wor~ will be done in cOipliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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<br />Application is hereby made to obtain a per.it to do work and installatioD as indicated. ] certify that no work or
<br />installation has comreenced prior to issuance of a per.it 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 may apply to the intended work, and that it is
<br />flY responsibility to identify what actions I must take to be in c[llT'pliance. Such agencies include bll! ~I e ;,[,l li'lited tel:
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<br />I Department of Environmental Reoulation - Cypress iayheads, WeLiand Areas and En~ir0nlentalli Sensi tjj~ ldnds,
<br />Water/Wastellater Treatment
<br />I Southwest Florida Water ManaQe!ent District - Wells, Cypress Bayheads, Wetland Areas, Aitering WatercDurses
<br />I Army Corps of EnQineers - Seawalls, Ducks, Navigable Waterways
<br />I Departient of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tan~s
<br />I US Environeental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill Jl:aterial is to be used in F!c1cld ZClne "A" or "I\,etc.", it is undl'rs,te,od lio,,( ~ d'ainage plan
<br />addressing a 'colpensating volu~e' will be submitted which is prepared by a professional engineEr reglste;ud in the State of
<br />Florida prior to permit issuance.
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<br />A per~it issurd shall be construed to be a license to proceed with the work and not as authority to ,ioj~te, cancel alter, or
<br />set aside any provisions of the technical ((Ides, nor shall issuance elf a pl!rmit prevent the Building tJff;ci~1 fl('1Ii thefeaftel
<br />requiring a correction of ernrs in plans, ((Instruction, [lr vicolatie,ns of any codc,. Every peri!lit iSSIIl!d "hall beC(dlie in'lalid
<br />unless the wClrk authclri2ed by such permit is cC'llilllenced within six illonths elf issuance, or if \'I[,ry. aut!,!.. j,eC h)' the per~it is
<br />suspended or abandoned for a period of six lonths after the time the ~ork is commenced. One 90 day f=te~5ID" of ti&e, may be
<br />allowed for the per0it with fee charge of $15.00. The extension shall be requested in writing to thE Building Official. An
<br />approved inspection roust be logged during each six month period, or the project will be considered dbdl,doned.
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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 PROPERfY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED _ _______)D__; 7!_?_P_:_S_T__,_, _____ CE OF COMMENCEMENT".
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<br />SIGNATURE OWNER ~~~ SIGN~T~~_________
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<br />DATE______~~~_~~_~~_____________________ DATE__~~:~~~~~________________
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<br />~~~~:YO~SA~~N~_~-----
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<br />NOTARY AS TO /' } :-J-' I J J' ..;,
<br />CONTRACTOR_____~-~--
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<br />MY COMMISSION EXPIRES______________________
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<br />C Nota'! Public, Stat. 0' Fforief<t"'l
<br />My Comrmssicl'l E:z;;J;l'!; fJ,;'J. :n, ~1J9'"
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<br />Bonded Toru TrOt' r\Ji;1 . :'...,ct:r\~;:.~~-~~,~::, .-
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<br />MY COMMISSION EXPIRES
<br />NOTARY PUBLIC, 51' A TE- of' F'COlffn.!\. - - --
<br />MY COMMISSION EXI');n'S: N"v. 19, :\~H.
<br />BONDED THRU NOTARY Pl.LaUC UNUEHWrllfERS.
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