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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this permit may be subject to "deed restrictio:is" 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 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 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 />requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, IB13}
<br />788-bbl1.
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<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have 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 may 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)
<br />
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection
<br />buide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone 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 the
<br />'owner" prior to cOlaence.ent.
<br />
<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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation 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 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 lay apply to the intended work, and that it is
<br />/ty responsibility to identify what actions I /tust take to be in compliance. Such agencies include bill ~ie not liilited to:
<br />
<br />* Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds,
<br />Water/Wastewater Treatment
<br />* Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />* Arty Corps of EnQineers - Seawalls, Docks, Kavigable Waterways
<br />* Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks
<br />* US Environlental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill latcrial is to be used in Flc,od Zone "A" or "A,etc.', it is understc,od tli~t a drainage plan
<br />addressing a 'colpensating volumc" will be sublitted which is prepared by a professional engineer reqist~led in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to viuiate, cancel alter, or
<br />set aside any provision; of the technical codes, nor shall issuance of a per.it prevent the Building Uffici~1 fro. thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit isslIed ;nal1 beco.e invalid
<br />unless the work authorized by such per.it is co.menced within six tonth; of i;suance, or if work authollzed by the pertit is
<br />suspended or abandoned for a period of six lonths after the tile the work is co.menced. One 90 day e~tEnslull uf tile, lay 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 tonth period, or the project will be considered abaildoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfV. 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 TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~ "r '
<br />SIGNATURE___~~cm.-~------
<br />OWNER OR AGENT
<br />
<br />SIGNATURE ~___J~
<br />;/-~R~TOR
<br />
<br />
<br />,)
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<br />DATE_____________~lj_~9~~1----.------------- DATE____________J~;t~_~)9l~-------------
<br />
<br />NOTARY AS TO tJ I n Il ()(1. ' NOTARY AS TO 10 ~ /I Q /}(}/l "-
<br />OWNER OR AGENT__~~--~~ CONTRACTOR______~---~
<br />NOTARY PUBLIC. STo\TE OF FLORIDA.
<br />MY COMMISSION EXPIRES MY COMMISSiON EXr-IRES:, MAR. 28. IaN\! COMMISSION
<br />.JI9liQJUl.:r~~ual-IC-WI_w"I'I'..,j.. .
<br />
<br />EXPIRES
<br />NOTARY' pi} ,,'Oc. -Sf ATE OF FLORiDA.
<br />MY Cl..._..~.-.. ,..,,'IRES: MAR. 26.1994.
<br />80NDE__ nll'dJ 1"-..1','",,..1 ".",a;.,.i'~ vN':'.RWRIT&;R8.
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