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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />Th~ und~rsign~d und~rst~ds that this p~rlit lay be subject to 'deed restrictions" which lay b~ lore restrictive than City
<br />regulations. Th~ und~rsigned assules responsibility for cOlplianc~ with any applicabl~ deed restriction~.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hir~d a contractor or contractors to undertake work, they lay be required to be licens~d in accordance with
<br />state and local regulations. If the contractor is not lic~ns~d as r~quired by law, both the owner and contractor lay be
<br />cited for a lisdeleanor violation under state law. If the own~r or intended contractor ar~ unc~rtain as to what licensing
<br />requirelents aay apply for th~ intend~d work, th~y are advised to contact th~ City of Zephyrhills Building D~partaent, (813)
<br />?88-bbl L
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<br />Furtheraore, if the owner has hired a contractor Dr 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 aay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<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)
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<br />1 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 Consua~r Affairs. If the applicant is SOI~~n~ oth~r than the
<br />"owner', 1 c~rtify that 1 have obtained a copy of the abov~ d~scribed docul~nt and prolise in good faith to deliver it to the
<br />'owner' prior to cOllencelent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do Mork and installation as indicated. I certify that no work or
<br />installation has coaienced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
<br />IY responsibility tc, identify what actions I lust take to be in co.pliante. Such agencies include bill ~le not lilited to:
<br />
<br />I Depart.ent of Environlenl:1 ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive l~nds,
<br />Water/Wastewater Treataent
<br />I Southw~st Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departaent of Health ~ Rehabilitative S~rvices, Environlental Health Unit - Wells, Wastewater Treatlent. Septic Tanks
<br />I US Environ.ental Protection AQency - Asbestos abateaent
<br />
<br />I also certify that, if fill laterial is to be used in Flood Zone 'A" or "A,etc,', it is understood th~t a drainage plan
<br />addressing a.,~colpensating volule~ will be sublitted which is prepared by a professional engineer regi=tcied in the State of
<br />Florida prior to perlit issuance~
<br />
<br />A perlit issued shall be construed to be a license to proc~ed with the work and not as authority to violate, cancel alter, or
<br />set aside any pro.visions of the technical codes, nor shall issuance of a per.it prevent the Building Off\cial frol thereafter
<br />,.,.i,i" ' ""',",' ,f ."", in pI"', ""I,.,,',n, " ",I.",n, ,f ,n, "d" E'." p.,,'1 i,'"'' ,h.ll b.",. ",.Iid
<br />unless the work authorized by such perait is cOI.enced within six Icnths of issuance, or if WOl k authol Ized by the p~rlit is
<br />'''pond.d oe .b..d,",d foe . p.,;,d ,f ,i. ",Ih, .ft" 'h. Ii.. the ",0 " "...."d, 0"," d., ",,,,,i..' ,f Ii", .., b.
<br />allowed for the per~it with fee charge of ~lS.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspecti~n ~ust be logged during each six aonth period. or the project will be considered dbdlJdoned.
<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 />SIGNATUR
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<br />SIGNATURE_~~~-~~-----
<br />CONTRACTOR
<br />
<br />DATE-------J1~~~~L--W---- --------
<br />
<br />NOTARY AS TO
<br />CONTRACTOR
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<br />MY COMMISSION EXPIRES_____~~-~-~~-
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT_
<br />
<br />MY COMMISSION EXPIRES____~_ ~~~~-------
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