<br />CONDITIONS. OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The.undersigned understands that this permit ~ay be subject to "deed restricti~ns' which ~ay be oore restr.ictive than City
<br />regulations. The undersigned assumes responsibiIit(;for coapliance 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 regulati~ns. If the contractor is not licensed as required by law, b~th the ~\tner and contractor ~ay be
<br />cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />require.ents may apply for the intended \tork, they are advised to contact the City of Zcphyrhills 8uilding Depart.ent, (813)
<br />7BB-bbll.
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<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the conlractor(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 c~ntractor,
<br />you are indicating that you, rather than the contractor, are resp~nsibIe for the \t~rk. If the c~ntract~r wishes y~u to sign
<br />as contractor that may be an indication that he is not properly licensed and is not entitled to per~itting 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 - Ho~eowner's Protection
<br />Guide" prepared by the FI~rida Department of Agriculture and Consumer Affairs. If the applicant is s~~eDne other than the
<br />"owner", I certify that I have obtained a. copy of the above described document and proffiise in good faith to deliver it to the
<br />"owner" prior to COlmencement.
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<br />~ 1 '. .:.' "
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<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 Mork Mill be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
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<br />Application is hereby made to obtain a permit to' do work and installction as indicated. I certify that no work or
<br />installation has commenced prior to issuance Df a permit and that all work will be performed to roect standards of all laMS
<br />regulating construction, City codes, zoning regulations, anc land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended Mork, and that it is
<br />my responsibility to identify what actions I must take to be in compliance. Such agencies include bid ~\e ne,l lil!ited to:
<br />
<br />...
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<br />I Departme~t of Envir~nmental ReQul~tjon - Cypress Bayheads, H~tland ~reas and Environmentally Sensi tive lands,
<br />Water/Wastewater Treatment
<br />\ Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />I Are, Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Department of Health ~ Rehabilitative Services, Environffiental Health Unit - Hells, Hastewater Treat~en~. Septic Tanks
<br />I US Environcental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Flr,od Zr.ne "A" c.r "A,etc.', it is underste,e,d \I"l a drainage plan
<br />addressing a 'compensating volume" will be sub.itted which is prepared by a professional engineer regist~,ed in the State of
<br />Florida prior tn perlit issuance.
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<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any pr~visiDns of the technical codes, nor shall issuance of a permit prevent the Building Ufficial fro~ thereafter
<br />requiring a [(.rrection (.f errors in plans; c(,nsiructic,n, (.r violations of any c(,de. Every per~it issll~d :toall bec(,~e invalid
<br />unless the w(.rk authc.ri2ed by such permit is cr'JlIllenced within six 1lI0nths of issllance, c,r if Hc,d; alllhe.. ],ed bi the perlit is
<br />suspended or abandoned for a period of six months after the ti)e the Mork is co~menced. One 90 day e:tE~5ioll of tile, llIay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be requested in Hriting to the 8uilding Official. An
<br />approved inspedir.n i!lust be logged during each six Ilonth period, r.r the prc.ject liill be ce,nsidered dbdl.dc.ned.
<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 V UE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />~c
<br />SIGNATURE ~-
<br />- --- CONTRAcTOR
<br />:::::~-~~~~-~~------;---~ n
<br />
<br />CONTRACTOR~~In..~~
<br />.. Notary Public, State of Florida
<br />MY COMMISSION EXPIRES 3
<br />My~ummmmm~~~~pr.2~;qq
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<br />SIGNATURE
<br />
<br />OWN OR AGENT
<br />DATE____/;2~--L2'2..L.----.--,-------
<br />
<br />~~~~:y O~S A~~'II~~U.~)4~~
<br />
<br />Notary i'tib~~" SIGie Gf florida
<br />
<br />MY COMMISSION EXPIRE~5~~~~~!~~!L~~~~~J!!~
<br />Bonded Thru Troy Fain. !n5Urgnce Inc.
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<br />?/~
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<br />Bonded rhru Troy fain Itr,\.!!:".nr' 'M
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