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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 undersigned understands }~at this pertit lay be subject to "deed restrictions" which may b~ more restrictive than City
<br />regulations, The undersigned assutes responsibility for co.pliance with any applicable deed restrictions,
<br />
<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 regulations. If the contractor is not licensed as required by law, both the owner and contractor ~ay be
<br />cited for a misdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (SI3)
<br />7aB-6611.
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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 lay 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.
<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 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 co.mencetent.
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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 work will be done in compliance with all
<br />applicable laws regulatinq construction, zoning, and land develop.ent,
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co..enced prior to issuance of a permit 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 governlental agencies lay apply to the intended wor!:, and that it is
<br />/lY responsibility to identify what actions I lust take to be in ct1llpliance. Such agencies include bill ~Ie iiCll liilited to:
<br />
<br />* Deparhent of Environ.ental ReQuliition - Cypress Bayheads, Wetland Areas and Envirc.nmentally Sensi tjie Ldnds,
<br />Water/Wastewater Treat.ent
<br />* Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Aitering Watercourses
<br />* ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />* Departient of Health t Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~ent. Septic Tanks
<br />* US Environlental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood thit a drainage plan
<br />addressing a "colpensating volUMe" will be submitted which is prepared by a professional engineer registEred in the State of
<br />Florida prior to periit issuance.
<br />
<br />A perMit issued shall be construed to be a license to proceed with the work and not as authority to yioj~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficio} froll thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code, Every permit issuud ;hall becoie invalid
<br />unless the work authorized by such penit is c[llllenced within six lIlonths of issuance, (Ir if \'Iwk authfll lzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the time the work is commenced, One 90 day e~t~nsJolI of tile, may be
<br />allowed for the permit with fee charge of $15,00, The extension shall be requested in writing to the Building Official, An
<br />approved inspection lust be logged during each six month period, or the project will be considered dbd\~oned.
<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 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".
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<br />DATE
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<br />____:~_LL-------=-
<br />NTRACTOR
<br />
<br />SIGNATURE~~_~___________
<br />OWNER OR AGENT
<br />
<br />DATE__~~==_~_=_~_L?~_____-_______-_____
<br />
<br />NOTARY AS TO V1/ r/ -/ /
<br />OWNER OR AGENT_);t:::::a~:.L~~ ~- ~-"'---
<br />Notary PUDlII. ale 0 r10fl1l8
<br />My Comm. ,Mar, 17. 199!j.
<br />MY COMMISSION EXPIR __~_~_________________
<br />
<br />SIGNATURE
<br />
<br />_::L.~-:.~-~--=-t:t-----
<br />
<br />
<br />
<br />NOTARY AS T~~ ~
<br />CONTRACTOR_/.../{...a:z~_:...~- --
<br />
<br />, , ta Pu i
<br />MV COMMISSION EX RES~_~~ff~
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