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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 ~nat this perait aay be subject to "deed restrictions. which lay be lore restrictive than City
<br />regulations, The undersigned assules responsibility 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 Dr contractors to undertake work, theyaay 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 aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 1813l
<br />788-6611.
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<br />Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsl 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 perlitting 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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departlent of, Agriculture and Consuaer Affairs, If the applicant is sOleone other than the
<br />.owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
<br />"owner" prior to cot.enceaent.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the inforaation in this application is accurate and that all work will be done in cotpliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby aade to obtain a pertit to do work and installation as indicated. I certify that no work Dr
<br />installation has cOllenced prior to issuance of a perait and that all work will be performed to teet 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 work, and that it is
<br />IY responsibility tel identify what actions I aust take to be in cOllpliance. Such agencies include bill ~i e Bot limited to:
<br />
<br />f Departaent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands,
<br />Water/Wastewater Treataent
<br />f Southwest Florida Water KanaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f Arty Corps of EnQineer~ - Seawalls, Docks, Navigable Waterways
<br />f Departaent of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatment. Septic Tanks
<br />f US Environaental Protection AQency - Asbestos abatelent
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<br />I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc,., it is understood th~l a drainage plan
<br />addressing a "coapensating volute" will be sublitted which is prepared by a professional engineer registeied in the State of
<br />Florida prior to perait issuance,
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<br />A pertit issued shall be construed to be a license to proceed with the work and not as authority to vioj~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a p~r.it prevent the Building Officidl from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~haJl becote invalid
<br />unless the work authorized by such pertit is co.tenced within six months of issuance, or if wor~ authctI l1ed by the pertit is
<br />suspended Dr abandoned for a period of six aonths after the tiae the wor~ is coamenced, One 90 day e~t~~sioll of tile, aay 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 insp2ction must be logged during each six tonth period, or the project will be considered aballdoned.
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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 PROPERTY. 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".
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<br />SIGNATURE,e_-=l"..~~~
<br />(OWNER t3RAGENT
<br />
<br />SIGNATURE______________________________
<br />CONTRACTOR
<br />
<br />DATE /<~- 5- 9 (
<br />---~---------------------------------
<br />
<br />DATE___________________________________
<br />
<br />NOTARY AS TO /~~
<br />OWNER OR AGEN~~ _
<br />
<br />MY COMMISSION EXPIRE~IhELE~~L~~~L~DL~~~4
<br />My com:1~isc.i;) s 1 ~);.
<br />Bonded thru ?.::tt2rsor,.. U,'G',' Agc'ncy
<br />
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
<br />
<br />MY COMMISSION EXPIRES
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