<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />~. NOTICE OF DEED RESTRICTIONS
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<br />The ,undersigned understands that this per.it aay be sub3ect to "deed restricti~ns' which ~ay be oore restrictive than City
<br />regulations, The undersigned assumes responslbilltf;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 aay be required to be licensed in accordance with
<br />state and local regulations. If the contractor Is not licensed as required by law, b~th the owner and contractor ~ay be
<br />cited for a misdemeanor violation under state law., If the owner Dr 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 Depart.ent, (813)
<br />788-6611.
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<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />'Contractor Sections' of this application for which they Hill be resp~nsible, If you, as the ~Hner sign as the cDntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractDr that aay be an indication that he is not prDperly licensed ~nd is not entitled t~ per~itting privileges in the
<br />City 01 Zephyrhills,
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<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 />,
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<br />I certify that I, the applicant, have been provided with a' copy of "Florida's C~nstructi~n Lien Law - H~~eowner's Protection
<br />Guide' prepared by the Fl~rida Depart.ent of Agriculture and Consumer Affairs, If the applicant is SOleone other than the
<br />"oHner", I certify that I have [obtained a, copy of the above described dc,cument and prc,mise in g~od faith to deliver it to the
<br />'owner' prior to cOI~ence~ent,
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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 w~r~ will be done in c~~pliance with all
<br />applicable laws regulating c~nstruction, zoning, and land development,
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<br />Application is hereby Jade to obtain a permit t~'do work and install~tion as indicated. I certify that no work or
<br />installation has commenced prior to issuance of a perlit and that all work will be performed t~ roeet standards of all laws
<br />regulating construction, City codes, zoning regulati&ns, and land development regulati~ns in the jurisdiction, I also
<br />certify that I understand that the regulations of other governmental agencies may apply'to the intended work, and that it is
<br />IY responsibility to identify what actions I lust take to be in compliance, Such agencies include bill ~le IiC,t li~ited to:
<br />
<br />...
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<br />I Departle~t of Envir~nmental ReQul:tion - Cypr~ss Bayheads, Hetland ~reas and Environmentally Sensi ti\'~ l~nds,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water HanaQeJent District - Wells; Cypress Bayheads, Hetland Areas, Altering Hatercourses
<br />I ArtY C~rps ~f EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health L Rehabilitative Services, Environmental Health Unit - Yells, Uastewater Treat~en~. Septic Tanks
<br />I US Envir~naental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill material is to be used in Hc,od Ze,ne 'A" cor 'A,etc.', it is underste,c,d \I.~t a drainage plan
<br />addressing a 'compensating volute" will be sublitted which is prepared by a professional engineer registered in the State of
<br />Florida pri~r to per~it issuance,
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<br />A perait issued shall be construed to be a license to proceed with the work and not as authority to yi~late, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~ilding Officii! fro~ thereafter
<br />requiring a ccorrection eof errors in plans; ce,nstructieon, cor violations of any cc,de. EYery perlliit iSSII,!j ohall becc'le invalid
<br />unless the wcork authe.rized by such permit is c['lIlllenced within six ~onths ~f issuance, c,r if 11('1 f; aull,co[ ],ed by the per.it is
<br />suspended or abandoned f~r a period of six lonths after the tiJe the work is commenced. One 90 day e=te~5ioll of tile, lIlay be
<br />all~wed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An
<br />approved inspectic,n oust be logged during each six month period, c,r the pre.ject liiII be cc,nsid!?rr:d abolroe.ned,
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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 ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOGS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE_~~~~_~--------~--
<br />OWNER OR AGENT
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<br />-/ I
<br />S.IGNATURE_~~--D.~- \ -
<br />CONTRACTOR
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<br />DATE__L~/~f:!.---_._._----'-----_._------
<br />
<br />NOTARY AS TO ~' ~~'!
<br />OWNER OR AGENT " / ,(J . _ -' ---
<br />w' 1'0 c. 0 oCf8 .
<br />MY COMMISSION EXPIRE~~~_~_~-~~--
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<br />DATE__IZL_6.-/-~L___c__-------'----
<br />
<br />NOTARY AS T~/ ' u~
<br />CONTRACTOR i ~, --
<br />- - - NOtiiY-~C. State of Florida
<br />MY C;MMISSIDN EXPIREs-'!~~~~~~~j~~~:.~::~992
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