<br />CONDITIONS OF.PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The,undersigned understands that this perlit lay be subject to 'deed restricti~ns' which may be m~re restr,ictive than City
<br />regulitions. The undersigned asSUles respDnsibilitf~!or"co.pliance with any applicable deed restr!ctions.
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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, 'they lay be required to be licensed in accordince with
<br />stite and 10Cil regulations. If the contractor is not licensed as required by law, both the owner and contractor liY be
<br />cited for a lisdeaeanor 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 Depart.ent, (813)
<br />788-6611.
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<br />Furtheraore, if the'owner has hired a contractor or contractors, he is advised to have the c~ntractor(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 peraitting 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 Florida Departlent of Agriculture and Consuler Affairs, If the applicant is soaeone other than the
<br />'owner', 1 certify that 1 have obtained a, copy of the above described document and pr~mise in good faith to deliver it to the
<br />'owner' prior to cOllencelent,
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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 d~ne in coapliance with all
<br />applicable laws regulating construction, zoning, and land developlent. .
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<br />Application is hereby lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or
<br />installation has cOllenced prior to issuance of a perlit 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 jurisdicti~n. I also
<br />certify that 1 understand that the regulations of other govern~ental agencies ~ay 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 ne,l liaited to:
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<br />I Departle~t of Envir~nlental ReQulatiDn - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
<br />Water/Wastewater Treatl!!nt
<br />I Southwest Florida Water' ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Ce,rps ,of EnQineers - Seawalls, Docks, Navigable llaterHays
<br />I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastellater Treat~en~. Septic Tanks
<br />I US Environaental Protection AQenc~ - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in HODd Ze,ne "A" or "A,etc.', it is understc,c,d thol a drainage plan
<br />addressing a 'colpensating voluille' will be sublitted which is prepared by a professional engineer fegist~ied in the State of
<br />Florida pr.ior to peTtit 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 yiol~tef cancel alter, or
<br />set aside any provisi~ns of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
<br />requiring a correction of errors in plans; construction, or violations of any code, Every permit issll~d ;hall bec~.e invalid
<br />unless the work authorized by such permit is cOllenced within six months of issuance, ~r if wOl'k authollzed by the per.it is
<br />suspended or abandoned f~r a period of six lonths after the tiJe the llork is co~menced. One 90 day e:tensiOII of tile, aay be
<br />allowed for the perillit with fee charge of ~15,OO, The extension shall be requested in writing to the Building Official, An
<br />approved inspecti(,n l!Iust be logged during each six lonth period, or the prc,jl)ct will be considered ilb,;l.de,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. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />t:.~' J.. ~o/
<br />:.< ' " ~// r U~).. . SIGNATURE. .
<br />SIGNA TURE_~_.<-.-L.1.L '.~_.t4.-.<.~-------- ---~~-._- .- - -- ------
<br />OWNER OR AGENT CONTRACTOR
<br />DAYE____-rZd~--/-3_1-2L------.------- DATE__.;&j2L--/..:jL'~--------------
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<br />NOTARY AS TO C2:n ' / ;/~. ./1
<br />OWNER OR AGENT L~-I:i:YL:'':dl-:'' -t:~r;"
<br />notary Public. St of florida . '
<br />MY COMMISSION EXPIR Commiuion Expires April 14,1 4
<br />-~~~Thrul~r~~~w~M~~~---
<br />
<br />NOTARY AS T~ ' -'
<br />CONTRACTOR.L./...)d:i..c..1~~~ ~ 1l7'
<br />" r-!iotary Public. ate of Florid
<br />MY COMMISSION EXPIRE~_~~~~_~~~~~,]jj,l 94
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<br />Bonded Thru Troy fain. Insurance Inc.
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