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<br />
<br />CONDITIONS~O~~PERMIT AFFIDAVIT
<br />A. NOTICE OF ~EED RESTRICTIONS
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<br />Tht.undersivned understands that this plrlit IIY bl sub~lct \0 "detd rtstrictlons' which lay b~ .~re restr.lctive than City
<br />reguhtiDns. The undersigned USUI" rllpDnsibpitY:;fo~,.colplhnce lIith any applicable d~ed restrictions.
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<br />B. UNLICENSED CONTRACTORS A~D 60~TRACTOR RESPONSIBILITI~S
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<br />If the owntr has hired a contractor or. contractors to undertake lIork, .th,ey lay be required t~ be licensed in accDrdance with
<br />state Ind 10cIl regulations. If the contractor is not licensed as required by law, b~th the owner and contractor ftay be
<br />cited for a lisdeleanor violation under state lall.] ,If the owner Dr lntended contractor are uncertain as to what licensing
<br />requirelents aay apply for the intended 1I0rk, they are advised to contact the City of Zephyrhills Building Departlent, IBlJl
<br />7BB-6611. .1(:, ,
<br />
<br />Furtherlore, 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 IIhich they IIl11 be responslble. 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 privilegts in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION'IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<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 Consuler Affairs. If the applicant is sOleone other than the
<br />'ollner', I certify that I have obtained a. copy of the above described document and promise in good faith to deliver it to the
<br />'ollner' prior to cOleencelent. '
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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 coapliance with all
<br />applicable laMS regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a per.it to' do work and install~tion as indicated. I certify that no 1I0rk or
<br />installation has cOlmenced prior to issuance of a perlit and that all work Mill be performed to ~eet standards of all laMS
<br />regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental 4gencies ~ay apply' to the intended work, and that it is
<br />.y responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~le Ii(,t lil!ited to:
<br />
<br />...
<br />
<br />I Departle~t of Envir~nlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi live Lands,
<br />Water/Wastewater Treatlent
<br />I Sc.uthllest Florida Water' Manalluent District - Wells; Cypress Bayheads, Wetland Areas, AI tering \Ialercourses
<br />I Any C(lrps ,of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~, Septic Tanks
<br />I US Environaental Protection Allenc~ - Asbestos abatement
<br />
<br />I also certify that, if fill laterial is to be used in Flbod Zone "A' or "A,etc,', it is understood lh~t a drainage plan
<br />addressing a 'colpensating volule' will be sublitted which is prepared by a professional engineer reqist~ied in the State of
<br />Florida prior to perlit issuanc~.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the Mork and not as authority to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />reg""" . ....e."" .f e.r.r. .. pl...; .,..tr..'i,., .. ,i".I'... ,f "y ",.. .,.,y "..il ..,." ,..11 b.,... ,~.I"
<br />unless the work authorized by such permit is co..enced within six months of issuance, or if work authorIzed by the perlit is
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<br />allolled for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection oust be logged during each six lonth period, or the project will be considered ~bdlldoned.
<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 VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATURE__4~-.Lt'~-------- .
<br />OWNER OR AGENT
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<br />SIGNATURE___~~-~------
<br />CONTRACTOR
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<br />NOTARY AS TO '''x\.'-:-' ~
<br />OWNER OR AGENT _\;;.~-~1\---------- '--'-:-
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<br />DATE______________l(l=l~~-~~---------
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<br />~~~~:~C~~R~~___~~~:n~
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<br />DATE ______________lQ--=-lQ:..:.<:iL----'----.-------
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<br />MY COMMISSION EXPIRES- p ,,," ~"";j;)f rl,",':""
<br />--~2{I2~;J~~~::\C,~ .--.----
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<br />MY COMMISSION EXPIR~S~~~---~-_---------
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