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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understands that this pertit may be subject to "deed restrictions" which lay be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<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 lay be
<br />cited for a misde.eanor 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, 18131
<br />788-6611.
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<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 responsl')Ie 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 permitting privileges in the
<br />City of Zephyrhills.
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<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 />Suide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is sOleone ether 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 co.mencelent.
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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 cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
<br />installation has cot.enced prior to issuance of a pertit 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 governmental agencies lay apply to the intended work, and that it is
<br />my responsibility to identify what actions I lust take to be in cC'llIo1iance. Such agencies include bill ~le not li.ited to:
<br />
<br />f Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water HanaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Depart.ent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatment, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatelent
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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 t~it a drainage plan
<br />addressing a "cotpensating volule" will be sublitted which is prepared by a professional engineer feqi5t~,ed in the State of
<br />Florida prior to permit issuance.
<br />
<br />A pertit issued shall be construed to be a license to proceed with t~e work and not as authority to yi~j~te, c~;leel ~]ter, or
<br />set aside any provisions of the technical ce.des, nc.r shall issuance c.f a perlllit prevent the Bui ldiflg Off:cioJ fr,jlli th.:.ecifter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every pefmit issue1 ~hall b~col! 1n~alid
<br />unless the work authorized by such pertit is coamenced within six months of issuance, Of if work authol IZ2d by t~e per.it is
<br />suspended or abandoned for a period of six lonths after the tile the work is cOlmenced. One 90 day e~~€oSIOIl of tii~, aay be
<br />allowed for the perlllit with fee charge of $15.00. The extension shall be requested in writing to the BuildIng OffIcial. An
<br />approved inspect i c.n must be logged dur i ng each si x llOnth per i od, or the prc.ject wi 11 be cc,nsidered tibtiilde'jifod.
<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 (.It "NOTICE OF COMMENCEMENT".
<br />
<br />)(~Il ~
<br />SIGNATURE~~~::[__~77:1!:t;:,,-----
<br />DATE~V~lAGE~ I~
<br />------~ .~~ - -----------
<br />
<br />SIGNATURE______________________________
<br />CONTRACTOR
<br />
<br />DATE___________________________________
<br />
<br />NOTARY AS TO -0J.. r ... I \-.)
<br />OWNER OR AGENT___L~y~~-~.~~
<br />'OTA"y PUBLIC, STI-.TR ~F ~~~~4.~""
<br />N . ')"'U','<;10]'oi FXl'Hn ,~, f,'c. 1.1, 1!f94.
<br />MY COMMISSION EXPI~nuw~~~L~~~]~~R~~~.
<br />
<br />NOTARY AS TO
<br />.CONTRACTOR~----------------------------
<br />
<br />MY COMMI~SION EXPIRES__________________
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