<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The undersigned understands ~pat this per.it .ay be subject to "deed restrictions" which may be more restrictive than City
<br />regulations. The undersigned assulesresponsibility 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 .ay 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 aay be
<br />cited for a .isdeleanor violation under state law. If the owner or intended contractvr 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, (B13l
<br />788-6611,
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<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sl~n 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 permitting 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 - Homeowner's Protection
<br />Guide" prepared by the Florida Depart.ent of,Agriculture and Consumer Affairs, If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described docu.ent and promise 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 inforlation in this application is accurate and that all work will be done in compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
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<br />Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has co.tenced 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 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 />.y responsibility to identify what actions I lust take to be in cL1mpliance. Such agencies include bllt ~Ie iiol limited to:
<br />
<br />I Deparhent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldiids,
<br />Water/Wastewater Treat.ent
<br />I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks
<br />I US Environ.ental Protection AQency - Asbestos abate.ent
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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 tbat a drainage plan
<br />addressing a "colpensating volume" will be sublitted which is prepared by a professional engineer reqistel~d in the State of
<br />Florida prior to per.it issuance.
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<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to yioi~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici~l from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;hall becoie invalid
<br />unless the liork authorized by such penH is cOllenced within six lIonths [,f issuance, Llr if WLI] k aut!.fq lZed by the peTll\it is
<br />suspended or abandoned for a period of six lonths after the tile the work is co~menced. One 90 day e;t~~sJOII of time, may be
<br />allowed for the permit with fee [harge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection must be logged during ea[h six lonth period, or the project will be considered dbriildoned.
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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 ~l'm POST A II !"IJT:: C::: OF CO!"!ME!'lCEMC::NT II .
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<br />DATE
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<br />[")L~ ~ /)~~
<br />SIGNATUr":---c6NTRACTOR~
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<br />DATE / - ~ - )7' .L
<br />----------------------------7-' ---.,
<br />
<br />NOTARY AS TO 1%.. J ! I.. j
<br />CONTRACTOR___ :z~~ ' . .1t!
<br />
<br />. .
<br />" Notary Public of Florida
<br />MY COMMI.SSION EXPIRE ___...,~~ ,-_~~!l.'1.199'5
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<br />SIGNATURE__________________________________
<br />OWNER OR AGENT
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT_____________________________
<br />
<br />MY COMMISSION E~PIRES______________________
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