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<br />tONDITIONS OF PERMIT AFFIDAVIT
<br />A:.' NOTICE OF DEED RESTRICTIONS ;:, .
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<br />The underslgnad understinds that this per_it lay be subject to "deed restrlcti~ns' which ~ay b~ 8~r~ res~rictiva than City
<br />regulations. The undarslgned assules respDnsibili\y for co.pliante Hith any applicabl~ dged restrictions.
<br />. ':' .:.,..,',. ,.,:. .' '. .
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<br />B. UNL I CENSE'D 'C'ONTRACTORS.' At-ID :;~ONTRACTOR RESP..ONS 113 I LIT I ES
<br />
<br />, ' ,1';"
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<br />If the owner has hired a contractor Dr contractors to undertake Hor~, they may b& r~qllired 1.0 be licensed in accordance with
<br />stlte and local regulations. If the contractor is not licensed as required bY law, bDth,the owner and contractor ftay be
<br />cited for a aisdueanor violation under state hH.',1f .the .t'l!nl!Lt'~.. intendl!d ce.ntract(,r af!! llncertair. a.s, to wt,at licensing
<br />requireaents lay apply for the intended work, theY are advised to contact tbe City of Zept~rhills ~uildlng Departee~t, (8131
<br />788-6611.'"
<br />
<br />Furtherlore, if the owner has hired a contractor Dr contractors, he 15 advisl!d to havl! the contractor!s) sign portions of the
<br />'Contractor Sections' of this application for which they will be responsibll!. Jf y~ll, as the ~wner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the cDntractor wishes you to sign
<br />as contractor that lay be an indic~tion.t~at he Is not properly licensed and is not entitled to per&itting 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
<br />
<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 - Hoceown~r's Protection
<br />Guide" prepared by the Fl~rlda Dl!partlent of Agriculture and Consumer Affairs. If the applicant is soaEone other than the
<br />'OHner", 1 certify that I have obtained a copy of ' the above described document and pro6j~e in good faith to deliver it to the
<br />'oHn~r' prior to cOI~encement.
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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 Mill be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
<br />
<br />Application is hereby aade to obtain a penH to do work and installatie,n as indicated. I c~rtif"t that no H(lr~ or
<br />installation has cO&lenced prior to issuance of a perlit and that all work will b~ performed to ~ect standards of all laws
<br />regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 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 llhat actions Illlust 'lake to be in cr'lIlpliance. Such agencies include bllt ~l e IiC,t li~ited to:
<br />
<br />I Department of Envi(on~enial ReQulation - Cypress Bayheads, Hetland AreaS and Environmentally Sensitiv~ Ldnds,
<br />Water/Wastellater Treatment
<br />I Southwest Florida ~later ManaQelllent District - Hells, Cypress Dayheads, Hetland Areas, ~ltering HatercDurses
<br />I Army CorDS of Enoineers - Seallalls, Docks, Navigable Waterways
<br />I Depart.ent of Health L Rehabilitative Services. Environmental lIealth Unit - W~lls: WastEwater Treat~~n~. Septic Tanks
<br />I US Envir(ln~ental Protection Anency - Asbestos abatement.
<br />
<br />I also certify that, if fill material is to'be used in Fle,od Ze,ne "fl" Dr 'A,elc.', it is underste'(ld tl.~l a drainage plan
<br />addressing a 'colpensating volullle" will be submitted which is prepared by a profes~i~,nal engineer reqi5t~ied in the State of
<br />Florida prior to permit iss~ance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel alter, or
<br />set aside any provisions of th~ technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a correction of errors in plans, construction, or violations of any cDde. Every per~it issu~d ~ha)1 becole invalid
<br />unless the work authorized by such permit is commenced within six months of issuance, Dr if uork aulhDrli~d by the per.it is
<br />suspended or abandoned for a period of six aonths after the tim~ thl! lIork is cOlmenced. One 90 day f:ti~5iO'1 Dr tile, say be
<br />alloHed for the per~it Hith fee charge of $15.00. The extension shall be requested in "riting tD the Building Official. A~
<br />approved inspectie,n /'.lust be le,ggedduring each six Mnth period, Cor the prc,j~cl IIi 11 be cCorlsidered ilbdIlG(,ni:d.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUn 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".
<br />
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<br />5IliNATURE,c..~__-t_jlt~---- 51 GNATURE__~__-t!.-!tt~-
<br />. : ". . . OWNER.1JR AGENT CONTRACTOR
<br />
<br />DATE___~-___---~~~~------------------
<br />
<br />NOTARY AS TO ~~;~~/~~~~
<br />OWNER OR AGENT__~~--------
<br />
<br />MY COMMISSION EXPIRES
<br />1f . OLIVIA A. LOVETT
<br />tt:i~\ NotarY Public, StaIll of Florida
<br />My Comm. Expirll _30. 1*
<br />No. ~1928
<br />
<br />DATE _____~"" ___~LIL.5'~~-~ ~--- ---------
<br />~g~~~~C~~R~~_~-
<br />
<br />MY C6MMISSION EXPIRES__________________
<br />,'.~~ -,,4, OLIVIA A. LOVETT
<br />... \ ~ No\IlY Public. S1aI8 of F\llrida
<br />My Comm. Expir- Sepl30. 1*
<br />No. CC051928
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