<br />CONDITIONS.OF.PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED REgTRICTIONS
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<br />The ,undersiqned understands that this perlit lay be lub1ect io "deed reltrictions. which ~ay b~ 50re restr.ictive than City
<br />rtguhtlou. The undersigned IUUlllS rIlPDnlibillti:.,~Dr;"colplhnce with any applicable d~~d restrictions.
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<br />'I . '
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />11 the owner has hired a contractor or contractors to undertake Mork, .they lay be r~quired to be licensed in accordance with
<br />,tlte Ind local regulations. 11 the contractor il not Ilcenled al requi'red by law, both the owner and contractor ftay be
<br />cited for a lisdeleanor violation under Itate 11M. If the OMner Dr intended contractor are uncertain as to what licensing
<br />requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Departlent (813)
<br />7"-66". '
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<br />Furtherlore, if the OMner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the
<br />.Contractor Sections. of this application for Mhich they Mill be responsi'bIe. If ye,u, 'as .the c,wnersign as the cc,ntractor
<br />Y" .r. ledl[.,i.! Ih.. Y", r,'h.r .h.. 'he [",r,['.r, .re re~...ible ~r Ihe ..rk. If Ihe ,..",[,.. .i~.' Y" I. .,;.
<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 Mith a copy of "Florida's Const\uction lien laM - HOleowner's Protection
<br />Guide. prepared by the ~lo~ida' Departlent of Agriculture and Consuler Affairs. If the applicant is sOle~ne other than the
<br />.0Mner", 1 certify that 1 have obtained a. copy of the above described doculent and promise in good faith to deliver it to the
<br />"owner. prior to cOllenceeent. '
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<br />: t .:. :~: ~. I ; : .
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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 wort. will be done in coapliance with all
<br />applicable laws regulating construction, zoning, and land developeent. '
<br />
<br />. "...
<br />Application is hereby lide to obtain a penH to'do Mork and inshlliltion as indica!...e!, ). F.~L,tif'i that no work or
<br />installation has co.tenced prior to issuance of a perlit and that all Hork will be performf'o-tb leet 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 governaental ~gencies ~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 not li~ited to:
<br />
<br />. ~.; .
<br />I Deoartlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water' ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Cc,rps ,of EnQineers - Seawalls, Docks, Navigable WaterHays
<br />I Deoartlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Haste~ater Treat~€n~. Septic Tanks
<br />I US Environ.ental Protection AQencI - Asbestos. abatement
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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 th3t a drainage plan
<br />addressing a .colpensating voluee" Hill be sublitted which is prepared by a professional engineer reqist~ied in the State of
<br />Florida prior to perlit issuance.
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<br />A pertit issued shall be construed to be a license tD proceed with the work and not as authority to viol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building tlffi(i~l frol thereafter
<br />re,.,.i.! . "r,.[.i.e .f err.r. i. pl.e.; [,..tre['l.., .r ,i.I..,... ,f ,'y "de. E,,'Y "..i' i.,,,", .h.11 b"," In,.lid
<br />unless the work authorized by such perait is CO.lenced within six months of issuance, or if HOI'k authol Ized by the perlit is
<br />suspended Dr abandoned for a period of six lonths after the tiJe the work is co~menced' One 90 day e=le~sioll of tile, aay be
<br />allONed for the permit with fee charge of ~15.00. The extension shall be requested in ~riting to the Building Official, An
<br />approved inspectie,n !!lust be logged during each six tonth period, or the pre,ject wi 11 be (c,nsidered i1b.wde,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 />x.~.~ -_ -:/.~ .;~
<br />SIGNATURE_~-~R-~-~E~~---~=---
<br />
<br />DATE ____._____j-j ~ly_/_1~-6-------------,-------
<br />NOTARY AS TO ~~~..
<br />OWNER OR AGENT . .
<br />--\0'- RTl'tmt:. Jt'1'r<w-n..1>"ftiD :--:-
<br />IIi t COMMISSION EXPIRES: MAR, 26. 1994.
<br />MY COMMISSION EXPI~~S~~:~~~~~:~~~:~~~~~~~~~
<br />
<br />SiGNr<TUR[_zt~~~;,-:-!.:-2~ -
<br />CONTRACTOR
<br />DATE_____________~-~t~--~---------
<br />~~~~~~C~~R~~___~-Q-~
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<br />MY COMMISSION EXPIRES__________________
<br />NOT~,RY PUBLIC. STATE OF FLORID'.(,
<br />M Y ~:)M MISSION EXi-'WES: MAR. 26. 1994,
<br />BoNOIi:O THRU NOTARY PUBLIC UNOIiRWRIT.H~
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