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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A. NOTICE OF DEED RESTRICTIONS
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<br />The undersigned understands that this per.it lay be subject to "deed restrictions" which may be more restrictive than City
<br />regulations. The undersigned assules respDnsibility for cOlpli,ance 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 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 ~ay be
<br />cited for a misdeleanor 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 Oepart~ent, (813)
<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 Is) 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 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.
<br />
<br />CONSTRUCTION LIEN LAW
<br />
<br /><CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />
<br />1 certify that 1, 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 />"owner", I 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 cOlmencelent.
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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 compliance with all
<br />applicable laws regulating construction, zoning, and land developlent.
<br />
<br />Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
<br />installation has cOI.enced prior to issuance of a perlit and that all work will be performed to 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 governmental agencies lay apply to the intended work, and that it is
<br />IY responsibility to identify what actions I lust t~k!? tc, be in c!:\lIlpliance. Such agencies include bllt ~ie mlt limited to:
<br />
<br />I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensjtjv~ lands,
<br />Water/Wastewater Treatment
<br />I Southwest Florida Water "anaQelent Oistrict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Deoartlent of Health ~ Rehabilitative Servites, Environ.ental Health Unit - Wells, Wastewater Treatment. Septic Tanks
<br />I US Environlental Protection AQency - Asbestos abatelent
<br />
<br />I also certify that, if fill mat~rial is to be used in Flood Zone "A" or "A,etc,", it is understood tllat is drainage plan
<br />addressing a "colpensating volure" will be subaitted which is prepared by a professional engineer feqi=t~i~d in the State of
<br />Florida prior to periit iseuance.
<br />
<br />A per.it issued shall be construed to be a license to proceed with the work and not as authority to vioi~te, cantel alter, or
<br />set aside any pr~,~~ions of the technical, codes, nor shall issuance of a pertit prevent the Building Dff\ci~1 frol thereafter
<br />requiring a correctinn' of errors illplan~, construction, clr violatic,ns of any code. Every perili t iss\ll!d :;hall becole invalid
<br />unless the work authorized by such perltt'is'coaaenced lIithin:sillllonths of issuance, or if wc,rk authrll lzed by the peait is
<br />suspended ,or abandclned fClr a period{lfsilllonths after the tile the work is (lJlllllenced. One 90 day i:d"i,SIOII llf tile, may be
<br />alloll~~ for the permit with fee charge of U5.M. Theextensic,n shall be requested in writing to the Building Official. An
<br />approved inspecticln must be lc.ggl!d during each six Ilonth period, c,r the project will be cc,nsidered db';lIdoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE ~O RECORD A NOTiCE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYPNG TW.ICE FtlR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAINF:INANCING, CONSULT W.lTH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RE:CORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER .$2,500 IN VALUE
<br />DO NOr NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
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<br />SIGNATURE~~~------ SIGNATURE~~~--
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<br />DATE__~~~_~~~-2-::'::::~------------- DATE____~i~~'-~::~~::~;-?------------
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<br />ONOwTNEARRYOARSAGTOENT__... /_../,,_:_......;. "'_'.I.~' :...f_:,'i' f__'A.__._. _ilL. .....,/././7/;.{ NOTARY AS TO -7/ _I
<br />2:LC:.,;.""" L '-" .' '- /shr..lrJ..... CONTRACTOR___~...c.z..ti.l:'u......w..",-,-_a-,-~ C.....("i. '-
<br />
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<br />
<br />MY COMMISSION EXPIRES
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<br />MY COMMISSION EXPIRES______________________
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