<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 permit lay be subject to "deed restrictions" which may be more restrictive than City
<br />regulations. The undersigned assules responsibility 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 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 misdemeanor violation under state law. If the owner Dr 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, (813)
<br />788-6611.
<br />
<br />Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorls) 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 may be an indication that he is not properly licensed and is not entitled to perlitting 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
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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 />Suide" prepared by the Florida Department of. Agriculture and Consuler Affairs. If the applicant is sOleone other 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.lenceaent.
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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.
<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 permit and that all work will be performed to meet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent 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 take to be in cOlpliance. Such agencies include bill ~le not limited to:
<br />
<br />. Departlent of Environ.ental Reoulation - Cypress Bayheads, lIetland Areas and Envirrenmentally Sensi tive Ltlnds,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida lIater Manaoeaent District - lIells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of Enoineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatment. Septic Tanks
<br />. US Environlental Protection Aoency - 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 that a d,ainage plan
<br />addressing a "compensating volule" will be sublitted which is prepared by a professional engineer fegist€l~d in the State of
<br />Florida prior to pertit issuance.
<br />
<br />A perlit issued shall be construed to be a license to proceed with the work and not as authority to yivl~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offi[i~] frol thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issu~d shall becole invalid
<br />unless the work authorized by such per.it is co.aenced within six lonths of issuance, or if work authol J2ed by the permit is
<br />suspended or abandcened for a period of six tonths after the tile the work is cOllimenced. One 90 day i'dei-.SJOII vf tite, /lay be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to th~ Building Official. An
<br />appro'ved inspection must be logged during each six to nth period, or the prceject will be nnsidered <lbtli,dc'iied.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
<br />BEFORE RECORDING YUUR NOTICE 8F COMMENCEMENT. J08S UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SlGNATURE_~~_~_--------
<br />D1i.JNER 0 AGENT
<br />
<br />5IGNATURE~_~~~------
<br />CONTRACTOR
<br />
<br />DA TE _______ _.__id.::-J.l=J_~_____--_-_-_-__-_--_
<br />
<br />NOTARY A5 TO If2 J2 r1 ()/J . '-.
<br />OWNER OR AGENT___~~~-___~
<br />NOTARY PUBLIC STATE
<br />MY COMMISSION EXPIRES MY COMMiSSION EXP/RES~FM~';,ORIOA, MY
<br />-~~mT~~R.-_--~~~6. 199~
<br />y puaLIC UNOe:RWRJTCR8.
<br />
<br />DATE ________~_:!!=-3..l::_____ ____ ---.-.------
<br />
<br />~~~~~~C~~R:~__~~~_-Q-~~~
<br />Y PUBLIC STATE OF FLORIDA,
<br />~NOT~AR ISSION EXf'iR"'S: MI.,.. 26. 1994.
<br />COMM I 55 I ON E "'JI">~UNDERWRITERS.
<br />BONDED T.......*=.AB."'L.P-r ~---------
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