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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 .ay be subject to 'd~~d restrictions' which may b~ more restrictive than City
<br />regulations. The undersigned assules responsiblllti"for compliance with any applIcable d~~d restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIRILITIES
<br />
<br />If the owner has hired a contractor or contractors
<br />state and local regulations. If the contractor is
<br />cited for a .isdeleanor violation under state law.
<br />requirelents lay apply for the intended Hork, they
<br />788-6611.
<br />
<br />to undertake work, they lay be requir~d to be licensed in accordance with
<br />not licensed as required by Jaw, both the owner and contractor lay be
<br />If the owner or intended contractor are uncertain as to what licensing
<br />are advised to contact the City of Zephyrhills Building Departlent, (813)
<br />
<br />Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 ~nd is not entitled to perlitting privileges in the
<br />City of Zephyrhills.
<br />
<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)
<br />
<br />I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho~eowner's Protection
<br />Guide' prepared by the Florida Depart.ent of Agriculture and ConsuDer Affairs. If the applicant is sOle~ne other than the
<br />'oHner', I certify that I have obtained a copy of the above described doculent and proffii~e in good faith to deliver il to the
<br />'owner' prior to cOlmencement.
<br />
<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 alJ ~ork will be done In coapliance with all
<br />applicable laws regulating construction, zoning, and land developaent.
<br />
<br />Application is hereby lade to obtain a perlit to do Hork and install~tion as indicated. I certify that no work or
<br />installation has co..enced prior to issuance of a perlit and that all work will be performed to meet standards of all laMS
<br />regulating constructiDn, City codes, zoning regulatiDns, and land develDpment regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply to the intended work, and that it is
<br />IY responsibility tCI identify what actions I lIust take to be in complianCE. Sucl, a~eflcies include bill "Ie liCit lilited to:
<br />
<br />. J
<br />I Department of EnvirDnmental ReQulation - Cypress Bayheads, Wetland Areas and EnvirDnmentally Sensi Ijve Ldnds,
<br />Water/Wastewater Treatment
<br />I Southwest FIDrida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering WatercDurses
<br />f ArlY Corps ~f EnQineers - SeaHalls, DDcks, Navigable Waterways
<br />I Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~En:. Septic
<br />I US Environsental Prcltection Agency - Asbestos abatement
<br />
<br />Tanks
<br />
<br />also certify that, if fillllaterial is to be used in Flc.od ZClne "A' Cor 'A,etc.', it is undHstcl(,d t1dt a drainage plan
<br />addressing a 'colpensating volute' Hill be sub.itted which is prepared by a professional engineer rEgist~rEd in the State of
<br />Florida prior to perlit issuanCE.
<br />
<br />A perlit issued shall be construed tD be a license to proceed with the work and not as authority to yiol~te, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficial frol thereafter
<br />requiring a C[crrection Clf errors in plans, cc.nstructicln, (.r vi(.)ati(lns of any c[.de. [vel')' pl'r~it iSSUL!d "hall bece'le invalid
<br />unless the wHk authc.rized by such permit is cC'lIllenced Hithin six ilIonths elf issuanc[" [.1' if 1j('1 f; aull,(q lzed by the perlit is
<br />suspended or abandoned for a period of six lonths after the ti2e the ~ork is cO~ffiPnced. One qo day E:tE~5ioll of tile, lay be
<br />allowed for the per~it with fee charge of $15.00. The extension shall be r~qur5ted in Hriting to the Building Official. An
<br />approved inspecticln aust bE; le.gged during each six Ilunth period, (lr the prc,jr,ct Iii 11 he cClnsiderr:d db.\lde'i,~d.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT~, TO youn PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOOS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A l! NOT I CE OF cmmr::r'"JCEr'iENT II .
<br />
<br />~..
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<br />SIGNATURE____~-_-~_--~
<br />C()NTRACTW
<br />
<br />
<br />
<br />DATE___________________________________
<br />
<br />S I GNATURE1L~~~LJIl_!l!ttvm1iJ..k'______
<br />OWNER OR AGE~Ji\lI1l!l!!;';,..
<br />~\\'\~ 'it y p{ 11"+7"
<br />~~.t'" .,...... '-I..r-. '='
<br />Q S" ."r.. "'.;T"
<br />DA TE ___.l-'L-:.__5_=__-/_~~~:.~----'~'::a~---
<br />~....f \0 ~
<br />NOTARY AS TO . % +,.~~. . ./J.+.. .d
<br />OWNER OR AGENT~~.~~ ~ ~~____
<br />"':-: /f ......"" . <)" /". .
<br />~-//I OF 'c '''. .',
<br />II," -~'...
<br />MY COMMISSION EXPIRES________~~~0~~~_______
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
<br />
<br />MY COMMISSION EXrIRES
<br />
<br />Notary Public, :.:-:t.:d,;!;;", F1C:jdd
<br />DIANNA L T";l'<A;.','L
<br />My Comm, Exp, ~<c,v, 11, 199~
<br />Comm, No, C:; 159184
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