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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 permit lay be subject to "deed restrictions" which may be lore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<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 .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
<br />requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813)
<br />788-bbl1.
<br />
<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 may 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
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<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 - HOleowner's Protection
<br />Guide" prepared by the Florida Departient 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 document and promise in good faith to deliver it to the
<br />"owner' prior to cO.lencelent.
<br />
<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 permit to do work and installati~n as indicated. I certify that no work or
<br />installation has commenced prior to issuance of a perlit and that all work will be performed to meet 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 />my responsibility to identify what actions I lust take to be in compliance. Such agencies include ~It ile not limited to:
<br />
<br />. Deparhent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Envirc1nmentally Sensi tive Lands,
<br />Water/Wastewater Treatlent
<br />f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~ent, Septic Tanks
<br />f US Environ.ental Prot.ection AQency - Asbestos abatement
<br />
<br />I also certify that, if fill .at~rial is to be used in Flood Zone "A" or "A,etc.", it is understood th~t a drainage plan
<br />addressing a 'colpensating volute" will be sublitted which is prepared by a professional engineer regist€r~d in the State of
<br />Florida prior to permit issuance.
<br />
<br />A permit issued shall be const.rued to be a license to proceed with the work and not as authority to violate, cancel alter, Of
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans, construction, or violations of any code. Every permit issll~d ~hall becole invalid
<br />unless the work authorized by such perlit is cOllenced within six months of issuance, or if work auth~rlzed by the permit is
<br />suspended Dr abandoned for a period of six lonths after the tile the wDrk is co&menced. One 90 day e~tf~5JOli of titer may be
<br />allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection must be logged during each six month period, or the project will be considered dbaildoned.
<br />
<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 A1TORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />00 NOT NEED TO RECORD AND POST A "NOTICE OF CO~~ZENT'"
<br />
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<br />SIGNATUR~(~___-iJ~ sIGNATURE____ _ ___ ------- --R~,
<br />~~ER OR AG NT C NTRACTOR
<br />
<br />DATE---~~Pt1~if7L:t!-;-J--- DATE----~_:t5?fyT~'
<br />~~~~=Vo~SA~~N~~~-I----- ~g~~=~C~~R~-~-----------
<br />
<br />
<br />MY COMMISSION EXPIRE~~~______________-_---
<br />,. .......~~, OFFICIAL SEAL
<br />: ~. GLADYS L. BUSH
<br />· .. M
<br />~ : y Commission Expires
<br />.... : Oct. 7. 1996
<br />..~"~OFfl.~.. Comm. No. CC 234022
<br />.......
<br />
<br />MY COMMISSION EXPIRES____________~~~~~
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