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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they ~Y; be requ~r~d
<br />to be licensed in accordance with state and local regulations. If the contractor is not'
<br />licensed as required by law, both the owner and contractor may be cited for a misdemea~or
<br />violation under state law. If the owner or intended contractor are uncertain as'to'what'
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised t9 have,tl1e
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicia,ti!ng\.t:9:~t
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that allwoFk, ~~~t
<br />be done in compliance with all applicable laws regulating construction, zoning, and land
<br />development,
<br />Application is hereby made to obtain a permit to do work and installation as indicated':', '1
<br />, , . \ . "., ,
<br />certify that no work or installation has commenced prior to issuance,of ~permitand that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive'" l '
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads,'Wetland Areas,
<br />Altering Watercourses
<br />*Ar.my Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks I.
<br />*U.S. Environmental Protection Agency-Asbestos abatement ,
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it,is L ;
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida priorto,'permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not ~ as.i
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />, nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any code.Every~i'p~~';t""rf~'r.;;'l
<br />issued shall become invalid unless the work authorized by such permit is commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the work is commenced. One 90 day extension of~tim~t
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be reques~ed ;
<br />in writing to the Building Official. An approved inspection must be logged during each' six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR ,
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING", CONSULT,
<br />WITH YOUR LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF OMMENCEMENT.'JOBS~UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMM CEMENT".
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<br />STATE OF FLORI~
<br />COUNTY OF t""aL1C,.O
<br />The foregoingins~ument wa~~?kn?wledged
<br />Before ~~ 1]1.is d 8~ day of ~ , , c::i90D
<br />by ~ -scK~
<br />I (name of person acknowledged)
<br />who is personally known to me, or
<br />
<br />who has produced
<br />(type of identification)
<br />o did not take an oa th.
<br />
<br />STATE OF FLORIDA ~~
<br />COUNTY OF
<br />The foregoing instrument wasnt~~~wledged
<br />Before me t is . ay of , , a.~o
<br />by . "'/,' ,~i
<br />
<br />(name of erson acknowledged)
<br />~ho is personally known to me/'or'
<br />
<br />o who has produced
<br />(type of identification)
<br />DUd not take an oathfl'!'O
<br />
<br />,~.
<br />
<br />
<br />
<br />acknowledgment
<br />
<br />e 0;' ~~iIilt ~acknowledgement
<br />: *My Commission CCB7420B
<br />~. 52003
<br />Name typed, " ed or stamped
<br />
<br />~uzanne Dougla8-Allen
<br />Na dt9mrpissibmCW42Oll:: stamped
<br />~... ..,' Expires October 25, 2003
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