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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. MOTICE OF DEED RESTRICTIoNS
<br />Th@ undersigned understands that this permit may be subject to ~deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responeibility 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 undert.ke work, they ~y be required
<br />to be licensed in accordance with state and local r6gulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for _ misdemeanor
<br />viol_tion under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requir~ents may apply for the intended work, they are advised to Contact the
<br />City at Zephyrhills BUilding Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor (a) sign portions of the ~Contractor Sect1ons~ of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor Wishes
<br />you to $ign 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 Zephyrhilla.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTE:R 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of ~Flo~ida's Construction
<br />lien Law - Homeowner's P:cotaction Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the appl.icant i5 someone other that the "owne.r", I cerify tha.t I
<br />have obtained a copy or the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRAC'l'OR' a/OWNER'S Ali'FIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<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. I
<br />certify that no work or installation has commenced prior to issuance of a permit and 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. I also
<br />certi.fy that '! 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 Bayheadst Wetland Areas and Envirolunentally Sensitive
<br />Lanqs, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-WellS, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*}\nny Corps of EngineerS-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.s. Environmental Protection AgencY-~bestoB abat6ment
<br />I also certify that, if fill material is to be used in Flood Zone ~A# or ~A,etc."t it is
<br />understood that a drainage plan addressing a ~compensating volumeN will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuanee.
<br />A permit issued shall be construed to be a license to p~oceed with the work and not as
<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 errOr$ in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is co~nced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months aftar the time the work i5 commenced. One 90 clay extension of time
<br />may be allowed for the per.mit with fee charge of $15.00. The extension shall be requested
<br />in w~iting to the Building Official. An approvecl 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 />~AYING TWICE FOR ~PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDJ!:R
<br />$2,500 IN VALUE DO NOT NEED TO RECORD ANP POST A "NOTlCE OF COMMENCEMENTH.
<br />
<br />
<br />
<br />SI~~ ~ENT SIGNATORE: CO>rrRAC'rOR
<br />
<br />STA'rE OF FLQJ:l.:J:.~ j
<br />COUNTY OF ffdlsJJorol/UI
<br />,
<br />The foregoing instrument was ack~owledged
<br />Before mei:.l}:i.sJ~ day or..)Ji<jus-l , ~I
<br />by C,,~ it Jlu.A.arilJn :
<br />,
<br />" (name of person acknowledged)
<br />'ifwho is personally knowll to me, or
<br />
<br />o who has prodUced
<br />(type of identification)
<br />and whoD did I'Jdid not take an oath.
<br />
<br />
<br />~~~ acknowledgement
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The --foregoing j-n~t_r.1)ment was
<br />Before me this day of
<br />by
<br />
<br />acknowledged
<br />, 19
<br />
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />Owho has produeed
<br />(type of identification)
<br />a.nd who Odld Qiid not take an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />JOS ffff B. LUN]:;:.G VI S~
<br />Name typed, printed or stamped
<br />
<br />Wame typed, printed or stamped
<br />
<br />v 'd
<br />
<br />Z880'ON
<br />
<br />Slll H~^Hr1~7 ~n ^ 11:i
<br />
<br />Wr1~7.:7. Inn7. 'Q 'JeW
<br />
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