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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tne undersigned understands that this per"d~ may be subject to ~deed restrictionsH which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance w~th any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hirect a contractor OJ:: contractors to und.ertake WOJ;:k, they may be req:uired
<br />to be licensed in accordance with state and local regulation~. If the contractor is not
<br />liceoseci aa required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation unQer state law. It 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, 813-766-6611.
<br />Furthermore, if the owner has hired a contractor O~ contractors, he is advised to have the
<br />contracto~(s) sign portions ot the "Contractor Sections>> of this application for which they
<br />will be re6ponsible. It you, aa the owr~er 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 si~n 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. TRANSFORTATION IMPACT FEES AND UTILITY CONNEC'I'ION FEES
<br />\D. CONSTRUCTurON LIEN LAW (CHAPTER 71:3, FLORIDA STATUTES, AS AMENDED)
<br />I ceJ:;tify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeo.meJ:;' s Protection Guide" prepared by the Florida Department of Agricul ture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy ot the above descr~bed document and promise in good faith to deliver
<br />it to the ~ownerH prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />1 certify that all the information .in this applicati.on is accurate and that all work will
<br />be done in c~npli~nce with all app11cable laws regulating construction, zoning, and land
<br />development.
<br />Application is he~eby 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 pertnit and that
<br />allwo.rk will be pe:rfo:cmed to meet standards of all laws regulati.ng construction, City
<br />codes, zoning regulations, and land development regulations in the ju~isdiction. I also
<br />ce.rtify that'! understand that the J:;egulationa of other governmental agencies may apply to
<br />the intended work, and that it is my .respoU$ibility to identify what actions I must take to
<br />be in compliance. Such a~encies include but are not limited to: "'Department of
<br />Envi.l:onmental Regulation-Cyprelul Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Watex/Wastewater Treatment
<br />*Southwest ~l.orida Water Manage.m.ent District-Well:;;, CyPress Bayheade, Wetland Areas,
<br />Altering Watercourses
<br />*Anl~ Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />"'Department ot Health &: Rehabilitative SerVices, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />"'U.S. Environmental Protection Agency-Asbesto$ abatement
<br />I alao ce.rtify that, .if :till material is to be used in Flood Zone "A" or "A,etc.N, it is
<br />understood that a drainage plan addressing a "compensating ~olumen will be submitted which
<br />is prepared by a profeSSional en9inee~ reg1stered in the State of Flo~ida prior to P~Lmit
<br />issuance.
<br />A per.mit issued shall be construed to be a license to p.roceed 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 reoquiring a
<br />correction of errors in plans, construction, or violations of any code. Every pepmit
<br />issued shall become invalid unless the work authorized by such pe:,.:ndt is cowClenced within
<br />six months ot issuance, or if work authorized by the pe~~t is euapended or abandoned for a
<br />period of six month.:!l after the time the wox:k is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee oharge of $15.00. The extension shall be requested
<br />j,n wr.1t.ing to the Building Offici-al. An approved inspection must be logged during each six
<br />month period, o~ the p~oject will be considered abandoned.
<br />WARN!NG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF' COMMENC~ENT MAY RESuLT IN YOUR
<br />PAYING TWICE ~OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LEN R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN V E DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENTH.
<br />
<br />
<br />S'fATE OE' FLORID~ :5c'Cl
<br />COUNTY O~ .
<br />The foregoi.ng instrument was acknowledged /
<br />Betol:e me thiS..LL day of (](!.I , ~.
<br />
<br />by -~'~~~~~'~~~~ged)
<br />
<br />~h~n~:8per5onally known to me, or
<br />
<br />o who has pl::oduce<i_.__.____..___________._..__.___..___
<br />(type of identification)
<br />t take an oath.
<br />
<br />
<br />/
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA.
<br />COm'lTY O'E'
<br />The foregoing instrument was a~noWledged '
<br />Before ~hi' ~.Y o:;;~ ' ~
<br />by ~ /l b .;../' ~u /.1. .A,IQ h1
<br />_ ~ame 6i pe~son acknowl tlged)
<br />4.kk6 is personally known to me, or
<br />
<br />~sC?o
<br />
<br />
<br />en{Z Dd _ .____
<br />
<br />Signature of pc: tak:~)a , '~,o~~f~r~~ent
<br />~.... '. MY./tomml ,nExPlres November 4,-2'002
<br />_m_.___ "_ ~/);;; ~_ _ ~~~8~~~______
<br />Name typed, printed or stamped
<br />
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