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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. ~OTICE OF DEED RESTRICTIONS
<br />Th@ undersigned understands that this pe,rmit 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 undert.ke work, they ~y be required
<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 misdemeanor
<br />violation under 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, 813-788-6611.
<br />Furthermor@, if the owner has hired a contractor or contractors, he is advised to have the
<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 indicating that
<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 (CHAPT~R 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "~lorida'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 th@ "owner", I cerify that I
<br />have obtained a copy of the above described document and pramise in good faith to deliver
<br />it to the "owner" prior to cormtlencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<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 Inade 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 />certity that '1 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: *Departrnent of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Envirolunentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-WellS, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourse$
<br />*Army Corps of Engineers-Seawalls, DOCks, Navigable Wate~ways
<br />*Department ot Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Ag@ncy-Asbestos abatement
<br />I also certify that, if fill ~terial is to be used in Flood Zone ~A# or ~A,etc.#, it is
<br />understood that a drainage plan addressing a ~Compensating volumeH will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />iss\.1anee.
<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 is~uance 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 commenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period ot six months after the time the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approv@d inspeotion must be logg@d du;ring 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE: OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD ANP POST A ~NOTICE OF COMMENCEMENTN.
<br />
<br />
<br />for r-/X.p
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STA'rE OF FL~:r:t.~
<br />COUNTY OF r"jJ~ "
<br />,
<br />The foregoing instrument was acknowled'Jt!d
<br />Before me llhis ~ day OfTOI"II.~1f , ;'..QJJ~
<br />by C~.... u..A~,..i.oi"\
<br />I
<br />(name of person acknowledged)
<br />~who is personally kno~l to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTy OF
<br />The foregoing instrument was
<br />Before me this day of
<br />by
<br />
<br />acknowledged
<br />, 19
<br />
<br />o who has prodUced
<br />(type of identification)
<br />]~hO~d~d not take an oath.
<br />
<br />
<br />Signature of person taking acknowledgement
<br />
<br />j)~~P) A - (2 ~J~
<br />
<br />Name typed, printed or stamped
<br />
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Od1d O::I.id not take an oath
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />t '11
<br />
<br />7. R r. n ' 0 N
<br />
<br />~llIW~AW~~7 ~n j I l~
<br />
<br />l\1..l~7'7 Inn7 '0 'JPIAI
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