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<br />CUNVITI0NS OF PERMIT AFFIDAVIT
<br />A. NOTIC~ OF DEED RESTRICTIONS
<br />The undersigned uudorst.nda t'lat this po_t may be .uhject ',to 'deed restriction." 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 may 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. If the owne~ 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, 813-788-661.1.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Secttons" of this application for which they
<br />will be responsible. If you, as the owner signs as the contr~ctor, 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 pri~ileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 113, FLORIDA STATUTE~, ASAMBNDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construotion
<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 all work will
<br />be done in compliance with all ap'plicable laws regulating construotion, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indioated. I
<br />certify that no work or installation has commenoed prior to issuance of a permit and that
<br />all work will be perfoDmed to meet standards of all laws regUlating construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. I 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
<br />Lands, Water/Wastewater Treatment
<br />*B.outhwest Florida Water Management District-Wells, cyp~ess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Depsrtment of Health , Rehabilitative Servioes, Environmental Health Unit~Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.8. Environmental Protection AgenCY-Asbestos abatement
<br />I also certify that, if ~ill material is to be used in Flood Zone "A" or "A,etc.", it is
<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 prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with. the work ~nd not as
<br />authority to v~olate, 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 oode. Everypermdt
<br />issued shall beoome invalid unless the work authorized by such permit is commenc~d 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 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 approved inspection must be logged during each six
<br />month period, Or the project will be considered abandoned. .
<br />WARNING TO OWHERa YOUR l!'AILURB: TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />l'AYING TWICE FOR IMPROVEMENTS TO YOUR. PROl'ERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFOJUj RECORDING YOUR NOTICE OF COMMENCIMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE or COMMENCEMENT".
<br />
<br />SIGNATURE a OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRAcTOR
<br />
<br />to',)
<br />
<br />STATE OJ!' FLORIDA
<br />COUNTY or
<br />The foregoing instrument was
<br />Before me this _ day of!
<br />by
<br />
<br />acknowledged
<br />, 1!L-
<br />
<br />STATE or FLORIDA
<br />COUNTY OF ,
<br />The foregoing !nBtr~ent was
<br />Before me this ~ay of
<br />by
<br />
<br />a clf:nowl edged
<br />, 19~
<br />
<br />(name of person ackno~ledged)
<br />.0 who is pE:lrsonally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoo did Odid not take an oath.
<br />
<br />(name of person aOknowledged)
<br />CLho is personally known to me, or
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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