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<br />CUNUITI0NS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The und'~r~igned understands t~at 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 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 contraotor may be cited for a misdemeanor
<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 to have the
<br />contractor(s) sign portions of the "Contractor Bect!ons" of this application for which they
<br />will be responsible. If you, as the owner signs as the contra.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 priyileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTE~, ASAHENDBD)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection GuideR 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 allap'plicable 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 jurisdiotion. I also
<br />certify that.I understand that the regulations of other gover~ntal 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, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health , Rehabilitative Services, Environmental Health Unit~We11s,
<br />Wastewater Treatment, Septic Tanks
<br />*U.9. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if ;fill material is to be used in Flood Zone ~'AR or "A, etc.", it is
<br />understood that a drainage plan addressing a "compensating volumeR will be submdtted 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 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.permit
<br />issued shall beQome 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 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 tne project will be considered abandoned. \ .
<br />WARNING TO OWNERJ YOUR J!'AILURE TO RE90RD A NOTICE OF COHMENCEMBN'l' HAY RESULT IN YOUR
<br />PAYING TWICE FOR IMI?ROV1!lMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LINDIR OR AN ATTORNEY BBFOIUG RBCORDING YOUR NOTICE OF COMMBHCIilMBNT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMEtJCEMEN~'~
<br />
<br />~~~~~,
<br />
<br />~'~TRA.cTOR
<br />
<br />SIGNATURBJ
<br />
<br />OWNER OR AGENT
<br />
<br />t,'~
<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 />, 1!L-
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF ,
<br />The foregoing instrqment was
<br />Before me this ~ay of
<br />by
<br />
<br />ac~nowledged
<br />, 19-:.....
<br />
<br />(name of person acknowledged)
<br />.0 who is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and whoDdid Odid not take an oath.
<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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