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<br />CONDITIONS OF PEPMIT AFFIDAVIT
<br />A, NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permi'~ 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 restricl':iol1s.
<br />B, UNLICENSED CONTRACTORS AND CONTRACTOR RE;SPONSIBIl,I'l'IES
<br />If the owner has hired a contractor or conL::actcrs 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 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 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 ~ity of Zephyrhills.
<br />C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida'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 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 thls 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, zon~ng 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 />*Southwest 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-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S, Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
<br />understood that a drain~ge 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 per.rnit issued shall be construed to be a license to proceed 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 errors 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 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING 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 />$2,50 IN VALUE DU NO NEED TO RECORD AND POST A "NOT~~
<br />
<br />
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA ~ li-~ CD
<br />COUNTY OF
<br />The foregoing instrument wa~ acknowledged
<br />Before me this ~day of ~ r~ 1 ,~-2-
<br />by
<br />) (name of perso~ledged)
<br />na:;'ho is per~a91Pf"\:~\i\~ce:~2<l\\e, or
<br />~~ *t-Jly cotl'ltl'l\ tlef 25, 2003
<br />Dwho has ~ 'es
<br />. ' (
<br />01'
<br />
<br />
<br />SIGNATURE:
<br />
<br />OWNER OR AGENT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged1~
<br />Before me this ~ day of 40' I I , ~
<br />by ,
<br />~ (name of person
<br />who is personally
<br />
<br />'RJSCD
<br />
<br />o who has produced
<br />(t
<br />and whoO did Odid n
<br />
<br />acknowledged) ....~\\ef' o~
<br />known to me, ~~ cc~1"1. ~
<br />'O~~~~cf:I 'l.':J,'l.oO
<br />~ ~,," od-O~
<br />fication)
<br />tho ,
<br />
<br />
<br />and who
<br />
<br />
<br />identification)
<br />ake an oath
<br />
<br />Signature of person taking acknowle gement
<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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