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<br />CUNVITI0NS OF PERMIT AFFIDAVIT
<br />A, NOTIC~ OF DEED RESTRICTIONS
<br />The undersigned understands t~at this permltmay be subject:to udeed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes resporisibility 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 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 Depart~ent, 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 Sectj.ons" 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 pe~tting pri~ileges in the City of Zephyrhills.
<br />C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 113, FLORIDA S'l'ATUTE~, ASAHEHDI!:D)
<br />I certify that I, the applicant, have been provided with a copy of uFlorida'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 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 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 perfooned 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 gover~ental 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, CypEess 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 ~fll material is to be used in Flood Zone ~A" or "A,etc,", it is
<br />understood that a drainage plan 8ddressin9 a "compensating volume" will be submitted which
<br />is prepared by a prQfessional 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 and not 8S
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permQt prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any oode. I!:verypermdt
<br />issued shall beoome invalid unless the work authorized by such pe~t 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 approYed inspection must be logged during e.ach six
<br />month period, or the project will be considered abandoned, '
<br />WARNING TO OWNER: YOUR Jl'.AILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMB:NTS TO YOUR' PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEJ!'O~ RECORDING YOUR NOTICE OF COMMENCBHI!:NT, JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
<br />
<br />r,'~
<br />
<br />~OO~ ~\<-,
<br />
<br />N TURE I OWNER OR AGENT '
<br />
<br />STATE OF II!'LORIDA &l .
<br />COUNTY 01' . ~..(?
<br />7he foregoing ~n.trwment w..~OWledg'd
<br />Befo~~ th~gday of - 12 , ~oo.z
<br />by .....tU- ~ ~
<br />~' (name Of. person acknowledged)
<br />~who is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />
<br />.n(X~d \\_;f~.;~
<br />
<br />Signature of person taking acknowledgement
<br />
<br />~ 0rf\A"-\ <-
<br />
<br />. I TURE: CONTRAcTOR "l
<br />
<br />//c;~5eU
<br />
<br />STATE OF FLORIDA
<br />COUNTY 01' ,
<br />The foregoing iill!lt~ent WB8 a~wledged
<br />Before me this ~ay of ~ ' :m. OL
<br />by
<br />\~. (name of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />and
<br />
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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