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<br />CUNUITIONS OF PERMIT AFFIDAVIT
<br />A. NOTTCI; 01' DEED RESTRICTIONS
<br />The und'ersigned understands tl:\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 restricti,:>ns,
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they ~ay 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 Zephyr~ills 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 Sect!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 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 STATUTES, ASAHENDED)
<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' SImmER'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 indioated, I
<br />certify that no work or installation has oommenoed prior to issuanoe of a penmtt and that
<br />all work will be perfocmed to meet standards of all laws regulating construction, City
<br />oodes, 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 inolude 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 Distriot-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Dooks, 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 oertify that, if till material is to be used in Flood Zone ~A" or "A, etc.", it is
<br />understood that a drainage plan addressin~ a "oompensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to penmit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with' the work ilnd not as
<br />authority to violate, cancel, alter, or Bet aside any provisions of the technical oodes,
<br />nor shall issuance of a penmit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any oode. Everyper.mit
<br />issued shall become 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 oommenoed. One 90 day extension of time
<br />may be allowed for the permdt with fee oharge of $15,00. The extension shall be requested
<br />in writing to the Building Official. An approved inspeqtion 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 TEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LINDER OR AN ATTORNEY BEFO~ RECORDING YOUR ICE OF COMMEN7BMENT. OBS UNDER
<br />$2,500/fN VALUE DO NOT NEED70 RECO D AND POST A "N EZOJ!' C CEMENT",
<br />/' // /;~ ,
<br />
<br />'~''2 tI~..-~' / 2'~ ~~<
<br />ili"GNATURE: OWNER OR AGIlNT SIGNATURE: CONTRACTOR
<br />
<br />,;
<br />
<br />r,'.)
<br />
<br />STATE OJ!' FLORIDA
<br />COUNTY 01'
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />acknowledged
<br />, 1!L-
<br />
<br />STATE OJ!' 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 ackno~ledged)
<br />I:twho is personally knowii to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />and whoO did Odid not take an oath.
<br />
<br />(name of person aCknowledged)
<br />[Lho is personally known to me, or
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signatu~e of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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