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<br />~vnu~I~~NB OF PERMIT AFFIDAVIT
<br />A. NOTIC~ OF DEED RESTRICTIONS
<br />'I'h. und'ersigned understands t~at this permit JRflY bel;lUbject :,to "deed' restrictions" which
<br />,mlty be more restrictive than City'~egulations. The undersigned assum.es responsibility for
<br />compliance with any applicable deed restrictiolll~.
<br />B. UNLICI!lHSED CONTRACTORS AND CONTllACToR RESp.onsIBn,ITIEB
<br />If the owner has hired a contractor or contraCltClrs to undertake work, they lIlay b~ required
<br />,to be licensed in accordance with state lilnd loctol regulations. If the contraotor is not
<br />licensed as required by law, both the owner anol contraotor inay be cited 1!or a misdemeanor
<br />violation under state law. If the owner; or int,ended contractor are uncertain as to what
<br />lioensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrl1ills Building Depart~ent, 813-788-661)L.
<br />Furthermore" if the owner has hired a contractor or'oontractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sect!onsN of this applioation 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 contraotor wishes
<br />you to sign as contractor that may be an indioation that he is not properly licensed and is
<br />not entitled to permitting priVileges in the City of Zephyrhills.
<br />C. TRAN~PORTATION IMPACT rBES AND UTILITY CONNECTION FEES
<br />D. CONSTRUCTUION LIEN LAW (CHAPTER 113, FLORIDA STATUTEa, AS 'AHEHDED)
<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 "ownero, I cerify that I
<br />bave obtained a copy of the above described document and proudse in good faith to deliver
<br />it to the ~owner" prior to commencement.
<br />E. CONTRACTOR' S/OWNER' S Ali'FlDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be ~one in compliance with allap'plicable laws regulating construction, Z9ning, and land
<br />development.
<br />Application is hereby made to obtain a pe~t to do work and installation as indicated. I
<br />certify thaf no work or installation has commenced prior to iSSUance of a permdt and that
<br />all work will be perfooned to meet standards of all laws regulating const~uction, City
<br />codes, zoning regulations, and land development regulations in the juriSdiction. I also
<br />certify that 01 understand that the regulations t:lf other gove~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. Suoh agencies include but are not limited tal *Department of
<br />Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment ,
<br />*S,outhwest Florida Water Hanagement District-Wells, CypEess Bayheada, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-S.awalls, Docks, Navigable Waterways
<br />*Department of Health i Rehabilitative Services., Environmental Health Unit:;-lIells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.8. Environmental Proteotion AgencY-A8be.tos abatement
<br />I also certify that, if ;f.f..ll material is to be {lsed in Flood Zone ~\A" or ~A, etc.", it is
<br />understood that a drainage plan addressin~ a ~compensating volumeN will be subndtted which
<br />is prepared by a professional engineer registered in the State of Florida prior to peDmit
<br />issuance. . .
<br />A permdt issued shall be construed to be a license to proceed with' the ,work ~nd not as
<br />authQrity to viOlate, cancel, alter, or set aside any provisions of the technical oodes,
<br />nor shall issuance of a permit prevent the Building Offioial from thereafter requiring a
<br />correotion of errors in plans, construction, or violation. of any oode. Bvery,peDmit
<br />issued shall beQome invalid unless the work authorized by such pe~t is oommenc~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 ti~e
<br />may be allowed for the per..u.t with f_e charge 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 IrAILURI: TO RE90RD A NOTICE 01' COMMBNC""T MAY RESULT IN YOUR
<br />PAYING TWICE FOR IH~ROVI!lMEHTS TO YOUR PROPBRTY. II!' YOU INTIlND TO OBTAIN !'INANCING, CONSULT
<br />WITH YOUR LBNDBR OR AN ATTORHBY BSI'OJ\B RECORDING YOUR NOTICS 01' COMMBNCIilMBNT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE or COMMENCEMENTN'.
<br />
<br />,SIGNATURE; OWNER OR AGENT
<br />
<br />SIGNATURE. COHTIu\cTOR
<br />
<br />'14t
<br />
<br />STATE OJ!' FLORIDA
<br />COUNTY 01' .
<br />The foregoing instrument was
<br />Be~ore me this_____day of
<br />by
<br />
<br />(name of person ackno~ledged)
<br />'q who is personally known to me, or
<br />
<br />acknowledged
<br />, 1 !l...-
<br />
<br />STATE 01' FLORIDA
<br />COUNTY OF .
<br />The foregoing iustrqment was actnowledged
<br />Before me this ~ay of , 19 ~
<br />by
<br />(name of person aCknowledged)
<br />[Lho is personelly known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />and whoD did Ddid not take an oath.
<br />
<br />o who' has produce~
<br />, (type of identifioation)
<br />and who Ddid DUd not take an oath,
<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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