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<br />CONDITIONS OF PERMI1' AFFIDAVIT
<br />A. NOnCE OR' DEED RESTRIC'I'IONB
<br />'l'he undersigned understands that this permit may be subj eat to "deed restrictions" whioh
<br />may be "mre restrictive than City regulations. The ullderslgned assumes responsibility for
<br />oomplianoe uith any applicable deed restrlctions.
<br />B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'OP: 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 lau, both the owner and contractor may be aited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />licensing requirements may apply for the intended \wrk, they are advised to contact the
<br />City of Zephyrhills Building Department, 013-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advlsed to have the
<br />oontraotor(s) sign portions of the "Contractor SectionsH of this applioation for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating tllat
<br />you, rather than the contractor, are responsible for the work. If the contractor w1shes
<br />you to sign as contractor that may be an indication tllat he 1s not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhills.
<br />C. 'l'RANBPOR'l'A'I'ION IMPAC'r FEES AND U'l'ILITY CONNEC'l'ION FEES
<br />D. CONBTRIJC'PUION J,!EN LAW (CIfAP'I'ER 713, FLORIDA S'fATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construotion
<br />Ibm Law -- Homeowner's Protection Guide" prepared by the E'lorida Department of Agriculture
<br />and COllsumer Affairs. If the applJ.cant is someone other that the "owner", I oerify that I
<br />have obtained a copy of the above described ~ocument and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CON'l'RAc'rOR' a/OWNER'S AFIl'IDAVIT
<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 />AppHoation is henby m~de to obtain a permit to do work and installation as indioated. I
<br />certlfy that no work or installation has oommenced pripr to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construation, City
<br />codes, zonlng regulations, and land development regulations in the jurisd:lction. I also
<br />certify that! understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my r~sponaibiH.ty 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 'rreatment
<br />*Southwest Florida Water Management District-Wells, CYPEess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Departmenl of Health iii Rehabilitative Services, Environmental Health Unit-Wella,
<br />Wastewater Treatment, Septic Tanks
<br />*u. S. EnvJronrnental I?rotelOtion 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 drainage plan addreSSing a "compensating volume" wl11 be submitted which
<br />is prepared IlY a professional engineer reg:lstered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with ~he work and not as
<br />authority to violate, oancel, 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 />correation of errors in plans, constructioj}, or violations of any oode. B1very permih
<br />lsllIued shall become invalid unle.. the worJcauthor:ized by llIuoh permit is oommenced withln
<br />.iK months of iSllIuanoe, or if work authorJzed by the permit is suspended or ahandoned for a
<br />period of six months after the time the work is conunenced. One 90 day extension of ti.llle
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be Eequested
<br />in writing to the Building Offioial. An approved inspection must be logged durlng each six
<br />month period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAIWRE TO RECORD A NO'!'ICE OF COMMENCEMENT MAY RI!lSUJ/l' IN YOUR
<br />PAYING 'l'WH~E U'OR IMPROVEMEN'rS TO YOUR PROI?ER'rY. IF YOU IN'l'END 'l'0 OB'I'AIN FINANCING, CONSUL'l'
<br />WI'I'lI YOUR 1,I!lNDER OR AN A'r'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. ,JOB/3 UNDER
<br />$2,500 IN VAI.UE DO NO'l' NEED '1'0 RECORD AND 1?0S'l' A "NOnCE OF COMMENCEMEN'I'fI.
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />S'l'A'l'E Ol!' FJ~ORlUA
<br />COUN'rY OF
<br />'Jlhe forego.ing instrument was
<br />Before lIIe this ____ day of_
<br />by
<br />
<br />acknowledged
<br />, 1 !l.-
<br />
<br />BTM'E OF FI,ORIUA
<br />COUN'fY OF
<br />The foregoing instrument was
<br />Before me this _J.iay of
<br />by
<br />
<br />acknowledged
<br />19
<br />
<br />(name of person acknoWledged)
<br />rJ who is personally known to me, or
<br />
<br />[J who has p roduoed
<br />(type
<br />and wholJ did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />(name of person acknOWledged)
<br />C1ho is personally known to me, or
<br />
<br />o who has produced .
<br />(type of ldentifioation)
<br />and who Ddid DUd not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking aoknouledgment1
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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