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<br />CONDI'.PIONS OF PERMI'l' AFFIDAVr'1'
<br />A. NO'rICE 011' DEED RESTRIC'rIONS
<br />'l'he ur~dersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. '1'he undersigned assuJnes responsibility for
<br />compliance uith any applicable deed 1:'estrictions.
<br />B. UNLHlENSED CONTRACTORS AND CON'1'RAC'l'OF. RESPONSIBILI'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />I to be licensed in accordance with state and local regulat~ons. If the contractor is not
<br />licensed as required by law, both tile owner and contractor may be aited for l!l 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 \'wrk, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-766-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advi.sed to have the
<br />oontraotor(s) sign portions of the "Contractor SectionsH of this application for whioh they
<br />will be responsible. If you, as the owner signs as the contractor, you are indioating tllat
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign ae contractor that Jnay be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges ill the City of Zephyrhills.
<br />C. 'l'RANBPOR'rA'rION IMPAC'r FEES AND U'l'ILITY CONNEC'l'ION FEES
<br />D. CONSTRUC'l'UION MEN LAW (ClfAP'l'ER 713, FLORIDA S'l'ATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />li,Ul l,aw -- HOllleowner's Protection Guide" prepared by the E'lorida Department af Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "ownerlJ, I oet'l,fy that I
<br />have obtained a copy of the above desoribed ~ocument and promise in good faith to deliver
<br />it to the "owner" prior to conunencement.
<br />E. CON'l'RAC'l'OR' S/OWNER' S AIi'FIDAVI'l'
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in oompliance with all applicable laws regulating construction, zoning, and land
<br />development.
<br />AppHcation is her.eby m~de to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has oonunenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />oodes, zoning regulations, and laud development regulations in the jurisd.iction. I also
<br />certify tllat'I understand that the regulations of other governmental agenoies may apply to
<br />the lntendad work, and that it is my r,sponsibiHty to identify what actions I must take to
<br />be in complianoe. Such agencies include but are not limited tOI *Department of
<br />Euvi.ronmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensiti.ve
<br />Lauds, Water/Wastewater Treatment
<br />""Southwest Florida Water Management District-Wells, CYPEess Bayheads, Wetland Areas,
<br />Altering Wateroourses
<br />*Armv Corps of EngineerS-Seawalls, Docks, Navigable Waterways
<br />""Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Tre.tment, Septic Tanks
<br />*u.S. Environmental Proteotion Agency-Asbestos abatement
<br />I also oertify that, if fill material ls to be used in Flood Zone "A" or "A,eta.", it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared }>y a professional engineer registered in the State of Florida prior to permit
<br />issuanoe.
<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 requlrillg a
<br />con:eotion of errors in plans, construotion, or violations of any oode. Every permit
<br />is"ued shall become invalid unlsu the work authorized by suoh permit is commenced withln
<br />SiK month. of issuanoe, or if work authorlzed by the permit is suspended or abandoned for a
<br />period of six months after the time the work is conunenced.. One 90 day extension of thus
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building offioial. An approved inspection must be logged during each six
<br />month period, or the projeot will be considered abandoned.
<br />WARNING '1'0 OWNER I YOUR FAILURE TO RECORD A NO'!'ICE OF COMMENCEMEN'l' MAY nESUJ.'l' IN YOUR
<br />PAYING 'rWICE B'OR IMPROVEMEN'rS TO YOUR PROPER'1'Y. IF YOU IN'l'END '1'0 OB'l'AIN FINANCING, CONSUL'l'
<br />WI'I'II YOUR I.ENDER OR AN A'1"l'ORNEY BEfORE RECORDING YOUR NOTICE OF COMMENCEMEN'1'. JOBS UNDER
<br />$2,500 IN VAI,UE DO NO'{' NEED 'I'D RECORD AND 1?0S'l' A "NO'l'ICE OF COMMENCEMENT".
<br />
<br />SIGNATURE I OWNER OR AGENT
<br />
<br />SIGNATURE I CONTRACTOR
<br />
<br />S'l'A'l'1Il OF InoRIDA
<br />COUN'I'Y OF
<br />'J'he foregoing instrument was
<br />Before lIIe this ___ day oC.
<br />by
<br />
<br />aoknowledged
<br />, 1!L-
<br />
<br />STA'l'E OF FLORIDA
<br />COUN'l'Y OF
<br />The foregoing instrument was
<br />Before me this _"pay of
<br />by
<br />
<br />acknowledged
<br />, 1 9 -:....
<br />
<br />(name af person lloknotiledged)
<br />IJ who is personally known to nlei, or
<br />
<br />o who has produoed
<br />(type
<br />and wholJ did fJdid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />(name of person aoknowledged)
<br />C1ho Is personally known to me, or
<br />
<br />o who has produoed
<br />(type of identifioatlonl
<br />and who Odid DUd not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment I
<br />
<br />Name typed, printed or stamped
<br />
<br />-.
<br />Name typed, printed or stamped
<br />
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