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<br />CONDITIONS OF PERMI1' AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Tile undersigned understands that this pennit may be subject to "deed restrictionsH which
<br />lIia~ be" more restrictive than City regulat.ions. 'rile undersigned assumes responsibility for
<br />oomplianoe with any applicable deed restrictions.
<br />B. UNLICENSED CONTRACTORS AND CON'I'RAC'I'OFt RESPONSIBILI'l'US
<br />If the owner has hired a contractor or contractors to undertake work, they nlay be rlillqui.red
<br />I to be licensed in accordanoe with state and local regulations. If the contractor is not
<br />lioensed as required by law, both the owner and contractor may be oited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />lioensing requirements may apply for the intended work, they are advised to contact the
<br />Clty of Zephyrhills Building Department, 813-788-6611.
<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 applioation for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you, rather than the contraotor, are responsible for the work. If the contraotor wishes
<br />you to sign as contractor that may be an indication that he is not properly licellsed and is
<br />not entitled to permitting privileges in the Clty of Zephyrhills.
<br />C. 'l'RANSPOR'l'A'rION IMPAC'!' FEES AND U'l'ILITY CONNEC'l'ION FEES
<br />D. CONBTRUC'rUION MEN LAW (CHAP'l'ER 713, FLORIDA S'1'ATUTES, AS AMENDED)
<br />1 certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />1i~m Law -- Homeowner's Protection Guide" prepared by the E'lorida Department of Agricultnre
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I oed,fy that I
<br />have obtained a copy of the above desoribed aocument and promise in good faith to deliver
<br />it to the "owner" prior to conunencement.
<br />Ii:. CON'I'AAC'l'OR' a/OWNER'S AFFIDAVI'l'
<br />1 certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applioable laws regulating oonstruotion, zoning, and land
<br />development.
<br />AppHcation is hereby m~de to obtain a permit to do work ,and installation as indioated. I
<br />certify that no work or installation has oonunenced prior to isst~ance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and lalld development regulations in the juriSdiction. I also
<br />certify tllatI understand that the regulations of other governmental agenoies may apply to
<br />the Jntended work, and that it is my rfj'lsponsibility to identify what actions I lIIust take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypres's Bayheads, Wetland Areas and Environmentally Sensitlve
<br />Lands, Water/Wastewater 'l'reatment
<br />*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Wateroourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*lJepartment: of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Tre.tment, Septic Tanks
<br />*U. S. EnvJronmental I?rottwtion Agency-Asbestos abatement
<br />I also certify that, if fill material Js 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 I>y a professional engineer regJstered 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 oodes,
<br />nor shall issuance of a permit prevent the Building Offioial from thereafter reqUiring a
<br />correotion of erl:ors in plans, construationJ orvlo~ations of any oode. Every permit
<br />iuued shall beoome invalid unless the wOJ;kauthodzed by suoh permit is oommenced within
<br />six month, of issuanoe, or if work authorized by the permit is suspended or abandoned for a
<br />period of /!Iix months after the time the work is conunenced,. One 90 day extension of tillle
<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 approved inspeotion must be logged during each six
<br />month period, or the project will be cOllsidered abandoned.
<br />WARNING '1'0 OWNERI YOUR FAII.URE TO RECORD A NO'I'ICE OF COMMENCEMENT MAY RESULT HI YOUR
<br />PAYING TWICE B'OR IMPROVEMENTS TO YOUR PROPER'l'Y. IF YOU IN'l'END '1'0 OB'l'AtN FINANCING, CONSUL'!'
<br />WI'l'ff YOUR I,ENDER OR AN A'r'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. .JOBS UNDER
<br />$2,500 IN VALUE no NO'l' NEED '1'0 RECORD AND POS'l' A "No'l'ICE OF COMMENCEMENT".
<br />
<br />SIGNATURE I OWNER OR AGENT
<br />
<br />S I GNA'1'URE I CONTRAC'l'OR
<br />
<br />S'l'A'l'E Olr Ii'I.ORIDA
<br />COUN'l"l OF
<br />'J'he foregoing instrument was
<br />Before lIIe this ___ day of
<br />by
<br />
<br />acknowledged
<br />, 1~_
<br />
<br />STA'l'E OF FLORIDA
<br />COUN'rY 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 aoknowledged)
<br />o who is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who[] did Ddid not take an oath.
<br />
<br />(name of person aoknowledged)
<br />C1ho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type of identifioation)
<br />and who Ddid DUd not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknOWledgment'
<br />
<br />Name typed, printed or stamped
<br />
<br />-
<br />Name typed, printed or stamped
<br />
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