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<br />CONDITIONS OF PERM~~ AFFIDAVIT.
<br />A. NOTICE OF DEED RESTRICTIONS
<br />. The ~ndersigned understands that this permit may be subject to "deed restrictionsH which
<br />may be more restrictive than City regulations. Tl1e undersigned assumes responsibility for
<br />compliance with any applicable deed L'estrictions.
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOH RESPON~iII3ILI'rIES
<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 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 \'lork, they are advised to contact the
<br />City of Zephyrhills Building Department, 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 SectionsH of this application 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 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 privileges in the City of Zephyrhllls.
<br />C. TRANSPOR'l'A'I'ION IMPAC'1' FEES AND UTILITY CONNEC'rION FEES
<br />D. CONSTRUC'1'UION LIEN LAW (CHAP'l'ER 713, FLORIDA S'rATUTES, AS AMENDED)
<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 ced,fy that I
<br />have obtained a copy of the above described aocument and promise in good faith to deliver
<br />it to the "owner" prior to Commencement.
<br />E. CON'l'RAC'1'OR' S/OWNER' S AFFIDAVI'1'
<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 />Appllcation is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance 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 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 include 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 District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, 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 certify that, if fill material is to be used in Flood Zone "AH or "A,etc.H, it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared hy a professional engineer registered 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, cancel, 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 />correction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is connnenced 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 conunenced. One 90 day extension of tirile
<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 inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING '1'0 OWNER: YOUR FAII,URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE I!'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN A'rTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~J~.~
<br />
<br />SIGNATURE: OWNER OR AGENT
<br />
<br />:t:~~t?-~tf ,,--/
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />STATE OF FLORIDA h
<br />COUN'rY OF H-; \ \ ~~("Dc....5
<br />The foregoing instrument was acknowledged
<br />Before me this Z./~ day of ~ '2coZ- fi ...';
<br />by
<br />iname of person acknowledged)
<br />~ is personally known to me, or
<br />
<br />,
<br />STATE OF FLORIDA
<br />COUNTY OF H-;Ilsb"r~~'n
<br />1.'he fQregoirl~ inat~ment wa~ack9Qwledged
<br />Beforei me this Z'-day of ~~-"':$~
<br />by
<br />(name of person acknowledged)
<br />~personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />
<br />~dif~ake an oath.
<br />
<br />Signature of person takin
<br />
<br />
<br />
<br />Owho has produced
<br />(type of identification)
<br />did~e an oat~
<br />
<br />
<br />knowledgment'
<br />
<br />ed
<br />
<br />'~'.1".if';'.."~:'''>I:.'
<br />
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