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<br />CO!HJ~';'IONS OF PF.RMIT AFF'IDAVIT
<br />
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersJgned understands that tiLLs pennJ l: may })f'; subJeot to "deed restrictions" Hh1ch
<br />m~y be more restrictive than City cE~qulat:ions. '1'I1e und.:!rslgned assumes respoIlsJb.llity for
<br />compliance Hi t.1I any applicable deedcestricl:ions.
<br />B. UNIJICENSED CONrl'RACTORS AND CONTHl\CTOR RiI:S t'OIISIBI !,l'nES
<br />I f the o~vner has hired a contractor or contr:actors to undertake work, they n1ay be requ:\ red
<br />1:0 be licensed ill accordance vl1th stilte and local r.eg\llatJolls. If the contractor 1s not
<br />l.icensed as requLr'ed by laH, both thE: ol.mer' and contractor may be cited for a misdemeanor
<br />violation under state laH. If the OIiller or intended contractor are uncertaln as to Hhat
<br />licensing requirelllent:s may apply f:OJ~ the intended \vork, they are advised to contact the
<br />City of Zephyrldl1s BuJlding Department, 013-'188'-6611.
<br />F'urthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor (s) sign portions of the "Contractor Sections" of this app.U,cation for Ylhich they
<br />Hill be responsible. If you, as the owner signs as the contract.or, you are indicating that
<br />you, rather than the contractor, are responsible for the Hork. If the contractor wishes
<br />you 1:0 sJgn as contractor that may be an indication that he 1..s not properly licensed and is
<br />1I0t ellt1.tled to permitting privileges ill the City of Zephyrhills.
<br />C. '1'RANSPOR'l'ArI'lON IMPAC'1' FEES AllD U'1'ILI'I'Y CONIIEC'I'ION FEES
<br />D. CONS'fRIJC'l'UlON 1.1 EN LAW (CHAPTER ., 13, FLORI DA S'l'A'fUTES, AS J\HENDED)
<br />I certify that I, the applicant, have been provided Hith.a copy of "Ji'lorida's Constrllction
<br />1 ten LaH - 1I0meoHner's Protection Guide" prepared by the E'lorida Department of Agricul ture
<br />and Consllmer Affairs. If the applicant is someone other that the "ol'mer", I ce:d.fy that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "ownel.-II petor to conunencel!lent.
<br />l!:. CON'l'HAC'l'OR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this appl icatlon is accurate and that all vlOrk 1'111.1
<br />be dOlle .in compliance \'lith aU, applicable laws regulating construction, zoning, and land
<br />development.
<br />ApplJ,oation is hereby made to obtain a permit to do work and installation as indicated, I
<br />certify that 110 Hark or lnstallation has commenced pr.ior to issuance of a permi\: and t.hat
<br />all work Hill be perfanned to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the jur.isd.iction. I also
<br />certi fy that I understand that the regulations of other governmental agencies may apply to
<br />the 1ntended vlark, and that it is my responsibility to ldentify vThat actions I must take to
<br />be in cOlllpl.iance. Such agencies include but are not~ limited to: "'Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater 'I'reatment
<br />"'Southwest Florida Water Managemellt District-Wells, Cypress Bayheads, Wetland Areas,
<br />Al ted,ng Wa tercourses
<br />"'Army Corps of Engineer:s-SeaIVaIls, Docks, Navigable Waterways
<br />*lJepartmenl: of Health & Rehabilitative Services, Envlronmental Health Unit-Wells,
<br />Wastewater 'rreatment, Septic 'fanks
<br />*u. S. EnvLromnental Protection Agency-ASbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it 1s
<br />understood that a drainage plan addressing a "compensating volume" wLlI be submitted HhJ.ch
<br />Js prepared IlY a professional engineer registered in the state of Florida prior to permit
<br />issuance.
<br />A penuit issued shall be construed to be a license to proceed with ~he work and not as
<br />authority to vl01ate, canesl, alter, or set aside any provis1.ons of the technical codes,
<br />nor shall issuance of a perrolt prevent the Building Official from thereafter requiring a
<br />con:ecl:ion of errors in plans, construction, or violations of any code. Every permit
<br />issued shall. become invalid unless the work authorized by suah permit is oommenced withJn
<br />si.lt months of issuance, or if Hark authod,zed by the peullit is suspended or abandoned for a
<br />period of six months after the time the Hork is commenced. One 90 day extensioll of time
<br />may be allowed for tile permit Hith fee charge of $15.00. The extension shall be requested
<br />in writing to the Bul1ding Official. An approved inspection must be logged dud ng each silt
<br />month per:tod, or the project \Vill be cOllsidered abandoned.
<br />WJ\RNING '1'0 OWNER: YOUR FAII,uRE TO RECORD A NOTICE OF COMMENCEMEN'1' MAY RESULT IN YOUR
<br />PAYING TWICE Ji'OR IMPROVEMEN'!,S '1'0 YOUR PROPER'l'Y, IF' YOU IN'l'END '1'0 OA'l'AUI FINANCING, CONSUI.'1'
<br />WITH YOUR LENDER OR AN A'I'1'ORNEY BEFORE RECORDING YOUR NOnCE OF COMMENCEt1EN'l'. .JOBS UNDER
<br />$2,5011 IN VALUE DO NO'l' NEED TO RECORD AND POST A "NOTICE OF Cm1MENCEt1E:N'P".
<br />
<br />SIGNATURE: OWNER OR J\GENT
<br />
<br />SIGNA'I'URE: CON'fRAC'I'On
<br />
<br />S'l'.A'fE OF E'f,ORIDA
<br />COUNTY OE'.
<br />'J'he foregoJng 1.nstrument Has ackrlOHledged
<br />Before me this _..___ day of_______., l!l__
<br />by_.
<br />(name of person acknowledged)
<br />IJ \'1ho is personally knoHo to me, or
<br />
<br />STA'l'E: OF FLORIDA
<br />COUN'f'Y OF
<br />'l'he foregoing lnstrlUllent was acknowledged
<br />Before llIe this ._Jjay of------.---, 19 __~
<br />
<br />by
<br />
<br />(name of person acknowledged)
<br />[1ho is personally known to me, or
<br />
<br />[] who has produced
<br />(type
<br />and who!] did []did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced_______.___,__
<br />(type of JdenU,fica\:l.on)
<br />and who Odid [lUd not take an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person tak.ing acknowledgment!
<br />
<br />Nallle typed, pri.nled or stamped
<br />
<br />Name typed, printed or s l:amped
<br />
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