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<br />CllliOlTI0NS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The u!1d'ersigned understands that this permit may he subJect ,to "deed rei'll: d,cllons" whl ch
<br />'may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B, UNLICENSED CONTRACTORS AND CONTRACTOR 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 law, both the owner and contractor may be cited for a rrUsdemeanor
<br />violation under state law, If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work, 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 Sections" 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. wish~s
<br />you to sign a8 contractor that may be an indication that he is not properly IJcensed and 18
<br />not entltled to pennitting privileges in the City of Zephyrhills,
<br />C, TR1\NSPOR'fNfION IMPACT FEES AND U'.fn.I'fY CONNEGTION FEES
<br />D, CONS'fRUC'fUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, 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 Gulde" prepared by the Florida Department of Agricultur.e
<br />and Consumer Affairs. If the applicant is someone other that the "owner", T cerlfy thAt I
<br />have obtalned a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement,
<br />E, CONTRACTOR'S/OWNER'S AFFIDAVIT
<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 />Application 1s hereby made to obtain a permit to do work and installation as indicated, I
<br />certity 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 constructlon, City
<br />codes, zonlng regulations, and land development regulations in the Jur..1 sdlctlon. .I a lAO
<br />certify that 'I understand that the regulations of other governmental agencies may appiy to
<br />the intended work, and that it is my responsibility to identify what actlons I mllst take lo
<br />he in compliance. Such agencies include but are not limited to: "Department of
<br />Envlronmental 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 & Rehabllitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if f{ll-materlal is to be used in Flood Zone "A" or "A, etc.", ,it is
<br />understood that a drainage plan addressing a "compensatlng volume" will be submitted whioh
<br />is prepared by a professional engineer reglstered in the State of Florida prior to pennlt
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the 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 authorJ.zed by such permi t is GOllnnenced wi th In
<br />SlK months of issuance, or if work authorized by the permit ls suspended or abandoned for a
<br />period of eiK months after the time the work is commenced. One 90 day eKtenslon of time
<br />may be allowed for the permit with fee charge of $l5.00, The eKtension shall be requested
<br />in wrlting 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 FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL1' IN YOUR
<br />PAYING '1'WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND '1'0 OBTAIN FINANCING, CONSm,T
<br />WI'l'H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POS'f A "NOTICE OF COMMENCEMENT".
<br />
<br />
<br />if iJ/. ~\
<br />
<br />SI ATURE: OWNER OR AGENT
<br />
<br />~~
<br />
<br />SIGNATURE: CONTRACTO
<br />
<br />STA'rE OF FLORIDA 1\' VI"( ((Of J
<br />COUNTY OF '
<br />The foregoing instrument was acknowledged
<br />Before me this -1J...!:::--day of '0 c.. +0 (,.... r, ~.o z..
<br />by \() S C A(l.... ~. E'Od::il. v If l2.. 'l
<br />(name of person ackno~ledged)
<br />or,;ho is personally known to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was ~cknowledged
<br />Before me this ~ay of ~1-'" v<v, ~ c....o O'L
<br />by %V' \'t(~ S+.ou<'1r
<br />(name of person acknowledged)
<br />~ is personally known to me, or
<br />
<br />
<br />owledgement
<br />
<br />
<br />roduced
<br />(type of identification)
<br />lid not take an oath
<br />
<br />roduced
<br />(type of identification)
<br />did not take an oath.
<br />
<br />ame
<br />
<br />Name t.yped,
<br />
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