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<br /> <br />CONDiTIONS OF PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br />The undersigned understands that this permit may be subject to ~deed restrictions" which <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 11censed in aCcordance w1th state and local regulations. If the contractor 1s not <br />licenaed as requ1red 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 work, they are advised to contact the <br />City of Zephyrhills Building Department, 813-788-6611. <br />Further.more, if the Owner has h1red a contractor or contractors, he is advised to have the <br />contractor(s) sign portions of the ~Contractor Sections* of this application tor which they <br />will be responsible. If you, as the owner s1gns as the contractor, you are indicating that <br />you, rather than the contractor, are responsible tor the work. It 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 Zephyrhills. <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br />D. CONSTRUCTUION LIEN LAW (CHlU'TER 713, FLORIDA STATUTES, AS AHENDED) <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 cerify that I <br />have obtained 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' 5 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 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 per~t and that <br />all work w111 be performed to m.et 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 1nclude 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-Seawalla, Dock., Navigable Waterways <br />*Department of Health & Rehabilitative Se~ces, Environmental Health Unit-Wells, <br />Wastewater Treatment, Septic Tanks <br />*U.S. Environmental Protection Agency-Asbestos abatement <br />I also certify that, if fill maCerial is to be used in Flood Zone ~A# or ~A,etc.", it is <br />understood that a drainage plan addressing a "compensating volume" w11l be sUbmitted which <br />is prepared by 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 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 authorized by such permit is Co~enced 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 commenced. One 90 day extension of time <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 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br />WITH YOUR LENDER OR AN ATTORNEy BEFORE RECORDING YOUR NOTrel!: OF COHMENCI!:HENT. JOBS UNDER <br />$2,500 IN VALUE DO NOT NEED TO RECORD AND .POST A ~CEMENT". <br /> <br /> <br />.~~~~ . ...2:::..x rJ~~ <br />~~ O~/LORI~ P~.dhOlLJO ;( ) ::. O~p FLORIDA a. 'p ~fll(r/ C <br /> <br />The foregoing inst;;ument wa~ss^ ~~q,.OW~d~~, The foregoing i IS ent wa~c.kD.Ow'fed~e <br />Befo~ IIlEl thisL1C'!:l:-rJay of ~. . ~^' Betore e t is of~, 6fX:>.:l..- <br />by O~ t+ ~""vtLri l by r <br />)1,. (name of person aCknowledged) '"' (nillllEl of erlSon acknowledged) <br />~Who is personally known to me, or ~ho is pereonally known to me, or <br /> <br />Dwho hae prOduced Dwho has produced <br />(type (type of identification) <br />did no ~id n t ke an oath <br /> <br />~. , ~~ <br /> <br />JENlRgL.....owledgment <br />* MY COMMISSION j DO 113527 <br /> <br /> <br />Z 'd <br /> <br />669Z'ON <br /> <br />SllIH~AHd3Z jO AIIJ <br /> <br />V/d80:Z ZOOZ 'L I' PO <br />