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<br />CON!J::':'l'IONS OF ?EPMI'l' AFF::':DAVI'r
<br />A. NOTICE OF DEED RESTRICTIONS
<br />Il'h~ unde.rsigned understands that thJ.s pennlt may be suh:)ec.:t to "deed restrictions" whloh
<br />Illay be more restrictive than City rf~gulat:lons. 'I'he und'3rsJ.gned assumes responsibllity for
<br />aompU,anae lfith any applicable deedt:est:l:ictL>n~I.
<br />B. UNLICENSED CONTRACTORS AND CON'l'HAC'l'OH RElSI?ONSIBILI'I'IES
<br />If the owner has hlred a contractor or contractors to undertake worJt, they may be requLred
<br />J to be licensed in accordanoe with state and local regulations. If the contraotor is not
<br />liaensed as required by law, both the owner and contractor may be clted for a misdemeanor
<br />violation Ullder state law. If the owner or intended contractor are uncertain as ta what
<br />.licensing requirements may apply fOJ: the intended \'/ork, they are advised to contact the
<br />City of Zephyrhills Buildlng Departlnent, 813-766-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is adv:i.sed to have the
<br />oont.raotor(s) sign portions of the "Contractor Sections" of this applioation for whioh they
<br />will be responsible. If you, as the owner signs as the contraotor, you are indicating that
<br />you, rather than the contractor, ara responsible for the work. If the contraotor wishes
<br />you to sign as contractor that may be an indication that he is not properly lioensed and is
<br />not entitled to permitting privileges ln the City of Zephyrhills.
<br />C. TAANBPOR'!'A'rION IMPAC'!' FEES AND U'l'ILITY CONNEC'l'ION FEES
<br />D. CONBTRlJC'l'UION MEN LAW (CHAP'l'ER 713, FLORIDA SlrA'rUTES, AS AMENDED)
<br />I certify that I, the appllcant, have bean provi~ed wlth a copy of "Florida's Construotion
<br />1hm Law - Homeowner's Protection Guide" prepared by the J!'lorida 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 desaribed aocument and promise in good faith to deliver
<br />it to the "owner" prior to conunencement.
<br />E. CON'l'RACll'OR' a/oWNER'S AFI!'IDAVI'f
<br />I oertify tllat all the information in this application is accurate and that all work will
<br />be done in oompliance with all applioable laws regulating construction, zoning, and land
<br />development.
<br />AppUoation is hereby made to obtain a permit to do work and installation as indiaated. I
<br />certlfy that no work or installation has oommenced pripr to iSlin~ano8 of a permit and that
<br />all work will be performed to meet stan~ards of all laws regulating construation, City
<br />codes, zoning regulations, and land development regulations in the jurisdlctjon. I also
<br />certify that 'I understand that the regulations of other governmental agenoies may apply to
<br />the intended work, and that it is my r~spDnsibiHty to identify what actions I lIIust take to
<br />be in complhnoe. Such agencies include but are not limited tal *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater '.rreatment
<br />*Bouthwest FloriQa Water Management District-Wella, CYPEess Bayheads, Wetland Areas,
<br />Altering Wateroourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterwaya
<br />*Uepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Waatewater Il'reatment, Beptic 'ranks
<br />*u.S. Env1ronmental froteotiol1 Agency-Asbestos abatement
<br />I also aertify that, if fill material 1s 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 whioh
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit lasued shall be construed to be a license to proceed with ~he work and not as
<br />autllority to violate, aancel, 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 />con:eation of errors in plans, oonstruotiol1, or violations of any code. Every permit
<br />181ued shall become invalid un1e.. the wO,t:,k' authorized by suoh permit is commenced within
<br />8iK months of issuance, or if work authorlzed by the permit is suspended or abandoned for a
<br />period of six months after the time the work is commenced,. One 90 day extensioll of thlle
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Offioial. An approved inspection must be logged during eaah six
<br />month period, or the project will be oonsidered abandoned.
<br />WARNING '1'0 OWNER I YOUR li'AII.URE TO RECORD A NO'l'ICE OF COMMENCEMENT MAY REBUJ.'!' IH YOUR
<br />fAYUm 'rWICE B'OR IMPROVEMEN'rs TO YOUR PROfER'l'Y. IF YOU IM'l'END 'l'O OB'l'AIN FINANCING, CONSUL'l'
<br />WI'l'fI YOUR I.ENUER OR AN A'l"l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCI&MEWl'. ,JOB8 UNOER
<br />$2,500 IN VAI.UE DO NO'l' NEED '1'0 RECORD AND POS'l' A "NOTICE OF COMMENCEMENT".
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<br />f~~
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<br />BII'A'l'E OF FI.ORIUA Pa SC 0
<br />COUN'I'Y OF
<br />'l'he foregoing instrument was
<br />Bafore me this __ day of
<br />by
<br />
<br />acknowledged
<br />, 1 !L-.
<br />
<br />STA'l'E OF FLORIDA
<br />COUWry OF
<br />The foregoing instrument was
<br />Before me this -----Pay of
<br />by
<br />
<br />~5cO
<br />
<br />acknowledged
<br />19
<br />
<br />(name of person acknoWledged)
<br />o who is personally known to me, or
<br />
<br />LJ who has produced
<br />(type
<br />and who!] did Odid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />(name of person aoknowledged)
<br />C1ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who Ddid OUd not take an oath
<br />
<br />Signature of person taking aoknowledgement
<br />
<br />Signature of person taking acknowledgment I
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
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