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<br />COHDl'rIONS OF PERMIT AFFIDAVIT
<br />
<br />A, N011CE OF DEED RESTRICTIoNS
<br />The undersigned understands th~t thi~ p~rmit ~ay b~ s~b1ect to "deed reatriotionsH which
<br />m~y be more restrictive than City regulations. The undersigned assumes responsibility for
<br />oomplianoe with any applicable deed restrictiolHl.
<br />B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'RAC'l'OR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be li censed in accordance ~dth 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 misdemeallor
<br />violation ullder state law. If the owner or intended contractor are uncertain as to what
<br />U censing requi rements may apply for the intf:lnded work, . they are advised to contaot the
<br />city of Zephyrhills Building Department, 613-766-6611,
<br />Furthermo}::e, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(a) sign portions of the "Contractor SectionsU of this application far whiell they
<br />will be responsible. If you, as the owner signs <IS the contractor, YQl,\ are indicating that
<br />you, rather than the contractor, are responsible for the work, If the contractor wislles
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privil~ges in the City of Zephyrhills.
<br />C. 'I'RANSPOR'l'ATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />V. CONS1RUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that 1, the applicant, have been provided with a copy of "florida's Construction
<br />lien Law - Homeowner's Protection GuideH prepared by the Florida Department of Agriculture
<br />and Consumer Affairs, If the applicant is SOmeone other th~t the "ownerU, 1 cerify that I
<br />llave obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owneru prior to commencement.
<br />E, CON'rRAC'l'OR' S/OWNER' S AFIfIDAVI'l'
<br />I certify that all the information in this application is accurate alld that all work will
<br />be done in compliance with all appU.cable laws regulating construction, zoning, and land
<br />dev&;llopment.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />ce.j:tify that no work or installation has commenced prior to isauance of a permit and that
<br />all work v/ill be performed to meet standards of all laws regulati.ng construotion, City
<br />codea, 2:oning regulations, and land development regulations in the jurisdiotion, J also
<br />certify that'I understand that th~ 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 I *Department e)f
<br />Environmental Regulatipn-Cypress Bayheads, Wetland Areas and I!:nvironmentally SensJ.tive
<br />Lands, Water/Wastewater Treatment
<br />*Soutllwest Wlorida Water Management District-Wells,CYPEess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Uepartn~nt of Health & Rehabilitative Services, Environmental Healtll Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental J:rotection Agency-Asbestos abatement
<br />1 also certify that, if fill material is to be used in Flood Zone ~Au or "A,eto,H, it is
<br />understood that a drai.nage plan addressing a "compensating volume" "will be submitted v/hioh
<br />is prepared by a professional engineer registered in the State of rlorida 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 technioal codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requi.ring a
<br />correction of errors in plans, construction, or viol~tions of any oode. ivary p@r~it
<br />is/lued ahall beoome invalid unleas the work authori~ed by auoh permit is oOllulumaed within
<br />six' months of issuance, or if \vork authorized by the permit is suspended or abandolletd 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 extensi.on shall be tequea~ed
<br />in writing to the Building Official. An approved inapeation must be logged during each ala
<br />month period, or the project Hill be considered abandoned. .
<br />WARNING TO OWNERI YOUR Ii'AILURE 'fO RECORD A NOTICE Oli' COMMENCEMENT MAy RESUL'l' IN YOUR
<br />J:AYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF you INTEND TO OBTAIN FINANqINq, ~'~iUL1
<br />WI'rH YOUR LENDER OR AN A'r'TORNEY BEIi'ORE RECORDING YOUR NonCE OF COMMENCEMIilN'f. JOBS uNDER
<br />$2,500 IN VALUI!l DO NOT Nti:ED '1'0 RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'r".
<br />
<br />S IGNA'l'URE I OWN iR OR AGENT
<br />
<br />SIGNA'rUREI CONTRACTOR
<br />
<br />a cknmvl edged
<br />, 19_
<br />
<br />STA'rE OF FLORIDA
<br />COUNTY OF
<br />The foregcin9 instrument w~a acknowledged
<br />Before me this ------J.iay of---, IS-.:._
<br />by
<br />(name of person aoknowledged)
<br />[1ho il3 perl30nally known to me, or
<br />
<br />Dwho has produced
<br />(type of identifioation)
<br />and Hho Odid DUd not t.ake an oilth
<br />
<br />a'rA'l'E Oli' FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this __._ day of
<br />by~
<br />
<br />(name of peraon aaknowl~dged)
<br />Dwho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and who[] did []did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking aoknow~edgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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