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<br />CONDITIONS OF PERNI'I' AFFIDAVIT
<br />A. NO~ICE OF DEED RESTRICTIONS
<br />The undersigned understands thijt this p~rmit may be subject to "deed restriotions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />complir.H1ce with any applicable deed restrictions.
<br />B. UNLICENSED CONTRAC'l'ORS AND CON'l'RAC'l'OR RESPONSIBII,I'l'IES
<br />If tile owner has hired a contractor or contractors to undertake work, they May be required
<br />to be Ii ceused in accordance with state aud local regl!lations. If the contractor ia not
<br />Ii censed as reqUired Ly law, both the ol-mer and contri:lctor may be cited for a ndademeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />li censing requi rementa may apply for the intEHlded work, they are advised to oontaot the
<br />City of Zephyrhills Building Department, 813-768-6611.
<br />Furtllecnore, 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 Ule owner signs ~s the contractor, YQ4 are indioating that
<br />you, rather than the contractor, are responsible for the WOl'k. If the contractor wishes
<br />you to sign as contractor that may be an indiCation that he is not properly licensed arid is
<br />not entitled to permitting privil~ges in the City of Zephyrhills.
<br />C. 'rRANSI?OR'l'ATION IMPAC'l' Ii'E;ES AND U'I'lLI'I'Y CONNECTION rEES
<br />D. CONB'fRllC'rUION LIEN LAW (CHAP'I'ER 713, FLORIDA S'l'ATU'rES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of MFlorida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affaira. If the applicant is someone other that the "ownerU, I cerify that I
<br />have obtaineq a copy of the above described document and promise in good faith to deliver
<br />it to the "owneru prior to commencement.
<br />E. CONTRAC'l'OR' S/OWNER' S AFFIDAVI'r
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in oompliance 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 indioated. I
<br />ceJ:tify 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 construotion, City
<br />codes, zoning regulations, and land development regulations in the jllrisdiotion. J also
<br />certify that I understand that th~ regulations of other governmental agencies lnay apply to
<br />the intended work, and that it is my responsibility to identify what aationa J llIuat take to
<br />be in compliance. Such agencies include but are not limited tOI *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Bnvironmentally Sens~tive
<br />Landa, Water/Wastewater Treatment
<br />*Boutllwest rlorida Water Management District-Wells,Cypress Bayheads, Wetland Areas,
<br />Altering W~teroourses
<br />*Acny Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health \Jnit-Wella,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~Au or "A,ete.", it is
<br />understood that a drainage plan addressing a "compensating volume" 'will be submitted which
<br />is prepared by a professional engineer registered in tile State of rlorida prior to permit
<br />iasuance.
<br />A permit issued shall be conatrued 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 coclea,
<br />nor shall issuance of a perndt prevent the Building Official from thereafter requiring a
<br />cor,r:ect1on of errors in plans, con~truotion~ or vio,l.ations of any code. EVtiry p(u:mH
<br />iSliu~d ~hall become invalid unless th~ Hork authorized by auch permit is cOl\ulIenced within
<br />slxmonths of issuance, or if Hork authorized by the permit is suspended or abandoqfild for a
<br />period of slx months after the time the work is commenced. One 90 day extenaion of time
<br />may be allowed for the permit with fee charge of $15.00. 'rhe extenaion shall be teq~ea~ed
<br />in writing to the Building Official. An approved inlilpection mUlilt be logged during each SiK
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNIilRI YOUR rAILURE 'fO RECORD A NOTICE OE' COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING 'l'WICE; E'OR IMPROVEMHlN'I'S TO YOUR E'ROE'ER'rY. IF you INTEND TO OB'rAIN l!'INAN qr<<'i, -~'~NiUL'f
<br />WITH YOUR LENDER OR AN A'I''l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'f. JOBS UNDER
<br />~2, 500 IN VALUE DO NOT N)!:ED 'l'0 RECORD AND POST A "NO'rrCE OF COMMENCILMEN'r".
<br />
<br />SIGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNATURE; CONTRACTOR
<br />
<br />acknowledged
<br />_,19_
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />'fhe foregoin9 instrument w~a aoknowledged
<br />Before me this ------pay of---, 19 ~,_
<br />by
<br />(name of person acknowledged)
<br />C1ho ia pex:sonally known to me, or
<br />
<br />Dwho haa produced ,
<br />(type of identifioat~on)
<br />and vlho Ddid DUd not t,ake an oath
<br />
<br />5'rA'fE or E'LORIDA
<br />COUNTY OF
<br />'l'he foregoing instrument was
<br />Before mE! this __ day of
<br />by~
<br />
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />o who haa proQuced
<br />(type
<br />and whoD did Odid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking aoknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or- stamped
<br />
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