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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The underaigned underatands th~t this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />conlpliance with any applicable deed restrictions.
<br />B. UNLICENSED CONTRAC'l'ORS AND CONTRACTOR RESPONSIBILI'I'IES
<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 Ilot
<br />licensed as required by law, both the owner and contraotor may be oited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wlaat
<br />licensing requirements may apply for the intended work, they are advised to oantapt the
<br />City of Zephyrhills Building Department, 613-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to hav&:! the
<br />contractor(s) sign portions of the "Contractor Seotions" of this application for which they
<br />will be responsible. If you, as the owner signs _s the contractor, YQ4 are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contracto!.- wishes
<br />you to sign as contractor that m~y 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'RANSI?OR'l'ATION IMPAC'!' l"EES AND U'l'UI'I'Y CONNECTION l"EES
<br />D. CONs'rRlIC'I'UION LIEN LAW (CliAI?'l'ER 713, FLORIDA STATu'rES, AS AMENDED)
<br />r certify that I, the applicant, have been provided with a copy of "~lorida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Depal-truent of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I eerify that I
<br />laave obtained a copy of the above described document and promise in good faith to deliver
<br />j t to the "owner" prior to cownencement.
<br />E. CON'l'RAC'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 compliance with all applicable laws regulating construction, zoning, and land
<br />devl?lopment.
<br />Application is hereby made to obtain a permit to do work and installation as indicatlild. I
<br />ceJ:tify that no Hork or installation has commenced prior to issuance of a permit and that
<br />all work V/ill be performed to meet 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 "mat take to
<br />be in compliance. Such agencies include but are not limited tOI *Department of
<br />Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally BensJ.tive
<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 WaterHays
<br />*DepArtment of Health Ii Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U,S. Environmental ~rotection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~Aff or UA,etc.", it is
<br />understood that a drainage plan addreSSing a "compensating volume""will be submitted Hhich
<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 />autlaority to violate, cancel, alter, or set aside any provisions of the teohnical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, con~truotioq~ or via~~tions of any oode. Every p_rmit
<br />iss~~d ~hall beoome invalid unless the work authoria;ed by auch permit is oOllullenolad within
<br />siKmonths of issuance, or if work authorized by the permtt is suspended or abandoijlld f~r a
<br />period of aiK montha after the time the work is commenced. One 90 day extension of tillle
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be reques~ed
<br />in writing to the Building Official. An approved inspeotion must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNIilRI YOUR FAILURE '1'0 RECORD A No'rrcE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />I?AYING 'l'WICE FOR IMI?ROVEMEN'1'S TO YOUR PROI?ERTY. IF ":fOll INTEND TO oa'rAIN IHNANqWq, ~'~N~,uL'I'
<br />Wr'rH YOUR LENDER OR AN A'I'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'f. .JOBS UNDER
<br />92,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />~~~~-
<br />
<br />SIGNNI'URE: CONTAACTOR
<br />
<br />~
<br />
<br />SIGNA'l'UREI OWNER OR AGENT
<br />
<br />5'l'A'l'E Q~ ~LORIDA
<br />COUNTY O~
<br />The foregoing instrument was
<br />Before me this ___ day of
<br />by.
<br />
<br />acknowledged
<br />, 19_
<br />
<br />STA'l'E OF FLORIDA
<br />COUN'l'Y OF
<br />Tht: foregoing instrument Wii\6 aoknowledged
<br />Before me this ~ay of-- , 19--:....
<br />by
<br />(name of peraon acknowledgad)
<br />C1ho is personally known to me, or
<br />
<br />Owho has produced
<br />(type of identification)
<br />and Hho Ddid Q.iid not t.ake an oilth
<br />
<br />(name of person aokno~l_dged)
<br />Owho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and whoO did Odid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signatur.'e of person taking acknowledgement
<br />
<br />Signature of person taking aoknowledgment
<br />
<br />Name typed, prlnted
<br />
<br />-
<br />or stamped
<br />
<br />Name typed, printed 0.1: stamped
<br />
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