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<br />CONDI'l'!0NS OF PERMIT AFFIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands that this permit may be subJect .to "deed restd_ctiollS" whlch
<br />_may be Illore restrictive than City regulations. 'fhe undersigned al!Jsumes 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 ~ay be required
<br />to be licens'ed in accordance with 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 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 />Furthermore,. 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 the owner signs as the contractor, you are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor. wishes
<br />you to sign al!l contractor that may be an indication that he is not properly licensed and 1..
<br />not entitled to permitting privileges in the City of 2',ephyrhills.
<br />C. TRANSPOR'fA'rION IMPAC1' FEES ANn U'rII.I'fY CONNECTION FEES
<br />D. CONS'fRUC'fUION LIEN LAW (CHAPTER 113, FLORIDA S'fATUTES, AS AMENDED)
<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", T eerify 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'S 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 per.mit to do work and installation as indicated. I
<br />certify 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 construction, City
<br />codes, zoning regulations, and land development regulations in t:he Jur.tsdlctlon. 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 lake to
<br />be in cOlnplJ.ance. Such agencies include 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, Cypxess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U. s. Envj_J':"onmental Protection Agency-Asbestos abatement
<br />I also certify that, if ;fill material is to be used in Flood Zone "A" or "A,etc.", .it 1.8
<br />understood that a drainage plan addresl!ling a "compensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to pennit
<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 Bet 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 perml t 1s cOIIRnenced wilh! n
<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 extenslon 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 '1'0 OWNER: YOUR FAII.URE 'fO RECORD A NOTICE OF COMMENCEMEN'f MAY RESUL'l' 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 NOTICE OF COMMENCEMENT. JOBS DER
<br />$2,500 IN V UE DO NOT NEED TO RECORD AND POST A "NOTICE 0 CO ENCFMENT".
<br />
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<br />
<br />STA'fE OF FLORIDA ~ I ~/ r
<br />COUNTY OF 'J /1~ /9 ~
<br />The foregoing inst~ent wa~cknowledged
<br />Befor~. this / 9/~ da~ o~ ~e. , ~O,2...
<br />by ::> r4""~~?/t:---~
<br />(name of person ackno~ledged)
<br />.Qbrho is personally known to me, or
<br />
<br />STATE OF FLORIDA 41 // 1"1 ~
<br />COUNTY OF . /..I /1~ ..,
<br />The foregoing instrument was acknowledged
<br />Before.J1l~ this / j'rAda.v q,f /,J--l! C! , M')ZoO.t..
<br />by Sr#f4;-~ ~-/t//1
<br />~ (name of person acknowledged)
<br />~tlo is personally known to me, or
<br />
<br />
<br />e of identification)
<br />take an oath.
<br />
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