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<br />CONDI'l'IONS OF PERMIT AE'f!"IDAVIT
<br />A. NOTICE or DEED RESTRICTIONS
<br />The undersigned understands thijt lhi~ permit may be subject to "deed restrictions" which
<br />, may be more restri cti ve than City H!gula tions. '1'1\1:: 11l1ch::rsigned assumes responsibili ty for
<br />oompliance with any applicable deE:Q restrictions.
<br />B. UNLICENSED CONTRAC'I'ORS AND CON'l'HACTOR RESPONSI:BII,[TIES
<br />If the owner has hired a contractor or contractors to undertake work, they nlay be required
<br />to be licensed in accordance with scate and local regulations. If the contractor is not
<br />licensed as required by law, both the o~mer and contractor may be cited for a miademeanor
<br />v~olation under state law. If the owner or intended contractor are uncertain as to what
<br />Ucensing requirements may apply for the intended work, they are advised to aontaot the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />FurtherlllOl::e, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor SectionsU of this applioation for which they
<br />will be responsible. If you, as.the owner signs as the contraotor, YQ4 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. 'l'RANSE'ORtl'ATION IMPAC'l' FEES AND U'l'ILITY CONNECTION FEES
<br />D. CONS'l'RUCTUION LIEN LAvl (CHAP'l'ER 713, rl,ORIDA STATUTES, AS AMENDED)
<br />1 certify that I, the applicant, have been provided with a copy of "rlorida's Constrllction
<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", I cerify that I
<br />have obtained a copy of the above described aocument and promise in good faith to dellver
<br />it to the "ownerU prior to commencement.
<br />E. CON'rRACtl'oR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all appU_cable laws regulating construction, zoning, and land
<br />devf?lopment.
<br />Application is hereby made to obtain a permit to do work and installation as lndioatlid. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work Vlill 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 />aertify 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 llIllSt Lake to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Envlronmentally Sensitive
<br />Landa, Water/Wastewater Treatment
<br />*Soutllwest ilorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabl1itative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental 1?rotection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~A" or "A, eta.", it is
<br />under:stood that a drainage plan addressing a "compensating volume" 'will be submitted whioh
<br />is prepared by a professional engineer registered in the state of Wlorida prior to permit
<br />issuance.
<br />A permit issued shall be oonstrued to be a license to proceed with the work and not as
<br />authority to violate, cancel, alteL', or set aside any provisions of the tealmical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requirlng a
<br />oorrection of errors in plans, pon~truotion1 or vio~a~ions of any oode. Every p&,mit
<br />issu~d shall beoome invalid unless the work authori:z;ed by such permit is oOllunenced ~/ithin
<br />SiK months of issllance, or if work authori:z;ed by the permlt is suspended or abandoqliild for a
<br />period of aix 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 extension shall be reques~ed
<br />in writing to the Building Official. An approved lnspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER; YOUR rAIWRE '1'0 RECORD A NOTICE or COMMENCEMENT MAY RESULt!, IN YOUR
<br />PAYING 'l'WICE FOR IMPROVEMENTS 'I'O YOUR PROPERTY. IF YOU IN'l'END TO OB'!'AIN lnNANqINq, ,~9N~UI!r'
<br />WI'l'H YOUR LENDER OR AN A'rTORNEY BEFORE RECORDING YOUR NOTICE or COMMENCEMENT. JOBS UNDER
<br />$2,500 IN VAWE DO NOrl' NEED 'l'O RECORD AND POST A "NOTICE OF COMMENCEMEN'l'''.
<br />
<br />S lGNA'l'URE; OWNER OR AGENT
<br />
<br />SIGNATURE: CONTRACTOR
<br />
<br />o who has produoed
<br />(type
<br />and who[] did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />STA'l'E OF nORIDA
<br />COUNTY or
<br />The foregoing instrument WqB aoknowledged
<br />Before me this ---Pay uf-- I 1~ ......:..._
<br />by
<br />(name of person aoknowledged)
<br />[1ho .is personally known to me, or
<br />
<br />o who has produced______________
<br />. (type of identifioation)
<br />and Hho Odid DUd not t,ake an oath
<br />
<br />f:l'rAtl'E Qjj' FLORIDA
<br />COUNTY or
<br />The foregoing instrument was acknowledged
<br />Before me this __ day of , l~
<br />by ~__
<br />(name of person acknOWledged)
<br />Dwho is personally known to me, or
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
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