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<br />CONDITIONS OF PERMIT AE'FIDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands th~t Lhi~ pMrmit may be subject ~o "deed restrictionsU which
<br />may be more res t1-i cti ve than City r':<;Jula tions. '1'11,:: und::rsi<;Jned assumes responsibili ty for
<br />compliance with any applicable deedr'=l:ltrictions.
<br />B. UNLICENSED CON'l'RAC'l'ORS AND eOJITRACTOR RESPONSIBIJ,I'l'Il!:S
<br />If the owner lias hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordallce with state and local regulations. If the contractor is not
<br />lioensed as required by law, both the owner and oontractor may be cited for a misdemeanor
<br />violation under state law. I f the owner or intended contractor are uncertain as to vlhat
<br />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Depa.ttment, 813-768-6611.
<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 SectionsU of this application for which they
<br />will be .tesponsible. If you, as the owner signs as 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 privUeges in the City of Zephyrhills.
<br />c. 'PRANSPOR'rA'r!oN IMPAC'I' rEES AND UTILITY CONNECTION FEES
<br />D. CONS'l'RUC'rUION LIEN LAW (CliAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "florida's Constrllction
<br />lien Law - Homeowner's Protection Guideu prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the appl.icant is someone other that the "owner", I cerify that I
<br />have obt~ined a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CON'I'RAC'I'OR' S/OWNER' S AFFIDAVI'l'
<br />I certify that all the information in this appl.ication is accurate and tllat 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 obtai.n a pennjt to do work and installation as indicated. I
<br />certify that no ~lOrk or installati_on 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 the jllrisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the inteuded work, and that it is my responsibility to identify what actions I lllllSt take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens~tive
<br />Lands, Water/WasteHater Trt=atment
<br />*Soutllwest ilorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Anny Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*IJepartlllenL of Health 6< Rehabilitative Services, Environmental Health Unit-Wells,
<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,etc.", it is
<br />understood that a drainage plan addressing a "compensating volumeu'wi.ll be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />j~suance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cewcel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permi.t prevent the Building Official from thereafter requiring a
<br />correction of errors in plans, construction, or violations of any oode. Every permit
<br />is,!iUed shall beoome invalid unless the work. authori~ed by such permit is oOllullenced within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoqed for a
<br />period of six months after the time the work is commenced. One 90 day extensi.on of time
<br />may be allowed for the permit with fee charge of $15.00. The extellsion shall be requested
<br />ill writing to the Building Official. An approved inspecti.on must be logged during each' six
<br />lllonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE 'ro RECORD A No'rrCE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IE' YOU IN'rEND TO OB'rAIN b'INANGlNG, ~QN~Ul/l'
<br />WITH YOUR LENDER OR AN A'I'TORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'l'. . JOBS Ul~IlER
<br />$2,500 IN VAW&: DO NO'!' NEED fI'O RECORD AND POS'J1 A "NO'l'ICE OF COMMENCEMEN'I"f.
<br />
<br />~.~a.~~_
<br />
<br />SIG~WNER OR AGENT
<br />
<br />S I GNA'I'URE : CONTRACTOR
<br />
<br />STA'I'E OF FLORIDA
<br />COUN'ry OF
<br />The foregoing instrument WIlS aoknovlledged
<br />Before me this .-------5iay of---~, 19 __:._
<br />by
<br />(name of person acknowledged)
<br />[1ho is personally knovm to me, or
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />'l'he foregoing instrument was acknowledged
<br />Before me this ____ day of 19_
<br />by ___
<br />(name of person acknOWledged)
<br />Owho is personally known to me, or
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produaed__
<br />(type of identification)
<br />and vJho Odid D-lid not t,ake all oath
<br />
<br />o who has produced
<br />(type
<br />and who[] did Ddid not
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />-
<br />or stamped
<br />
<br />-
<br />Name typed, printed or stamp!:ld
<br />
<br />I'lame typed, printed
<br />
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