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<br />COlWI'I'IONS O? PER"1IT AF.'?:.;)AVIT
<br />
<br />A. NOTICE or DEED RESTRICTIONS
<br />The undersigned understands thijt this parmit ~ay be ~ui)1ect to "deed restrictionsU ~hich.
<br />may be more restrictive than City r,;gulcd:ions. 'l'he und:n:si';}ued assumes responsibility for
<br />oompliance with any applicable deed n:st:r:iction~.
<br />B. UNI,ICENSED CON'l'RAC'l'ORS AND CON'l'HACTOR RESPONSIBIIJI'l'IES
<br />If tile owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in accordal1ce with state and local regulat10ns. If the contractor is not
<br />licensed as required by law, both the ol-mer and contractor may be cited for a miademeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to wllat
<br />li censing requi rements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills 8uilding Department, 613-788-6611.
<br />Furthenllol:e, if the owner has hired a contractor or contractors, he ia advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />vlill be responsible. If you, as the ownel: s.igns as the contractor, YQlj are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor Hishes
<br />you to sign as COlltractor that may be an indication that he is not properly licensed and is
<br />llot entitled to permitting privil~ges in the city of Zephyrhills.
<br />C. 'I'AANSI:'OR'l'A'rION 1MFAC'l' !fEES AND U'l'ILI'l'Y CONNECTION j!'EES
<br />D. CONS'l'RIIC'l'UION LIEN LA\tJ (CliAP'llER 713, FLORIDA STA'I'UTES, AS AMENDED)
<br />I certify that I, tile applioant, 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", I cerify 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. CON'I'RAC'l'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 applicable laws regulating construction, zoning, and land
<br />development.
<br />Applioation is hereby made to obtain a permit to do work and installation as indioated. I
<br />certify that no Hork 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 tile jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies Inay apply to
<br />the intended work, and that it is my responsibility to identify what actions I Inuat take to
<br />be in oompliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally SensJ.tive
<br />Lands, Water/Wastewater Treatment
<br />*5outhwest rlo~ida Water Management Diatrict-Wells,Cypress Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Department of Health & Rehabilitative Servioes, 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 volume"'will be submitted which
<br />is prepared by a professional engineer registered in the State of florida 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 />authority to violate, cancel, alter, or set 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, con~tructionr or vio~ations of any oode. Every pe,mit
<br />is~u~d shall become invalid unless th@ wo:rk authori...ed by such permit is oOllunenoed within
<br />six months of issuanoe, or if work authorized by the permit is suspended or abandoqed for a
<br />period of o$Lx months after the tiwe 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 requ~s~ed
<br />ill writing to the Building Offioial. An approved inspection must be logged during each aiK
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NO'I'ICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
<br />PAYING TWICE IfOR IMPROVEMEN'I'S TO YOUR PROPERTY. IF YOU INTEND TO OB'I'AIN I!"INANGING,~9N@UIlr'
<br />WITH YOUR LEHDER OR AN A'I'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. ',JOBS Ul~fJER
<br />$2,500 TN VALUE DO NO'l' NEED '1'0 RECORD AND POS'l' A "NO'l'ICE OF COMMENCENEN'l'''.
<br />
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<br />SIGNA'l'URE I CONTRACTOR
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<br />15~~4171
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<br />S'I'ATE OF F~}YD~ ......
<br />COUNTY OF fTS<l-0
<br />'l'he foregoing .1nJ'lf.,J.;\.lment wa~t~~~led?,.~ ,)
<br />Be~. r"u~ll~ thi~W~day of '. .' ~tl3
<br />by. '\d ()r~ -
<br />~name of person acknowl~dged)
<br />~ho is personally known to me, or
<br />
<br />STA'I'E OF FLORIDA [If!.' I ~
<br />COUNTY OF .~ C.v _
<br />'l'he foreooing ins nnent w~ aoknovlledged
<br />Befo~l1 ~~ this. iay of' 'tU1..u~ ' ~~~:S
<br />by ~J"
<br />_ /' (name of person acknowledged)
<br />~o is personally known to me, or
<br />
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<br />Owho
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<br />ion)
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<br />Nan~typed, printed or stamped
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<br />Name'typed, printed or' ~tal~p~d
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