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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NO'l'ICE OF DEED RES'l'RIc'nONS
<br />'l'he undersigned understands thqt thL~ permit may be Subject to "deed restriotions" which
<br />may be more restriotive than City regulations. The undersigned assumes responsibility for
<br />oompliance with any applicable deed restrictions.
<br />B. UNLICENSED C;ONTRAC'l'ORS AND COH'l'RACTOR RESPONSIBII,I'I'IES
<br />If the owner has hired a contraotor or contraotors to undertake work, they may be required
<br />to be licensed in accordanoe with ~tate and looal regulations. If the oontractor is Ilot
<br />lioensed as required by laVI, both the Ovmer and contraotor may be ci ted for a misdemeanor
<br />violation under state laH. If the owner or intended contraotor are uncertain as to flhat
<br />licensing requirements Inay apply for the intended work, they are advised to contapt the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermol:e, j f the owner has hired a contractor or oontraotors, he is advised to have the
<br />contraator(s) sign portions of the "Contractor SectionsN of this application for which they
<br />Hill ba responsible, If you, as the OHner signs as the contractor, you. are indicating that
<br />you, rather than the oontraotor, are responsible for the Work. If the oontractor wishes
<br />you to sign as COlltractor that may be an indioation that he is not properly lioensed and is
<br />nol; entJtled to permitting privileges in the City of Zephyrhills.
<br />C. 'I'RANSPOR'l'ATION IMPAC'!' /fEES AND UTILITY CONNECTION FEES
<br />D. CONS'fRIJC'rUION LIEN LAW (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />r certify that I, the applioant, have been provided with a oopy of "Florida's constr\!otion
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agrioulture
<br />and consumer Affairs. If the applioant is someone other that: the "OwlU:rN, I Derity that I
<br />have obtained a copy of the above desoribed dooument and promise in good taith to deliver
<br />it to the "owner" prior to oonunencement.
<br />E, CON'rRAC'l'OR' a/OWNER'S AFFIDAVI'r
<br />I oertify that all the information in this application is acourate and that all work will
<br />be done in oomplianoe with all applicable laws regulatlng construotion, zoning, and land
<br />deVelopment.
<br />Application is hereby made to obtain a permjt to do work and installation as indicated. I
<br />certify that no Hork or installation has conunenoed prior to issuance at a permit and tbat
<br />all work 1'1111 be performed to meet standards of all laws regUlating construotion, City
<br />codes, zoning regulations, and land development regulations in the jurisdiotion. I alao
<br />certify that I undel:stand that thl? regulations of other governmental agenciea may apply to
<br />the intended work, and that it is my responsibility to identify what aationa I Irluat take to
<br />La in complianoe. Such agencies include but are not limited tOI *Department of
<br />Environmental Regulatipn-cypress Bayheads, Wetland Areas and Environmentally Sens~tive
<br />Lands, Water/Wastewater Treatment
<br />*Soutllwest Florida Water Management Distriat-Wells,Cypress BaybeadsJ Wetland Areas,
<br />Altering Watercourses
<br />'Army Corps of EngineerS-Seawalls, Docks, Navigable WaterHays
<br />*lJepartll\ent of Health lie Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septio Tanks
<br />*U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone qA" or "A,etc.N, it is
<br />understood that a drai.nage plan addressing a "compensating volurne"'will be submitted whioh
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />iSrlluance,
<br />A permit issued shall be construed to be a lioense to proceed with the work and not as
<br />authority to violate, oancel, alter, or set aside any provisions of the technical oodes,
<br />nor shall issuance of a permit prevent the Building Offioial from thereafter requiring a
<br />cor~ection of errors in plans, oon~tructio~! or vio~ations of any code. Every p~rmit
<br />iasu~d ahall beoome invalid unless th~ work authorized by such permit is oomrnenced ~lithin
<br />sixmontlls of issuanoe, or if work authorized by the permit is suspended or abandoijed f~r a
<br />period of six months after the time the work is oonunenced. 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 inspection must be logged during eaoh six
<br />month period, or the project will be oonsidered abandoned. .
<br />WARNING TO OWNIDRI YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING 'rWICE FOR IMPROVEMEN'l'S TO YOUR PROPERTY. IF YOU INTEND TO OB'fAIN FINANqINq,~qN'lJLrI'
<br />Wl'!'H YOUR LENDER OR AN A'l"fORNEY BEFORID RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER
<br />92,500 IN VAWEJ DO NOT NlilED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
<br />
<br />...----.--.--.
<br />
<br />SIGNA'rtJRE: OWNlilR OR AGEN'l'
<br />
<br />SIGNA'l'URE I CONTRACTOR
<br />
<br />S'fA'rm OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before me this _ day of
<br />by
<br />
<br />acknowledged
<br />, 1!L-
<br />
<br />STA'l'E OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument w~s aoknowledged
<br />Before me this --Fay 0[-_, H ~~
<br />by
<br />(name of person aaknowledg~d)
<br />[1ho is personally known to me, Dr
<br />
<br />Owho has produced
<br />(type of identifiqation)
<br />and vlho Ddid DUd not t.ake an oath
<br />
<br />(name of person ackno"l~dged)
<br />Dwho is personally known to me, or
<br />
<br />o who ha", produoed
<br />(type
<br />and who[] did []did not
<br />
<br />of identifioation)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknOWledgment
<br />
<br />.-..--- .._._~.__._----~
<br />Name typed, lJd nted or stamped
<br />
<br />Name typed, printed OJ:' stamped
<br />
<br />-....--_.__.-....~---
<br />
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