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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. -NO'rICE OF DEED RES'l'RIC'UONS
<br />The undersigned understands th4t this p~rmit may be subject ~o "deed restriotionsH which
<br />ma~ be more ;Le/iltl'iati va than City regulations. 'l'h.= und'=rsigned assumes responsibili ty_ for
<br />oomplianoe with any applicable deeclrestrictions.
<br />B. UNLICENSED (~ONTRAC'l'ORS AND CON1'RACTOR RESPONSIBII,I'l'IES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to Ptl IJc:enaed in accordance with state and local regltlations. 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 />licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermol'e, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor SectionsN of this application for whicll they
<br />v/111 be responsible. If you, as the owner signs as the contractor, YQI,\ are i.ndicating that
<br />you, lather than the contractor, are responsible for the work. If the contractor l"lishes
<br />you to sign as contractor that may be an indication that he is not properly licensed and is
<br />not entitled to permitting privileges in the City of Zephyrhi.lls.
<br />C. 'l'RANSI?OR'l'ATION IMPACT !fEES AND UTILITY CONNECTION !fEES
<br />D. CONS'l'RlJC'l'UION LIEN LAv~ (CHAl?'I'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />T certify that I, the applioant, have been provided with a copy of "!flori.da's Construction
<br />lien Law - Homeowner's l?rotection GuideN prepared by the E'lorida Depar'tment of Agriculture
<br />and Consumer Affairs. If the appli.clilnt is someone other thlilt the "ownerN, I aerify that I
<br />have obtained a copy of the above described document and promise in good fai.th to deliver
<br />i.t to the "owner" prior to commencement.
<br />E. CON'rRAC'rOR' a/OWNER'S AFFIDAVI'r
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all appli.cable laws regulating constnlCtion, zoning, and land
<br />devl\fllopment.
<br />Applioation is hereby made to obtai.n a permit to do work and installation as indicated. I
<br />ce+tify 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 regulati.ng construotion, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. 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 aotions I must take to
<br />be in compliance. Such agencies include but are not limited tal *Department of
<br />~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens~tive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest florida Water Management District-Wells,Cypress Bayheadsi Wetland Areas,
<br />Altering Watercourses
<br />'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*Depu:tment of Health & Rehabilitative Services, Environmental Health Unit-Wella,
<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 ~A" or "A,etc.H, it is
<br />undel:stood that a dralnage plan addressing a "coh.;'snsating volume"'will. be aubrnitted whioh
<br />is prepared by a professional engineer registered in the State of rlorida 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 technioal codea,
<br />nor allall i.ssuance of a permit prevent the Buildi.ng Official from thereafter requiring a
<br />cor~ection of errors in plans, oon~truction! or violations of any oode. Every p~rmit
<br />issued shall beoome invalid unless the work authorh:ed by .such permit is oOllullenced within
<br />six months of issuance, or if \'lOrk authori.zed by the permlt 1s suspended or abandoqed f~.r a
<br />period of six months after the time the work is commenced. One 90 day extension of t1111e
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requea~ed
<br />in writing to the Building Official. An approved inspection muat be logged during each six
<br />month periOd, or the project will be considered abandoned. .
<br />WARNING TO OWNIilRI YOUR FAILURE '1'0 RECORD A NO'nCE Of COMMENCEMENT MAY REaUL'!' IN YOUR
<br />PAYING 'I'WICE !fOR IMl?ROVEMEN'l'S TO YOUR l?ROPERTY. IF 'iOU INTEND TO OB'rAIN FU-lANGINq,{::9N~UL'I'
<br />WI'l'H YOUR LENDER OR AN A'I"rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOnCE OF COMMENCEMEN'l"'.
<br />
<br />SIGNA'l'URE: OWNER OR AGENT
<br />
<br />SIGNA'IIURE: CONTRACTOR
<br />
<br />ackno~'iledged
<br />, 1!L-
<br />
<br />STA'l'E OF !fLORIDA
<br />COUNTY OF
<br />The foregolng instrument w~s
<br />Before me this ---Fay of
<br />by
<br />
<br />STA'rE Q!f FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was
<br />Before llIe this __ day of
<br />by
<br />
<br />aoknowledged
<br />I IS ~
<br />
<br />(name of person acknowledged)
<br />Dwho is personally known to me, or
<br />
<br />(name of person acknowledged)
<br />C1ho is per.sonally known to me, or
<br />
<br />o who haj:l produced
<br />(type
<br />and who[] did Odid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking aoknowledgment
<br />
<br />H-~-l~t-~;p-ed~ printed ~-~tamped
<br />
<br />~----,_._,._.-........_~,---_._-
<br />Name typed, printed or stamped
<br />
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