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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />A. NO~ICE OF DEED RESTRIC~IONS
<br />Th", undE:.."t"signed understands thqt t.his p,,"rmit may be SUb)e:ctco "deed restriotions"'wllic'"
<br />may be more restrictive than City regulations, The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictionl.;,
<br />8. UNI.ICENSED. 'CON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBII,I'l'IES
<br />If tile owner has hired a contractor or contractors to undertake work, they may be required
<br />to be Ii ceBsed in accordance ~.ith f:ltate and local regulations. If the contractor is Ilot
<br />Ii cellsed as required by la\l;, both the o\lmer and oontractor may be oited far a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to \I~lat
<br />li cansing requirements may apply for the intended work, they are~ advised to contaot the
<br />City of Zephyrhills Building Department, 813-768-6611.
<br />Furtherlllol:e, if the owner has hired a contractor or contractors, he is adviaed to have the
<br />contraotor(a) sign portions of the "Contractor SectionsU of this application for which they
<br />\I/il1 bE: responsible. If you, as the owner signs as the contractor, YQ4 are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contl:actor wishes
<br />you to sign aa contractor that may be an indication tllat he is not properly licensed and is
<br />not entitled to permitting privil~ges in the city of Zephyrhills.
<br />c. 'I'RANSPOR'l'ATION IMPAC'l' fEES AND UTILITY CONNECTION b~EES
<br />D. CONS'l'R\JC'l'UlON I,IEN LA~~ (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify tllat I, the applicant, have been provided with a copy of "florida's Construction
<br />lien Law - Homeowner's Protection Guideu prepared by the florida Depal:tment of Agriculture
<br />and Consumer Affairs. If the applicant is SOJlleone other that the "owneru, I cel:ify that I
<br />llave obtained a copy of the above described document and promise in good faith to deliv&r
<br />it to the "owneru prior to conunencement,
<br />E. cOWrRAC'l'OR' 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 applicable laws regulating constt-nction, zoning, and land
<br />development.
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />ceJ:tify that no \lwrk or installation has conunenced 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 the jurisdiction. I also
<br />certify that I understand that thi;l 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 tOI *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sens~tive
<br />Lands, Water/Wastewater Treatment
<br />*Soutllwest Florida Water Management Distriot-Wells, Cypress 8ayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
<br />*lJepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater 'l'reaj:ment, Septic 'ranks
<br />*U,8. Environmental Proteotion Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone ~Au or "A,eta,N, it is
<br />underetood that a drai.nage plan addressing a "compensating volumeN'will be submitted which
<br />is prepared by a professional engineer registered in tile State of ilorida prior to peonit
<br />iaauance.
<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, oon~truotion! or vio~ations of any oode. Every p.~mit
<br />iSl:iu"d shall become invalid unless the wo.r:k authorized by such permit is cOlllmenoljid within
<br />si.x monthe of issuance, or if work authorized by the permi.t is suspended or abandoijed f9r a
<br />period of aLa months after the time the work is conunenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be ~equea~ed
<br />in writing to the Build1ng Official. An approved inapeation must blji logged during each aJx
<br />month period, or the project wi.ll be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NO'rICE Ov~ COMMENCEMENT MAY RESUL'I' IN YOUR
<br />PAYING 'rWICE FOR IMPROVEMENTS TO YOUR PROPER'ry. I F YOU INTEND TO 08'l'AIN FINANqINq,cqN~UL'r
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE Of COMMENCEMEwr. JOBS UNDER
<br />92,500 IN VALUE DO NOT NEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMEH'I"'.
<br />
<br />SIGNA'l'URE; OWNER OR AGENT
<br />
<br />SIGNA'I'URE I CONTRACTOR
<br />
<br />acknoHledged
<br />, 1~
<br />
<br />STA'rE OF FLORIDA
<br />COUWry OF
<br />The foregoing instrument w~s
<br />Before me this ------i-iay of
<br />by
<br />
<br />s'rA'rEJ Of IfLORIDA
<br />COUNTY OF
<br />'l'he foregoing instrument was
<br />Before me this __ day of
<br />by
<br />
<br />aokno~l1edged
<br />, 1 ~ ......:..._
<br />
<br />o who has produced
<br />(type
<br />and who[] did []did not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />Dwho has produced
<br />(type of identifioation)
<br />and Hho Odid Q.iid not t.ake an oath
<br />
<br />(name of person aoknowl,dged)
<br />Owho is personally known to me, or
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, IHinted or stamped
<br />
<br />Nallle typed, pri.nted or stamped
<br />
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