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<br />CONDITIONS OF PERMIT AFFIDAVIT
<br />
<br />. A... HO'rICE OF DEED RESTRIC'L'IONS
<br />The undersigned understands th~t Lhls p~rmit may be subject to "deed restrictionsU which
<br />may be more restriotive than City r'=9ulations. TII'= llnd'=_rsigned assumes responsibility for
<br />compliance with any applicable deed ('est:riction~.
<br />B. UNI,lCENSElD 'CONTRAC'l'ORS AND CON'l'Ri\CTOR RES PONS LBII,I'l'IES
<br />If the oHner has hired a contractor or contracto.ts to undertake work, they may be required
<br />to j:)e licensed in accordance with state and local regl1latJon6. If the contractor is not
<br />1 Jcensed as required by law, both the o,mer and contractor may be oi ted for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to .~lat
<br />licensing requirements may apply for the intended work, they are advised to contapt the
<br />City of Zephyrhilh Building Depar;tment, 813-768-6611.
<br />Furtheuno.t-e, if the owner has hired a contractor or contractors, he is advised to hilve the
<br />contractor (a) aign portions of the "Contractor Sections" of this appli.cation for Hhich they
<br />will be responsible. If you, as the owner signs as the contractor, YQ4 are indicating that
<br />you, .tather than the contractor, are responsible for the work. If the contl::actor \dshes
<br />you to sign as contractor that may be an indication tllat he is not properly licensed and is
<br />riot entitled to permitting privil~ges in the City of Zephyr;hills.
<br />c. 'I'RANSI:'OR'rA'rION IMPAC'1' Ii'flflS AND UTILITY CONNECTION li'EflS
<br />D. CONSTRUC'rUIOl~ LIEN LAW (CliAP'l'ER 713, FLORIDA STATUTflS, AS AMENDED)
<br />I certify that I, the applicant, 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 />llilve obtained a copy of the above described document and promise in good faith to deliver
<br />lt to the "owner" prior to commencement.
<br />E. CONTRAC'l'OR' S/OWNflR' S AflfIDAVIT
<br />I cer;tify 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 />devl?lopment.
<br />Application is hereby made to obtaln a pennit to do work and installation as indioated. I
<br />ce~tify that no work 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 construction, City
<br />codes, zoning regulations, and land development regulations in the jurisdiction. r 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 actiona I must take to
<br />be in compliance. Such agencies include but are not limited tal *Department of
<br />Environmental Regulatipn-Cypreas Bayheads, Wetland Areas and Environmentally Bens~tive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest !l"loridc. Water Management Diatrict-Wells, :Cypreas Bayheads, Wet1and Areas,
<br />Alterlng Watercourses
<br />"Army Corps of Engineers-Seawalls, Docks, Navigable Watenlays
<br />*Vepartn~nt of Health & Rehabilitative Services, Environmental Healtll 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 ~A" or "A,etc.H, it is
<br />understood that a drainage plan addressing a "compensating volume"'wi.ll. be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />ll:lsuance.
<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 ther;eafter requiring a
<br />cor~ection of errors in plans, con~~ruotioq~ or vio~ations of any oode. Every p.rmit
<br />is~u~d shall beoome invalid unleas the work authorized by such permit is oonunenoedwlthin
<br />six months of issuance, or if work authorized by the permi.t is suspended or abandol1ed f9r a
<br />period of aLa months after the time the work is commenced. One 9D 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 />in writing to the Building Official. An approved inspection muat be logged during each /:iiK
<br />llIonth period, or the project will be considered abandoned.
<br />WARlUNG TO OWNERI YOUR FAILURfl '1'0 RflCORD A No'rrCE Or' COMMENCElMENT MAY RESUL'r IN YOUR
<br />PAYING TWICE Ii'OR IMPROVEMENTS TO YOUR PROPflRTY. IF '.(OU IN'I'END TO oS'rAIN f'INANqINq, _{X)NljUI/I'
<br />WH. 'H YOUR LflNDER OR AN A'1''l'ORNflY BfllfORE RECORDING Y~/.CE Of COMMflNCflMflNT. ,JOBS UNDER
<br />~2, 500 IN YAW. no NOT NEEO TO RECORD ""0 P081' A "GO' COMMEN' mNT" ,
<br />
<br />
<br />
<br />
<br />..~--~------_.
<br />SIGNA'l'UREI OWNER OR AGENT SIGNA'l'UREI CONTRACTOR
<br />
<br />acknowledged
<br />, 1~
<br />
<br />STA'l'El OF FLORIDA
<br />COUN'l'Y OF
<br />The foregoing instrument w~s aoknowledged
<br />Before me this ----------f.iay of---, 19.....:._
<br />by
<br />(name of person acknowledged)
<br />Qho ia personally kno\'m to me, or
<br />
<br />S'!'A'rJil OF IfLORIDA
<br />COUNTY OF
<br />'1'he foregoing instrument was
<br />Before me this __ day of
<br />by
<br />
<br />(name of person aokno"l~dged)
<br />Dwho is personally known to me, or
<br />
<br />o who has produced
<br />(type
<br />and who[] did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />Dwho has produced _
<br />(type of identiflgation)
<br />and liJho Ddid DUd not t.ake an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />Name typed, pr;inted or stamped
<br />
<br />Name typed, printed or stamped
<br />
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