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<br />CONDITIONS OF PERMI'r An'IDAVIT
<br />A. NOTICE OF DEED RESTRICTIONS
<br />The undersigned understands th~t this permit may be subject to "deed restriotionsU which
<br />IlIdY be more restrictive than City l:'egulations. 'rile undersigned assumes responsibility for
<br />coftolpliar~e with any applicable deed .tel3trictions.
<br />B. UNLICENSED C'oN'I'RAC'I'ORS AND CON'l'HACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they nlay be required
<br />to be l.icensed in accordanoe with ::;tate and local regulations. It the contractor is not
<br />licensed as required by law, both the o~mer and contractor may be aited for a mi::idemeanor
<br />violatioll under state law. If the oWller or intended contractor are uncertain as to Ylhat
<br />licensing requirements may apply for the intended w(n-k, they are advised to contaot the
<br />City of Zephyrhills Building Department, 613-766-6611.
<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 SectionsU of this application for which they
<br />will be responsible. If you, as tlle owner signs as the contractor, YQ4 are indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wisJles
<br />you to sign as contractor that mqy be an indication that he ls not properly licensed and is
<br />not entitled to permitting privil~ges in the City of Zephyrhills.
<br />C. 'l'RANSI:'OR'i'ATION IMPACT IfEES AND UTILITY CONNECTION FEES
<br />D. CONS'l'RlJC'rUION LIEN LAW (CHAP'l'ER 713, FLORIDA STATUTESf AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Floridafs Constr\lction
<br />lien Law - Homeowner's Protection Guideu 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 />llave obtained a copy of the above described ~ocument and promise in good falth to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRAC'rOR' S/OWNERf 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 />Application is hereby made to obtain a permit to do work and installation as indiaated. 1
<br />certify 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 construotion, City
<br />Godes, zoning regulationsf and land development regulations .in the jurisdiction. I also
<br />certify that I understand that th, 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 to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environment.ally Bensj,tive
<br />Lands, Water/Wastewater Treatment
<br />*Southweat Florida Water Management District-Wells, Cypress Bayheads,-WetJand Areas,
<br />Altering Watercourses
<br />"Army Corps of Engineers-SeaHa LIs, Docks, Navigable Waten/ays
<br />*Departn~nt of Health & Rehabilitative Services, Environmental Healtll Unit-Wells,
<br />Wastewater Treatmentf 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.u, it is
<br />understood that a drainage plan addreSSing a "compensating volumeu'will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to pennlt
<br />is/i:luance.
<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 />oorrection of errors in plans, oonstruction, or violations of any code. Every permit
<br />iSf,iUed shi'lll become invalid unless the work authorized by such permit is cOllunenoed within
<br />six months of issuance, or if work authorized by tile permit is suspended or abandoQed for a
<br />period of six months after the time the work is comrnenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension ~hall be requeated
<br />ill\'/ri ting to the Building Official. An approved inspection must be logged during each aLa
<br />month periodf or the pr'oject Hill be considered abandoned.
<br />WAfUHNG '1'0 OWNERs YOUR FAUURE '1'0 RECORD A NOnCE OF COMMENCEMENT MAY RESUW' IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'I'END TO OB'rAIN FINANC;IN~I ,~qN~UIlI'
<br />Wl'!'H YOUR LEHDER OR AN A'nORNEY BEIfORE RECORDING YOUR NonCE Olf COMMENCEMEN'r. .1OBS UNDER
<br />
<br />:~~~:_l~ VALUE DO H01' HEED 'j'O RECORD AIID POST ~ ~MMENC" EN'''',
<br />
<br />
<br />S1GNA'I'URE: OWNER OR AGENT SIGNA'I'URE: CONT
<br />
<br />
<br />sTA'n OF FLORIDA
<br />COUNTY OF
<br />'l'he foregoing instrument was acknowledged
<br />Before me this __ day of ___, 19_
<br />by "_____
<br />(name of person acknOWledged)
<br />Owho is personally known to mef or
<br />
<br />STA'I'E OF FLORIDA
<br />COUWI'Y OF
<br />The foregoing instrument WqS acknowledged
<br />Before me this _----S-iay of-----, 19
<br />by
<br />(name of person acknowledged)
<br />C1ho is personally known to me, or
<br />
<br />Owho has produced
<br />(type
<br />and whal] did Ddid not
<br />
<br />of identification)
<br />take an oath.
<br />
<br />o who has produced
<br />(type of identifiqation)
<br />and v/ho Odid DUd not t,ake an oath
<br />
<br />Signature of person taking acknowledgement
<br />
<br />Signature of person taking acknowledgment
<br />
<br />}I-~-me -t y-p-~'d;-pr in t~d-~~-s tamped---------
<br />
<br />Name typed, printed or stamped
<br />
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